Fifth Circuit’s RADV Skepticism: What It Means for Coders
A Fifth Circuit panel pressed HHS hard on its RADV audit rule during Oct. 5 oral arguments. Coding and compliance teams shouldn’t wait for a ruling to act.
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UnitedHealthcare’s $24.4M RADV Audit: A Coding Lesson
OIG found 172 of 230 sampled UnitedHealthcare Texas diagnosis codes unsupported, projecting $24.4M in overpayments. Here’s what it means for coders.
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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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