See a summary of information blocking, including a definition and criteria to determine if an action could be considered information blocking.

Risk adjustment is used to appropriately compensate health plans for the costs associated with taking on members with chronic health conditions. See more.

An HCC is a category of chronic medical conditions that share similar cost patterns. Learn more. Read more HCC FAQs here.

Understand the potential impact of the information blocking prohibition for your organizations by asking these key questions.

In the US, there are over 2,000 government health data sets at the federal, state, and local levels, including several…

Find ways to prepare for revenue cycle management in 2021, while considering new regulations, new medical codes, and continued financial uncertainty.

Learn how a clinically-integrated revenue cycle can be essential to turning financial crisis to opportunity when it comes to denials prevention. Read more.

Risk adjustment programs under the Affordable Care Act, Medicare, Medicaid, and Medicare Advantage evaluate patients’ risk scores based on a combination of condition and demographics data. Using claims,…