Making Care Primary Model Integrates Primary Care, Clinical and SDoH Data to Transform Healthcare. Image of a doctor with a laptop smiling at her patient.

Making Care Primary Model Integrates Primary Care, Clinical and SDoH Data to Transform Healthcare

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The Centers for Medicare & Medicaid Services (CMS) announced…
Learn how to use SDOH data, maintain privacy, and where to access SDOH data.

SDOH Data: Use Cases, Maintaining Privacy, and Health Data Ecosystems

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Social determinants of health (SDOH) describes the conditions…

Modern Day Risk Adjustment Reimbursement

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It’s no secret that health plans have been under increasing…

Traditional Chase Lists vs Modern Chase Intelligence

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The exchange of health information is going digital which means…
The CMS Extension and the 2021 Outlook for Record Retrieval

The CMS Extension and the 2021 Outlook for Record Retrieval

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Now that 2021 has arrived, a national election recently completed,…
Risk-Adjustment-FAQs

Risk Adjustment FAQs

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What Is Risk Adjustment? Risk adjustment is an annual process…
HCC-Coding-FAQs

HCC Coding FAQs

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Hierarchical Condition Categories and How They Affect Reimbursement Hierarchical…
How to Optimize Additional PY 2020 Reconciliation Run

How to Optimize Additional PY 2020 Reconciliation Run

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Additional reconciliation run for CMS PY2020 Risk Adjustment…
CIOX-CrossCheck

Ciox Cross Check™ automates second level review, streamlines payer coding, and improves accuracy

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Innovative service applies AI-powered NLP to uncover adds,…

Partner Breach? Steps to Protect Your Own Organization

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An increased number of our provider customers are under attack,…