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 ...

Accurate risk adjustment isn’t just a box to check; it’s now a strategic lever. Hierarchical Condition Category (HCC) coding underpins risk scores that drive Medicare Advantage and other value-based ...

Inaccurate HCC coding can lead to significant financial implications and variability in Risk Adjustment Factor scores. A new infographic released by PYA illustrates why coding accuracy is paramount ...

Healthcare organizations need to make crucial decisions based on the perceived risk of their patient populations. To do this, organizations need a complete picture of their population. Hierarchical ...

FRANKLIN, Tenn., March 07, 2018 (GLOBE NEWSWIRE) -- M*Modal, a leading provider of clinical documentation and Speech Understanding ™ solutions, today announced game-changing advancements to its ...

SAN FRANCISCO, CA / ACCESS Newswire / September 24, 2025 / Ambience Healthcare today announced the launch of its HCC Compliance Validator. Already live with eight healthcare organizations, the HCC ...

MedAptus® today announced that it has released a Risk Severity Toolkit to help provider groups measure and manage the disease burden of patients covered under risk-based contracts. The initial version ...

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 ...