[Top 5 AI Platforms for Risk Adjustment](https://keebler.health/top-5-ai-platforms-for-risk-adjustment/)
Top 5 AI Platforms for Risk Adjustment
Between CMS-HCC v28 updates, tougher audits, and mountains of unstructured data, health plans and value-based care organizations are looking for smarter, faster, and more compliant ways to capture the full clinical picture. The stakes are high. The Centers for...Understanding HCC v28: What Changed, What It Means, and How to Prepare
The Centers for Medicare & Medicaid Services (CMS) introduced the CMS-HCC Version 28 (v28) risk adjustment model in 2024, replacing Version 24, which had been in place for nearly a decade. This update marks one of the most significant shifts in the history...What Is Risk Adjustment Software?
Understanding Risk Adjustment The Centers for Medicare & Medicaid Services (CMS) has announced plans to expand audits and grow its team of medical coders from roughly 40 to nearly 2,000 to manage the surge in Risk Adjustment Data Validation (RADV)...Top 5 Challenges in HCC Coding (and How AI Is Reshaping the Process)
Even as value-based care models mature, many organizations still struggle to consistently capture the complete clinical picture of each patient. The Medicare Payment Advisory Commission (MedPAC) estimates that the extra coding intensity in the Medicare...Notifications