News & Analysis

May 28, 2025
News & Insights

Learn how CMS plans to enhance its risk adjustment data validation auditing efforts for Medicare Advantage (MA) plans and recover overpayments.

May 28, 2025
HIM Briefings

With risk adjustment’s impact on reimbursement, review tips for accurate coding, compliant documentation, and timely responses.

May 28, 2025
Briefings on APCs

Our experts answer questions about the standard of care, reporting reduced services, and problems addressed during evaluation and management office visit.

May 21, 2025
HIM Briefings

Learn how HIM professionals can leverage data related to social determinants of health (SDOH) to improve patient care and secure proper reimbursement.

May 20, 2025
Medicare Insider

This week’s Medicare updates include draft guidance for the third cycle of the Medicare Drug Price Negotiation Program, the July 2025 HCPCS quarterly update file, and more!

May 14, 2025
Briefings on APCs

The Affordable Care Act provides preventive and early diagnosis healthcare services for free to anyone with a health insurance policy. This article provides coding specialists with guidance to ensure they’re documenting these services correctly so that providers are compensated properly.

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