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CMS announces massive audits of Medicare Advantage plans; time for compliance is now

By Jason Jobes, SVP, Solutions HUGE CMS AUDIT ALERT: CMS just dropped major news that they are exponentially increasing Medicare Advantage and risk adjustment audits….

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An urgent issue: How admit type can skew quality metrics

Listen to the episode here.   I’m recently back from the 2025 ACDIS national conference, and as usual flush with the latest in CDI trends,…

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The increasing complexity of CDI begs the question: How can we simplify and move forward?

By Brian Murphy Clinical documentation integrity (CDI) has grown increasingly complex. We’ve all heard about the “quadruple aim” of healthcare (a framework whch I’ve never…

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Assigning codes from clinicians other than the patient’s provider

By Brian Murphy One of the hard truths about medical coding is that codes can only be assigned based on documentation from the patient’s provider….

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Work-Life Wins with A.J. Hegg: New Essentia Health physician advisor program balances UM, CDI, ROI, and a healthy culture

Listen to the episode here.   Until about 6-7 years ago A.J. Hegg had little idea what the acronyms CDI or UM were, much less…

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