Medicare Advantage Enrollment Manipulation Schemes: A Growing Oversight Concern
The Medicare Advantage (MA) program has faithfully expanded access and choice for millions of seniors and beneficiaries. But […]
Yearly Archives: 2025
50 posts
How to Know Your AI is Actually Following Guidelines When …
Community Health Centers and other safety-net providers are under increasing pressure. Shrinking Medicaid budgets, tighter compliance requirements, and […]
ICD-10-CM Deep Dive: Complicated Diagnoses & Common Pitfalls
Accurate ICD-10-CM coding is more than just checking boxes—it requires understanding the clinical nuances behind each diagnosis. With […]
Building Better Queries: Educating Providers Without Creating Resistance
For Community Health Centers, accurate documentation has never been more critical. With Medicaid cuts, rising compliance requirements, and […]
Getting Risk Adjustment Right for Dual-Eligibles
Managing dual-eligible patients—those covered by both Medicare and Medicaid—presents unique challenges. These patients often have multiple chronic conditions, […]