• Using a workflow enabled by technology that enables, and actively supports, both additions and redaction (deletion), isn’t just easy and cost effective, it has value beyond its intrinsic ROI. Chris Gluhak explains the importance of eliminating inaccurate codes while looking for potential additions to avoid CMS penalties in audits.

  • Telemedicine is accelerating, in both adoption and refinement; review the emerging best practices for actionable insights to ensure effective submission and mitigate audit risk.

  • Over 10% of the U.S. population is now covered by an accountable care organization (ACO), and the number of risk-adjusted lives is growing at roughly 15% to 20% each year. To date, risk adjustment has primarily consisted of payers retrospectively reconciling work done with payments owed. With the Medicare Access and CHIP Reauthorization Act (MACRA) […]

  • Healthcare is a technological paradox. On the clinical side, the bleeding edge of science and engineering present physicians with increasingly greater imaging tools, robotic surgical devices, gene-targeted therapy: the limits of what is technologically possible in healthcare are in lockstep with the limits of human understanding. At the same time, despite two decades of explosive […]

  • Given the importance of patient charts to an organization’s success in risk adjustment, Health Fidelity's data acquisition technology can alleviate the burden of manual retrieval while also improving ROI.

  • Vast amounts of clinical data are generated daily, but traditional methods of collecting and making use of it are inadequate. Adam Gronsky explores options for risk-bearing entities to invest in technology-enabled solutions that require minimal maintenance and decrease the need for manual retrieval in this month's post.

  • Introducing 360-Degree Risk Adjustment - a strategic approach that considers risk adjustment optimization from all angles, including technology modernization, enhanced provider collaboration, departmental integration, and performance management.

  • Overlooking missed diagnoses is just half of the challenge of attaining accurate risk scores. Learn how solve the other half by applying technology to help with compliance in this post from Health Fidelity Director of Coding & Quality, Kathy Ormsby.

  • With risk adjustment becoming increasingly important to the bottom line of health plans and the wellness of patients, Christina Sung offers strategies for organizations to adopt new coder technology with low time-to-value barriers.

  • Risk Adjustment and Quality typically operate in distinct silos, despite the fact that they are both working to achieve goals that are closely related. Our CEO calls for collaboration between these different but closely aligned components.

  • Health plans face multiple issues that can lead to an inaccurate portrayal of patient acuity and unidentified risk. With an eye toward incremental progress, here are a few strategies for risk identification improvement.

  • Most organizations view risk adjustment as a necessity, but not a strategic asset. With the right measures, risk adjustment can be leveraged as a competitive advantage.