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Portal for Medicare, Medicaid and ACA Risk Adjustment Needs

Home
About
Who We Serve
Payers - Medicare Advantage
Payers - Marketplace
Providers
ACO & VBC Networks
Our Solutions
HCC Risk Analytics
ProspectIQ™
ChartCopilot™ Retro
EncounterFlow™
Audit360 RADV Shield™
Knowledge Base
Risk Adjustment Overview
Risk Adjustment Data Files
Risk Adjustment Model Update
Encounter Data Files
Electronic Data Interchange
Resources
FAQ & Help Center
Blogs
Contact Us
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Risk Adjustment Models & Coding Precision

CMS Finalizes Medicare Part C UM Annual Submission

What MA plans need to know — and how to prepare for 2026 submissions

October 4, 2025

CMS Reinstates 2012 CPT/HCPCS List for 2015 Risk Adjustment Reconciliation Rerun

What It Means for MAOs

May 1, 2025

The Evolution of Risk Adjustment Eligible Procedure Codes

What Gets Dropped and Why It Matters

March 28, 2025

Navigating the 2025 RxHCC Risk Adjustment Model

Key Updates and Implications

October 15, 2024

CY 2026 Risk Adjustment Update

What Plans Need to Know

September 30, 2025

Why V28 HCC Coding Demands Sharper Clinical Precision

Key Changes and Tips

April 25, 2025

Understanding the Proposed Updates

Proposed Updates for Part D Risk Scores for 2026

January 13, 2025

Navigating Medicare’s Latest Data Updates

Know What’s New in September 2024

September 11, 2024

Spotlight on Risk Adjustment

The Eight High-Risk Conditions Every MAO Must Watch

August 15, 2025

Beneficiary-Level Risk Score Files

CMS Releases Beneficiary-Level Risk Score Files to Support 2026 Part C Bids & ESRD Forecasting

April 11, 2025

Key CMS HPMS Updates from Summer 2024

What You Need to Know

October 15, 2024

CMS Risk Adjustment Submission Deadlines

Whatever it is, the way you tell your story online can make all the difference.

August 13, 2024

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