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Healthcare Revenue Cycle and Finance

ACCESS: The Power will be in Partnerships

The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model makes progress toward that goal by piloting outcome-based payments for technology-enabled care of several chronic diseases, including behavioral health, musculoskeletal conditions, and cardio-kidney-metabolic conditions.

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Digital Health & Telemedicine


Analytics & Population Health


Health IT Security Privacy and Compliance

How Suspecting Practices Increase Medicare Advantage Fraud Risk

By David Lareau – Medicare Advantage oversight has entered a more data-driven phase, with regulators focusing closely on how diagnoses are identified, documented, and submitted for risk adjustment. At the center of that scrutiny is the practice of “suspecting,” which involves searching patients’ medical records to identify…

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