Risk Adjustment Archives

Bridge the Documentation Gap in Risk Adjustment

By Chimeka Kindred

In Healthcare Business Monthly

Feb 2nd, 2026

No Comments

When coders and providers work together, everyone wins. Risk adjustment coding is only as strong as the documentation it’s built on. Yet, in many organizations, coders and providers operate in silos. Providers are focused on delivering high-quality patient care, while coders concentrate on assigning accurate hierarchical condition categories (HCCs) and ensuring documentation fulfills MEAT (monitor,...

Accuracy vs. Production in Risk Adjustment Coding

By Dannilla Morgan

In Healthcare Business Monthly

Sep 2nd, 2025

1 Comment

Coders often find themselves walking on a tightrope. In the world of risk adjustment coding, professionals constantly ﬁnd themselves walking on a tightropebetween accuracy and productivity. On one end lies the integrity of the medical record, and on the other, the demand to meet production quotas. The struggle between the two can be stressful, as ...

Highlights From RISKCON 2025

By Lee Fifield

In AAPC News

Jun 11th, 2025

Comments Off on Highlights From RISKCON 2025

Attendees gathered remotely for two days of insights into risk adjustment. Attendees flocked to RISKCON, AAPC’s two-day virtual conference held June 10-11, to learn the latest about risk adjustment. Each day was packed with sessions covering documentation, resources, policies, workflows, data management, artificial intelligence (AI), potential new legislation, and much more. Day 1 of RISKCON ...

CMS Announces Plan to Ramp Up RADV Audits

By Rae Jimenez

In AAPC News

May 22nd, 2025

1 Comment

The Centers for Medicare & Medicaid Services (CMS) announced, May 21, a bold strategy to enhance and accelerate Risk Adjustment Data Validation (RADV) audits of Medicare Advantage (MA) contracts for payment years 2018 through 2024, adding 2,000 medical coders to support these efforts. This is a major move toward increasing accountability and ensuring accurate risk-adjustment ...

OCR Finds Neurology Practice Responsible for Ransomware Attack

By Lee Fifield

In Health Law

May 14th, 2025

2 Comments

If your healthcare practice deals with protected health information, take heed of this settlement. Last month, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) announced a settlement with Comprehensive Neurology, PC, after the New York neurology practice was investigated for a potential HIPAA violation after a ransomware attack. The ...