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The work of mid-revenue professionals always comes down to values and character

By Brian Murphy A reminder that in the end it really is all about values and character. And taking responsibility for your actions. This is…

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Qui Tam Confidential: An Insider’s Look at Whistleblowing with Mary Inman

Listen to the episode here.   We hear about lawsuits and false claims acts regularly, but did you know that many of these begin with…

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UHC’s medical loss ratio an eye-opening reminder of impact of V28 of CMS-HCCs—for payers and providers

By Jason Jobes, VP of Solutions   You want to read something scary? UHC said their 2024 full year medical loss ratio (MLR) was 85.5%…

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New sepsis aftercare code fills needed gap in long term care rendered to recovering patients

By Brian Murphy   A reminder that we now have access to a new ICD-10-CM code for sepsis aftercare.   Effective October 1, 2024, coders…

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Experts pitch obesity diagnosis overhaul, could alter CDI and coding work

By Brian Murphy   There’s a new international effort afoot to revise the way physicians diagnose obesity.   A clinical study published in The Lancet…

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