CMS has issued two letters to state health authorities informing them that funding for certain Medicaid programs—i.e., continuous eligibility for...Read More »
Clinical documentation integrity (CDI) departments play a key role in ensuring complete and accurate documentation that complies with regulatory, billing, and...
CDI departments play a key role in ensuring complete and accurate documentation that complies with regulatory, billing, and reimbursement...Read More »
In today’s value-based landscape, accurate risk adjustment isn’t just a compliance requirement—it’s a competitive advantage. The Edifecs Risk Optimization Toolkit equips health plans and provider organizations with a proven framework to strengthen risk capture, enhance care outcomes, and...
