Increase success rates of your programs. Discover which specialists are diagnosing which HCC codes with this interactive dashboard

CMS Just Published the Announcement of Calendar Year (CY) 2019 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter

When someone drops the ball, it’s time to find a new coding vendor — but how do you minimize risk? These are the three questions you should be asking your (potential) coding vendors.

The CMS Advanced Notice Part II was released

A Three-Month Window Is Now Open to Ensure Your Health Plan Captures All HCC Value

The 2019 Advance Notice will be published in two parts this year due to requirements in the 21st Century Cures Act

The Nuances of HCC Coding — and the Necessity for Precision — Are More Important than Some Health Plans May Realize, Especially with Coming Changes Mandated by the 21st Century Cures Act

When Providers Don’t Participate in Medical Record Retrieval, Retrieval Projects Suffer. But Strategies Exist to Mitigate the Ill Effects of Noncompliant Providers. Is Your Vendor Capable of Implementing Them?

Key Questions to Ask Your Retrieval Vendor about their Provider Outreach Strategy