
In 2026, health plans, Medicare Advantage organizations, and risk adjustment coding companies across the US face growing...
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Fraud detection has taken center stage with this administration, and the latest effort is the Comprehensive Regulations ...
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Risk adjustment audits are changing again, and leaders in charge of risk adjustment services should take note as the imp...
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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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