Blogs
Sept 2025 MA Payments Memo
What Plans Need to Know (Without the Headache)
August 30, 2025
One Shot, One Chart
Why Only One Medical Record Counts Per HCC in RADV Audits
July 30, 2025
Self-Reporting Still Applies Outside the RADV Sample
What Medicare Advantage Plans Must Know
July 15, 2025
RADV Alert
CMS Sets June 30 Deadline for PY 2022 Closed Period Deletes
June 27, 2025
OIG Audit Finds $6.9M in Overpayments
A Wake-Up Call for Medicare Advantage Plans
June 6, 2025
CMS Tightens the Screws on Medicare Advantage
Why AI is the Key to Audit Survival
May 22, 2025
CMS Reinstates 2012 CPT/HCPCS List for 2015 Risk Adjustment Reconciliation Rerun
What It Means for MAOs
May 1, 2025
CMS Finalizing 2026 Payment Policy Updates
CMS Finalizes 2026 Payment Policy Updates for Medicare Advantage and Part D: What Health Plans Need to Know
April 9, 2025
The Evolution of Risk Adjustment Eligible Procedure Codes
What Gets Dropped and Why It Matters
March 28, 2025
Medicare Advantage and Prescription Drug System
January 2025 Payment Updates
January 8, 2025
Streamlining CMS Submissions
With AI-Enabled Risk Adjustment Solutions
November 18, 2024
Navigating the 2025 RxHCC Risk Adjustment Model
Key Updates and Implications
October 15, 2024
CMS Releases Proposal
CMS Releases Proposal to Streamline Medicare Advantage and Part D
July 3, 2024
CMS Finalizes Medicare Part C UM Annual Submission
What MA plans need to know — and how to prepare for 2026 submissions
October 4, 2025
Spotlight on Risk Adjustment
The Eight High-Risk Conditions Every MAO Must Watch
August 15, 2025
How CMS Calculates RADV Errors
Calculating Monthly, Per Member
July 23, 2025
No Appeal Rights for Sampling or Extrapolation
What MAOs Must Know About Contract-Level RADV
July 10, 2025
Understanding CMS’s Contract-Level RADV Audits
Payment Error Exposure, Extrapolation, and Plan Liability Explained
June 25, 2025
CMS Delays Shutdown of CSSC Operations Website
Take a Look at What You Need to Know here
June 3, 2025
Understanding the Q1 2025 Encounter Data Report Cards
Q1 2025 Encounter Data Report Cards for Medicare Advantage Plans
May 2, 2025
Why V28 HCC Coding Demands Sharper Clinical Precision
Key Changes and Tips
April 25, 2025
Optimizing Compliance and Financial Accuracy
Optimizing Compliance and Financial Accuracy in Medicare Advantage and Manufacturer Discount Programs
April 1, 2025
Exploring CMS’s 2026 Advance Notice
Key Updates for Medicare Advantage and Part D Programs
January 13, 2025
Understanding Medicare Advantage Encounter Data Report Cards
Where accuracy meets accountability in MA reporting.
November 2024 Medicare Advantage and Prescription Drug Updates
November 2024 Medicare Advantage and Prescription Drug System Updates: Essential Information
November 4, 2024
Navigating Medicare’s Latest Data Updates
Know What’s New in September 2024
September 11, 2024
CY 2026 Risk Adjustment Update
What Plans Need to Know
September 30, 2025
Every Diagnosis Counts
Know Why Even Small RADV Errors Can Cost Big
August 6, 2025
Health Data Max
The End-to-End Platform for Risk Adjustment, Compliance & Audit Confidence
July 18, 2025
The Hidden Cost of One Coding Error
CMS RADV Extrapolation Explained
July 3, 2025
CMS Finalizes June 16, 2025 Deadline
Deadline for PY2020 RADV Closed Period Deletes
June 13, 2025
CMS Announces Deadlines
Deadlines for Medicare Advantage Risk Adjustment Data Corrections Ahead of RADV Audits
May 30, 2025
Understanding the Medicare Advantage RADV Appeals Process
A Guide for MAOs
Beneficiary-Level Risk Score Files
CMS Releases Beneficiary-Level Risk Score Files to Support 2026 Part C Bids & ESRD Forecasting
April 11, 2025
From Submission to Compliance
How MAOs Can Optimize Encounter Data Reporting
Understanding the Proposed Updates
Proposed Updates for Part D Risk Scores for 2026
CMS December 2024 Encounter Data Software Updates
Decoding CMS’s December software rollout.
December 2, 2024
Key CMS HPMS Updates from Summer 2024
What You Need to Know
CMS Risk Adjustment Submission Deadlines
Mark your calendar — risk adjustment timing insights.
August 13, 2024
