MARLBOROUGH, Mass., Nov. 15, 2021 /PRNewswire/ -- Persivia, a provider of population health, risk management and hybrid care management solutions, today announced the release of the latest version of ...
Autonomous, explainable AI executes two of the most administratively intensive payer workflows — inside the health plan's own AWS environment. PALO ALTO, Calif., Aug. 19, 2026 /PRNewswire/ -- Penguin ...
Accurate HCC coding is critical for patient risk adjustment, as it directly impacts reimbursement models and financial sustainability in value-based care. However, studies indicate that as many as ...
Accurate risk adjustment isn’t just a box to check; it’s now a strategic lever. Hierarchical Condition Category (HCC) coding underpins risk scores that drive Medicare Advantage and other value-based ...
At RISE West, we're not just talking about AI - we're showing exactly how it solves healthcare's most expensive compliance challenge," said Chetan Parikh, CEO of RAAPID. "Attendees will see our ...
"Modifying the HCC model is not a simple technical update or revision," the AMGA says. CMS recently released proposed changes to the CMS-HCC Risk Adjustment Model for payment year 2024 in February, ...
To facilitate full and accurate Hierarchical Condition Category (HCC) coding, it is crucial that providers take a disciplined approach to documenting medical encounters in patient records. The AAPC ...
In 2020 Medicare reintroduced Alzheimer’s disease and related dementias (ADRD) Hierarchical Condition Categories (HCCs) to risk-adjust Medicare Advantage and accountable care organization (ACO) ...
Two years ago, I would have told you that autonomous AI coding was too risky for risk adjustment. Today, I'm implementing it—but only after finding an approach that met my compliance requirements.
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