Quick Answer: High-risk diagnosis codes are diagnoses the Office of Inspector General (OIG) has singled out because they
Quick Answer: The top risk adjustment vendors for 2026 are best judged on one question: can the tool
Every Generation of AI Solved a Different Problem Each wave of artificial intelligence arrived to answer a question
Ask five risk adjustment leaders what “OnePass” means, and you will get five different answers. Some hear a
Quick Answer: Defensible risk adjustment means every submitted diagnosis connects to a valid clinical encounter, is supported by
Risk adjustment software analyzes patient data from medical records, claims, and labs to calculate accurate risk scores, validate
Quick Answer: Neuro-Symbolic AI in risk adjustment combines neural networks (the pattern-reading strength of large language models) with
Quick Answer: Retrospective risk adjustment is the review of a Medicare Advantage member’s past medical record to confirm
Quick Answer: Risk adjustment coding is the process of assigning ICD-10-CM diagnosis codes to documented patient conditions so
