What a valid HCC capture requires under the 2024 CMS-HCC model, the annual recapture clock, and the documentation patterns that trigger a RADV audit.
HCC Coding: Risk Adjustment Without Upcoding Risk Read More »
Incident to billing pays the physician rate in the office. What the 2024 and 2026 rules changed, what they did not, and the record that survives an audit.
Incident-To Billing: The Rules That Keep Changing Read More »
A seven-day denial recovery workflow: triage by reason code and dollars at risk, file inside a fixed window, and reconcile every Friday.
A Seven-Day Denial Recovery Workflow Read More »
A MAC can take up to 100 days on a paper enrollment file with a development request. The four stalls that hold those files, and the deadlines that clear them.
Why Enrollment Applications Sit for Ninety Days Read More »
What is billable inside an intake visit, which code carries the assessment, and the same-day pairs that turn a clean claim into a refund.
Intake and Assessment Billing Without Double Billing Read More »
