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A very bad start to the year for Medicare Advantage; whistleblowers and government officials expose questionable risk adjustment coding practices

By Brian Murphy   This has been a terrible start to the year for Medicare Advantage. Senator Chuck Grassley’s report “How UnitedHealth Group Puts the…

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From Encephalopathy to Edema: Talking chart review with Dr. Tarman Aziz

Listen to the episode here. I’m consistently surprised at how few CDI or IP coding professionals talk about their most basic job function. The very reason they are hired,…

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It’s OK to ask direct (but not leading) queries to the provider, CDI professionals

By Brian Murphy Ask direct queries. It’s OK. Sometimes we get so fixated on query format we fail to see forest through the trees. The…

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Download The State of Value-Based Care, our latest white paper.

We’re kicking off 2026 with a special report on The State of Value-Based Care. This paper shows where we are nationally with CMS’ stated goal…

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How do CDI professionals review the medical record (and how has tech changed the game)?

By Brian Murphy   I’m always amazed at how little the core function of CDI gets discussed. I’m talking about medical record review. How it’s…

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