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HCC risk adjustment risk adjustment services risk adjustment coding companies Medicare Advantage False Claims
September 04, 2026

Could HCC Risk Adjustment Have Prevented...

HCC risk adjustment became the center of a $14.1 million Department of Justice settlement on August 3, 2026, when Comple...

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RADV audits Medicare risk adjustment 2026 FCA settlements Kaiser Aetna OIG enforcement risk adjustment
August 21, 2026

Two Settlements. $674 Million. What the ...

For most of the past decade, Medicare Advantage risk adjustment compliance was understood primarily through the lens of ...

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orthopedic billing services PE-backed practice EBITDA revenue cycle medical billing
July 28, 2026

Why Orthopedic Billing Accuracy Is a Val...

Orthopedic billing services are the specialized revenue cycle functions that manage claim submission, coding accuracy, p...

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AI Won’t Replace Your Coders

Hemant Apte - Chief Executive Officer

AI Won't Replace Your Coders…Here's Why ...

Physicians have expressed concern over payers using artific...

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AI Denials Are Rising

Hemant Apte - Chief Executive Officer

AI Denials Are Rising. It's Time to Reth...

AI denials are bad news for providers.  A full 61% of...

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Risk Adjustment Coding Needs Innovation

Hemant Apte - Chief Executive Officer

Risk Adjustment Coding Needs Innovation ...

After releasing new HCC coding guidelines, CMS has publishe...

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Home Health

Hemant Apte - Chief Executive Officer

Should Home Health Companies Start Dropp...

Healthcare providers are dropping major insurers—and home h...

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Risk Adjustment Encounter Integrity
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Risk Adjustment Encounter Integrity

August 2026

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