Latest Posts

Trump Halts Risk Adjustment Payments, Impacts Health Plans & Consumers
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As if the complexities around healthcare affordability couldn’t…

CC/MCC Analysis – What’s in Store?
Over the past few years, CMS has made known their intent to perform…

Why Health Information Exchanges Are More Important Now Than Ever
The importance of Healthcare Information Exchange (HIE) is…

Hurray – HEDIS® 2018 is over! Reflecting on this year’s season and preparing (already) for 2019
You can hear the shouts of joy when the HEDIS® season is…

Your Questions Answered: New HIPAA Laws Around Opioid Crisis
In a previous post, I wrote about HHS relaxing HIPAA to…

Authorized Requests Under Bocage v. Acton Corporation
Healthcare providers and their release of information vendors…

How transparent is your relationship with your business partners?
This is the question that every covered entity should ask themselves…

The Healthy Benefits of Denials: Is the Management of your Denials Rock Solid?
Denials are exciting! They come to challenge us, to make us think,…


Calling All Codes!
Get the DRG and move on. For better or worse, and with rare exception,…



The Complexity of Regulatory Pricing
Easy release of information is a thing of the past. With a dense…


Strategies for Mastering Annual Code Changes
Right about this time last year, we stood on the cusp of implementing…
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