In response to payer audits, coding-related denials, and complex compliance demands threatening millions of dollars in ...

Apixio Inc., the data science company for healthcare, today unveiled Compliance Auditor, the first application of its kind in the marketplace and latest addition to the company's HCC Profiler solution ...

Your members are sicker than your risk scores reflect. Not because diagnoses don't exist—they're buried under unstructured data across fragmented systems. Every missed Hierarchical Condition Category ...

ALPHARETTA, Ga.--(BUSINESS WIRE)--Ciox Health™, a leading health technology company, has expanded its risk adjustment coding services with Cross Check – a service for advancing coding accuracy, ...

RAAPID's AI-powered risk adjustment solution received an A+ would-buy-again grade (Emerging Data, n=5) from interviewed customers in the May 2026 KLAS Emerging Company Spotlight, citing AI accuracy ...

BOSTON, June 8, 2026 /PRNewswire/ -- CodaMetrix, the market leader in autonomous medical coding, today announced the formation of its Coding Quality Council, an industry-first governance body made up ...

Medicare Advantage remains an attractive option for Medicare beneficiaries, and enrollment has increased substantially, by 66 percent in the past six years. Also increasing, it seems, is coding ...

We propose that Medicare should pilot a data-driven, inference-based approach to establishing patient risk scores – and, therefore, budgets – for MA plans and value-based Accountable Care ...

Andrew S. Oseran, MD, MBA, MSc, hypothesizes that higher Medicare Advantage (MA) risk scores may result from either a more accurate capture of beneficiaries' comorbidities or inappropriate "upcoding" ...

Geisinger Health Plan in Danville, Pa., implemented automated coding technology from Talix to streamline risk adjustment processes. The application, Coding InSight, is designed to help professional ...

Your Health Deploys Fathom Autonomous Medical Coding to Achieve 95.5% Automation Rate at 98.3% Accuracy Rate Across All Service Lines Fathom, the leader in autonomous medical coding, today announced ...

For years, our industry treated documentation accuracy as the finish line. If the code was correct, you were compliant. If the chart supported the diagnosis, you were audit-ready. That assumption was ...