CMS Ends Unlinked Chart Reviews: HCC Coders’ 2027 Guide
CMS’s CY2027 MA announcement bars unlinked chart reviews from HCC risk scores. Here’s what this compliance shift means for coding teams and MA plans.
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DOJ’s 2026 Fraud Takedown: What Medical Coders Must Know
The DOJ’s 2026 healthcare fraud takedown charged 455 defendants over $6.5B in false claims. Here’s what AI enforcement means for medical coding compliance.
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Medical Coding Quality Standards Gain New Industry Council
A new industry council says medical coding’s go-to ‘95% accuracy’ benchmark is meaningless without shared standards — for human coders and AI alike.
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Medicaid Work Requirements: ICD-10 Coding Guide for 2026
CMS’s new Medicaid work requirements rule makes ICD-10 documentation a patient-protection issue. Coders who miss the right codes risk patient coverage loss before January 2027.
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CMS WISeR Model Is Live: What Medical Coders Must Know in 2026
The CMS WISeR Model is live. Six AI vendors now handle Medicare prior auth in six states — and what coders document will determine whether requests are approved.
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OIG Work Plan 2026: Compliance Priorities Every Medical Coder Must Monitor
OIG’s Q1 2026 Work Plan and new MA compliance guidance put HCC coding and documentation under fresh scrutiny.
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