We’ve assembled the latest news for healthcare revenue cycle leaders to help you stay on top of industry challenges and adapt your revenue cycle
Adjustment Services Update: 2023 RADV Overhaul Overturned
Risk adjustment audits are changing again, and leaders in charge of risk adjustment services should take note as the implications are massive.
In October 2025, a federal court struck down the Biden administration’s 2023 Risk Adjustment Data Validation (RADV) audit overhaul, unraveling a key regulation that would have significantly expanded Medicare Advantage (MA) plan audit recoveries. For payers, providers, and revenue cycle leaders managing risk adjustment operations, this decision adds a fresh layer of uncertainty – but also
Accuracy Isn’t Enough in Risk Adjustment Coding (And That’s the Truth)
Accuracy gets all the attention in risk adjustment coding, and rightly so. It’s the backbone of compliance, reimbursement, and audit defense.
But here’s the truth: accuracy alone doesn’t keep your revenue cycle moving – productivity does.
That’s where many healthcare organizations and risk adjustment coding
