- ABN
- AI Coding
- Claim Scrubbing
- HCC Coding
- Medical Necessity
- MIPS
- PE-Backed Medical Groups
- Revenue Cycle
No UPCODE Act: How to Protect Your Organization with Smarter Risk Adjustment
The No Unreasonable Payments, Coding, or Diagnoses for the Elderly (No UPCODE) Act is the latest—and ...
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No UPCODE Act: Why Medicare Advantage Coding is Under the Microscope
A new bipartisan bill—the No Unreasonable Payments, Coding, or Diagnoses for the Elderly (No UPCODE) Act—is ...
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Before you automate: are you ready for AI coding?
AI coding can be a powerful tool—but only when it's built on a system that’s ready for it. Too often, ...
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From faster failure to real results: the AI coding journey
For many healthcare organizations, AI coding hasn’t delivered ...
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The Medicare Advantage Crackdown Is Here
Medicare Advantage just got a lot riskier. CMS, DOJ, and the OIG have turned their attention to upcoding and ...
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Are You Really Winning at Revenue Cycle Management? Not Without Data Analytics.
You’ve invested in a claim scrubber. Great! But here’s the hard truth: if you’re not actively tracking ROI, ...
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Before You Automate: First Diagnose the Real Problem
We’ve spent the last several posts cutting through the hype around AI coding— Read more
AI Coding Is a Tool. Revenue Is the Target
In our Read more