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Is HCC Coding a Physician Problem?
Some organizations take the position that HCC Coding is exclusively the physicians' responsibility. We disagree, as doing this well, takes a village.
APG's 2019 Colloquium: A Recap from RCxRules
RCxRules recently attended America’s Physician Group’s (APG) Annual Colloquium conference in Washington DC. The focus of the conference was “Thriving …
How to Build a Scalable HCC Infrastructure [3 Best Practices]
Value-based reimbursement models and Medicare Advantage plans continue to gain momentum. Is your organization built to handle the growth of …
Q&A with a Pop Health Expert: Taking on More Risk
We were fortunate to speak with pop health expert, Kate Casaday, Population Health & Value-Based Lead at CareMount Medical, about best practices and …
Why Are My RAF Scores Low?
Have you ever asked yourself, “Why are my RAF scores low?” or “Why don’t my RAF scores reflect my patient population?” If so, you’re not alone.
3 Ways to Transition to Value-Based Reimbursement Without Hiring More Staff
While the fee-for-service model of care is based on quantity, value-based programs focus on quality and patient outcomes. Unfortunately, many medical …
HCC Coding: 4 Things the Most Successful Medical Organizations Have in Common
We are privileged to have many outstanding and progressive customers across the country that consistently achieve high performance under value-based …
3 Varieties of HCC Coding Review: Prospective, Concurrent, and Retrospective Review
Coding reviews are essential for financial success under value-based contracts. But what kind—or kinds—of reviews work best? Read on for a quick …
HCC Coding: An Effective Offense Starts with a Solid Defense
Most of us have heard the sporting maxim that “defense wins championships.” Why? Because a good defense not only manages (and helps minimize) …
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