The RCxRules Blog

HCC Coding
October 9, 2019 How to Build a Scalable HCC Infrastructure [3 Best Practices] Value-based reimbursement models and Medicare Advantage plans continue to gain momentum. Is your organization built to handle the growth of …
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HCC Coding
September 26, 2019 Q&A with a Pop Health Expert: Taking on More Risk We were fortunate to speak with pop health expert, Kate Casaday, Population Health & Value-Based Lead at CareMount Medical, about best practices …
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HCC Coding
August 20, 2019 Why Are My RAF Scores Low? What is a RAF Score? A RAF score, or risk adjustment factor score, is a medical risk adjustment model used by the Centers for Medicare & Medicaid …
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HCC Coding
July 16, 2019 3 Ways to Transition to Value-Based Reimbursement Without Hiring More Staff While the fee-for-service model of care is based on quantity, value-based programs focus on quality and patient outcomes. Unfortunately, many medical …
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HCC Coding
June 18, 2019 HCC Coding: 4 Things the Most Successful Medical Groups Have in Common
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HCC Coding
May 30, 2019 3 Varieties of HCC Coding Review: Prospective, Concurrent, and Retrospective Coding reviews are essential for financial success in value-based contracts. But what kind—or kinds—of reviews work best?
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HCC Coding
May 8, 2019 HCC Coding: An Effective Offense Starts with a Solid Defense Most of us have heard the sporting maxim that “defense wins championships.” Why? Because a good defense not only manages (and helps minimize) …
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HCC Coding
May 2, 2019 Obervations from APG's 2019 Annual Conference RCxRules was thrilled to have recently attended America’s Physician Group’s (APG) annual conference in San Diego. The focus of this mid-April meeting …
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HCC Coding
April 9, 2019 “We are the Champions” & Other Highlights from AMGA 2019 This year’s AMGA annual conference (#AC2019) was as entertaining and informative as any healthcare conference we have attended. Between Dr. Zubin …
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