
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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For most of the past decade, Medicare Advantage risk adjustment compliance was understood primarily through the lens of ...
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CMS's proposed rule arrives against a backdrop of sustained program success and measurable improvements over time....
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January 20, 2026
Hemant Apte - Chief Executive Officer
Providers Are On a Deadline To Share Com...
Providers and payers have only a few days left to comment o...
read moreSeptember 22, 2025
Hemant Apte - Chief Executive Officer
AI in Healthcare Revenue Cycle: The Big ...
A recent HFMA study shows that hospital CFOs see revenue cy...
read moreAugust 15, 2025
Hemant Apte - Chief Executive Officer
AI Won't Replace Your Coders…Here's Why ...
Physicians have expressed concern over payers using artific...
read moreApril 28, 2025
Hemant Apte - Chief Executive Officer
Risk Adjustment Coding Needs Innovation ...
After releasing new HCC coding guidelines, CMS has publishe...
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