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Code Red: Aligning Risk Adjustment with CMS’s New Audit Mandate
Listen to the episode here. For this week’s episode I’m bringing you something a little different, but of such importance that I had to…
July 10, 2025
Code Red: CMS announces massive audit expansion of Medicare Advantage, raising risk adjustment coding questions
By Brian Murphy For a while I felt like this was coming to a head. As far back as 2016-2017 I was monitoring reports of…
Are you assigning admit type based on NUBC guidelines—or a loose interpretation to influence quality metrics?
By Brian Murphy Prior to our Off the Record podcast recording my guest Penny Jefferson shared with me a white paper she authored on admit…
Anybody Listening? Ambient AI and the Future of Documentation with Dr. David Canes
Listen to the episode here. Back in 1990 the heavy metal band Queensryche asked its listeners, “Is there anybody listening?”, a lament for not…
Structure your physician advisor program not just for financial ROI, but work-life balance
By Brian Murphy Physicians are the lifeblood of a hospital. They provide lifesaving treatment and specialized care but also write the admission orders that keep…