What Is the CMS-HCC Risk Adjustment Model?
As healthcare moves away from fee-for-service to fee-for-value, payment structures have changed…
Exploring the Risk Adjustment Continuum: The Importance of Prospective and Concurrent Condition Capture
Risk adjustment programs under the Affordable Care Act, Medicare, Medicaid, and Medicare…
What to Look for in Your Next Risk Adjustment Coding Technology Vendor
Major submission deadlines for Medicare Advantage (MA) and Affordable Care Act (ACA)…
Following Deferred Audits, a Renewed Focus on Risk Adjustment Compliance
The trajectory of Medicare Advantage (MA) and other risk-adjusting government programs has…
Why Risk Adjustment Technology Is More Essential Than Ever
We’re currently in a season of upheaval—for our world, our nation, and…
4 Ways MSOs Can Help ACOs Succeed with Medicare Risk Adjustment
Risk adjustment is a complex but vital competency accountable care organizations (ACOs)…
6 Physician Benefits of Prospective Risk Adjustment
Under pressure from CMS to move away from retrospective risk adjustment and…
How Improved Interoperability Can Help Healthcare AI Flourish
As patients, we’ve all felt the pain of trying to transfer medical…