"Modifying the HCC model is not a simple technical update or revision," the AMGA says. CMS recently released proposed changes to the CMS-HCC Risk Adjustment Model for payment year 2024 in February, ...
LEWES, Del., April 22, 2025 (GLOBE NEWSWIRE) -- John Snow Labs, the AI for healthcare company, today announced its new end-to-end Hierarchical Condition Category (HCC) coding engine designed to help ...
The medical coding landscape is evolving rapidly due to increased regulatory complexities, the adoption of ICD-11, and AI-driven automation. Healthcare providers demand coders who are not only ...
The Alliance of Community Health Plans is calling out risk adjustment scores by larger insurers in Medicare Advantage plans. ACHP, an organization that advocates for smaller health plans, said the ...
Geisinger Health Plan of Pennsylvania has implemented a new application to help professional risk adjustment coders uncover missed Hierarchical Condition Category codes in member charts. The ...
LEWES, Del., April 02, 2025 (GLOBE NEWSWIRE) -- John Snow Labs, the AI for healthcare company, today announced the release of Generative AI Lab 7.0. The update enables domain experts, such as doctors ...
Claims data, which form the foundation of risk adjustment in payment for health care services, may reflect efforts to capture more—or more severe—clinical conditions rather than true changes in health ...
In the auditorium at Houston Community College’s West Loop Campus, what appears to be chaos is actually a highly choreographed and timed event familiar to anyone who’s ever pitched a technology ...
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