Boosting Outpatient CDI
Providers

Boosting Outpatient CDI Accuracy While Reducing Provider Burnout

Clinical Documentation Improvement (CDI) plays a critical role in ensuring accurate patient records, appropriate reimbursement, and quality reporting. …

Providers

Proactive PCPs: Future Lies in Prospective Risk Adjustment Solutions

As healthcare moves toward value-based models, primary care providers (PCPs) and health plans face increasing pressure to document …

CMS HCC Model V28
Providers

CMS-HCC Model V28: What Health Plans and Providers Must Do to Stay Ahead

As the healthcare landscape evolves, the transition to the CMS-HCC (Hierarchical Condition Category) Model V28 represents a significant …

Concurrent Coding
Providers

Concurrent Coding in 2025: How AI-Powered Solutions Transform Real-Time Risk Adjustment

Concurrent vs Retrospective Coding: Real-Time Advantage in Risk Capture Real-Time Risk Adjustment: Measured Impact on Documentation Quality Breaking …

Annual Wellness Visits
Providers

Why Medical Directors are turning to AI for Annual Wellness Visits Management

Introduction Importance of  ‘Annual Wellness Visits’ for Providers Hidden Challenges in Traditional Annual Wellness Visits Annual Wellness Visits: …

Healthcare Provider Risk Adjustment Preparation
ACO

How Providers and Technology Can Collaborate for Quality Care in 2025

Introduction The Importance of Year-End Preparation Why a Comprehensive Year-End Audit Holds Key Relevance Adopting AI-driven Prospective Range …

Healthcare Data Management
Providers

Advanced AI Technology Sharpens Provider Precision in Healthcare Data Management

The transition to ICD-10 has been a monumental leap in healthcare, expanding from 14,000 to over 70,000 unique …

HCC Gaps
Providers

How to Resolve HCC Gaps: Best Practices for Healthcare Providers

Table of Content: HCC Primer Workability of HCCs Importance of HCC Coding underlying the risk adjustment process Impact …

HCC Score
Providers

HCC Score: Enhancing Chronic Disease Management in Healthcare

Healthcare providers today face the challenge of effectively managing chronic diseases, a task made more complex by evolving …

Medicare Advantage HCC Codes
Providers

CMS Proposes Major Changes to Medicare Advantage HCC Codes in 2024

Table of Content: Understanding the Revisions in HCC Codes The Impact on RAF Scores RAAPID’s Approach to the …

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