Apixio Inc., the data science company for healthcare, today unveiled Compliance Auditor, the first application of its kind in the marketplace and latest addition to the company's HCC Profiler solution ...

A federal lawsuit claims that UnitedHealth Group, the largest Medicare Advantage insurer in the country, is coding medical claims inappropriately for monetary gain. But while the lawsuit doesn't ...

The Medicare Shared Savings Program (MSSP) adjusts savings benchmarks by beneficiaries’ baseline risk scores. To discourage increased coding intensity, the benchmark is not adjusted upward if ...

RAAPID's AI-powered risk adjustment solution received an A+ would-buy-again grade (Emerging Data, n=5) from interviewed customers in the May 2026 KLAS Emerging Company Spotlight, citing AI accuracy ...

Faced with new government regulations, Medicare Advantage (MA) organizations should be utilizing technology to increase the accuracy of their coding, mitigate their risk, and ensure appropriate care ...

Medicare Advantage plans and providers need to be aware of the recent increase in government enforcement of risk adjustment coding issues. In the past few years, the Office of the Inspector General ...

Healthcare risk management solutions company Talix has launched Coding InSight for Payers. Coding InSight for Payers is designed to help health plans automate and streamline risk adjustment processes ...

ELK RIDGE, Md.--(BUSINESS WIRE)--iQuartic (iQ), a NewWave company, is pleased to announce the launch of its leading-edge Risk Adjustment technology, the iQ SmartCoder. The iQ SmartCoder is a Visual ...

While technical in nature, risk adjustment is crucial to the future of health care transformation... If reforms to risk adjustment are to succeed, all of us concerned with the future of our health ...

How a California physician practice designed a system to catch coder errors without burdening doctors. Technology continues its climb toward what we would consider intelligence. Your average ...