How an HIE Can Facilitate Care Coordination
Demand for health information exchanges (HIEs) is growing with the drive toward interoperability and the need to maintain compliance with standards for value-based care. An HIE allows providers to better…
Medical Coding Error Consequences (and Solutions)
Medical coding is vital to practically every facet of modern healthcare. It guides the patient journey, impacts administrative workflow and influences the revenue cycle. Accurate medical coding is essential to…
A Guide for Shifting to a Patient-Centric Business Model
Patient-centric care is a healthcare model that emphasizes the patient experience. It requires a multifaceted approach that redesigns care plans that focuses on patients as individuals and their success and…
A Closer Look – Medicare Advantage Risk Adjustment Diagnosis
Medicare Advantage (MA) risk adjustment (RA) relies on strong connections between members, providers, and payers, accurate coding, and detailed data submissions. It is a process that continues to evolve to…
5 Ways Payers Can Ensure Risk Adjustment Compliance
As Medicare Advantage (MA) plan options have expanded, the number of insurers wading into MA’s often murky waters is likewise growing. This shift to value-based care from fee-for-service care that…
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