United States, 7th Aug 2024 - In the realm of healthcare, precision is everything. The accuracy of Hierarchical Condition Category (HCC) risk scores plays a pivotal role in the financial health of ...

Your members are sicker than your risk scores reflect. Not because diagnoses don't exist—they're buried under unstructured data across fragmented systems. Every missed Hierarchical Condition Category ...

Geisinger Health Plan in Danville, Pa., implemented automated coding technology from Talix to streamline risk adjustment processes. The application, Coding InSight, is designed to help professional ...

We propose that Medicare should pilot a data-driven, inference-based approach to establishing patient risk scores – and, therefore, budgets – for MA plans and value-based Accountable Care ...

RAAPID INC launched a unified Risk Adjustment Platform designed to integrate clinical documentation, coding, quality assurance, audit management, and evidence trails into a single system intended to ...

Medical coding professionals are entering a pivotal moment in 2026 as the industry grapples with the April 1 ICD-10-CM guideline updates and the most extensive CPT changes in recent memory, featuring ...

The Medicare program is broken down into four parts. Part A covers the cost of healthcare items and services provided during inpatient hospital stays as well as skilled nursing facility, hospice, and ...

For years, our industry treated documentation accuracy as the finish line. If the code was correct, you were compliant. If the chart supported the diagnosis, you were audit-ready. That assumption was ...

ALPHARETTA, Ga.--(BUSINESS WIRE)--Ciox Health™, a leading health technology company, has expanded its risk adjustment coding services with Cross Check – a service for advancing coding accuracy, ...

Noncompliant coding is a more significant risk to the revenue cycle than providers may realize, accounting for $36 billion in annual lost revenue, denials, and fines. In 2019 alone, the CMS and the ...

The gap between clinical care and financial performance has never been wider. As health systems expand services and patient volumes rise, revenue cycle teams are being held back by one of the most ...

Your Health Deploys Fathom Autonomous Medical Coding to Achieve 95.5% Automation Rate at 98.3% Accuracy Rate Across All Service Lines Fathom, the leader in autonomous medical coding, today announced ...