2 minRevolutionizing Medicare Advantage: AI Integration for Accurate HCC CodingIntroduction: In a recent audit conducted by the Office of Inspector General (OIG), SelectCare of Texas, Inc. (SelectCare), a Medicare...
6 minCoding for Profit: Strategies for Improved Risk AdjustmentIn UShealthcare, organizations are continually seeking innovative ways to optimize their revenue streams and provide high-quality patient...
11 minPopulation Health Management in HealthcareUnlocking the full potential of healthcare begins with population health management. In an era where preventive care and proactive...
7 minBenefits of a Prospective Payment System in healthcareIntroduction to Prospective Payment System (PPS) In today's ever-evolving healthcare landscape, it is crucial for providers and patients...
8 minNavigating the Complex Landscape of HCC Coding and Risk Adjustment ProgramsIn the ever-evolving landscape of healthcare, addressing challenges in implementing Hierarchical Condition Category (HCC) coding and...
7 minHow Medical Treatment Algorithms Are Reshaping the Healthcare FieldIntroduction to Medical Treatment Algorithms Welcome to the future of healthcare, where algorithms are revolutionizing the way medical...
3 min2025 Proposed Rule Aims to Enhance ACA Plan StandardsCMS Unveils 2025 Proposed Rule to Improve ACA Plans The Centers for Medicare & Medicaid Services (CMS) has recently released the HHS...
8 minThe Pros and Cons of Medicare Advantage Plans in RetirementAs you approach this exciting phase of life, it's important to consider your healthcare coverage options. Medicare Advantage Plans can be...