Medicare Advantage Compliance Audits: The Department of Health and Human Services Office of Inspector General regularly audits Medicare Advantage contracts...

Excerpts, notes and quotes from the DOJ 2021 Fiscal Year Report   The DOJ DOJ Healthcare Audits Charged $5 Billion...

Specificity and accuracy are the keys to any successful Value-Based Care program. And clinical vignettes are a great way to...

Requiring clinicians to learn one more thing—especially when HCC coding does not feel connected to treating patients—is a big ask....

Excerpts from a study.   Humana’s Chief Medical Officer, William Shrank, MD, MSHS, co-wrote a study in March (published by...

A guest walks into an upscale hotel and unburdens himself of several suitcases into the waiting hands of an eager...