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Hidden Tag: Health Plans

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Customer Spotlight: Dr. Jeffrey Hoffman – Elevating pediatric informatics and predictive care
From treating patients in the ED to building tools that save lives – Dr. Jeffrey Hoffman’s story is one of curiosity, care,…
Article
Clinician Engagement
RADV 101: What to know and how to prepare for upcoming CMS audits
RADV audits are expanding. Learn what they involve, how they impact payers and providers, and how to get audit-ready before CMS comes…
Article
Financial Return
Coders take note: How to prevent Excludes1 billing denials
Excludes1 denials are rising fast. Learn how automation can stop revenue loss before claims ever leave your system.
Article
Financial Return
Artificial intelligence takes predictive analytics to new heights
Learn how AI is fortifying predictive analytics, from increased accuracy to streamlined workflows.
Article
Interoperability
Driving Medicare Advantage success through smarter EHR tools
A dynamic discussion on how smarter EHR tools, structured data, and effective change management can reduce friction, improve documentation, and drive better…
Webinar
Financial Return
Improving risk adjustment coding for stronger value-based care
At a recent online event, healthcare leaders gathered to discuss the importance of timely, accurate HCC capture for higher revenue and better…
Article
Clinician Engagement
What health tech gets wrong about clinical NLP – and how to get it right
IMO Health’s Rajiv Haravu joined a recent xCures podcast episode to share how clinical NLP can help solve real problems in health…
Article
AI and NLP
HCC coding 101: Understanding Hierarchical Condition Category coding
As more organizations shift to value-based care, precise HCC coding is critical for timely, accurate reimbursement and high-quality patient care.
Article
Financial Return
RAF Scores 101: Understanding risk adjustment coding
Master risk adjustment coding and learn how accurate RAF scores and HCC capture can improve reimbursement and value-based care. 
Article
Financial Return
AI-powered medical coding: What works and what doesn’t
Industry experts discuss the limitations of LLM applications in healthcare, including practical tips for maximizing precision and efficiency.
Article
Clinical Terminology
How can precise risk adjustment coding maximize revenue in 2025?
See how the right solutions can streamline risk adjustment coding for increased specificity, care quality, and Medicare Advantage revenue.
Article
Financial Return
Prepare for RADV audits with precise clinical documentation and HCC coding
Learn how refining HCC management in clinical documentation can bolster RADV audit preparation and help safeguard your bottom line.
Article
Financial Return

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