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How do CMS-HCC and HHS-HCC models compare in 2025?

CMS and HHS both use HCCs for risk adjustment, but with different rules, timing, and populations. Learn the key distinctions for 2025.

Improving clinical outcomes for pediatric patients with rare diseases

Half of U.S. rare disease patients are children – yet most face delayed diagnoses and few treatment options. Here’s how structured data...

What health systems need to know about RVUs and revenue

RVUs shape pay, planning, and care. Learn how clinical documentation improvement strategies can boost RVU capture and maximize the value of clinicians'...

Why CROs keep bleeding time (and trust) – and how to stop it

Clinical trial timelines are bloated. CRCs are burning out. We’re gambling with messy data. It’s time to reform clinical research, from the...

M.E.A.T. 101: Can your clinical documentation withstand a RADV audit?

Clinical notes aren’t just paperwork – they’re the first line of defense when it comes to accurate, audit-ready risk adjustment documentation.

Medical necessity 101: What providers must know to optimize reimbursement

Understand how medical necessity impacts care, coding, and reimbursement – and how health systems can avoid denials and compliance risks.

The “code first” rule in ICD-10-CM: What it is and how to avoid costly denials

Medical billing and coding can make or break the revenue cycle. This short primer focuses on the “code first” rule and how...

Optimizing LLMs for precise analytical output: The IMO Health approach

Medical coding with LLMs is challenging. Learn how IMO Health's knowledge layer boosts clarity, trust, and efficiency in AI results.

Why smarter EHR tools are critical for Medicare Advantage success

Smarter EHR workflows. Better data. More accurate reimbursement.

What’s new in value-based care? June 2025 key shifts and updates

Explore value-based care news from June 2025: CMS updates, new risk models, leadership shifts, and tech-driven prevention strategies.

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,...

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DATA QUALITY MANAGEMENT

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DATA QUALITY MANAGEMENT