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Blogs That Inspire

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HCC risk adjustment coding defensible Medicare Advantage RADV
June 12, 2026

The New Era of HCC Risk Adjustment: Why ...

For years, many Medicare Advantage organizations treated HCC risk adjustment as a volume exercise: capture more diagnose...

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outsourcing medical billing healthcare accounts receivable management revenue cycle 2026
June 10, 2026

Outsourcing Medical Billing for Healthca...

Most healthcare organizations don't decide to outsource medical billing because of a single crisis. The decision builds ...

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OIG Medicare Advantage HCC risk adjustment coding audit 2026
June 07, 2026

OIG Flags $462 Million in Medicare Advan...

On June 1, 2026, the HHS Office of Inspector General published one of the most significant Medicare HCC risk adjustment ...

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Risk Adjustment Essentials Guide

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Leadership in Action

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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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