Recap of healthcare transformations in 2023 In 2023, the healthcare industry witnessed significant transformations that set the stage for the trends we can expect in 2024. One of the most

Introduction: In a recent audit conducted by the Office of Inspector General (OIG), SelectCare of Texas, Inc. (SelectCare), a Medicare Advantage (MA) organization, faced scrutiny for submitting diagnosis codes to

In the intricate tapestry of healthcare, social determinants often weave their way into the fabric of well-being. From financial instability to food insecurity, these challenges significantly impact the health of

Introduction to Emedlogix NLP and HCC Risk Adjustment Coding In the ever-evolving field of healthcare, accurate and efficient coding plays a crucial role in ensuring proper reimbursement, compliance, and overall

In UShealthcare, organizations are continually seeking innovative ways to optimize their revenue streams and provide high-quality patient care. One critical aspect of this pursuit is efficient risk adjustment coding, a

Unlocking the full potential of healthcare begins with population health management. In an era where preventive care and proactive strategies are gaining prominence, it is essential to shift our focus

Introduction to Prospective Payment System (PPS) In today’s ever-evolving healthcare landscape, it is crucial for providers and patients alike to understand the intricacies of reimbursement methodologies. One such methodology that

In the ever-evolving landscape of healthcare, addressing challenges in implementing Hierarchical Condition Category (HCC) coding and risk-adjusted coding programs is paramount. These challenges are multifaceted and require innovative solutions to

Are you ready to unlock the secrets of medical coding and take your skills to the next level? Whether you’re a seasoned professional or just starting out, it’s crucial to