Risk Adjustment Coding: Why HCCs Are Every Coder’s Business Now

For years, hierarchical condition category (HCC) coding lived in a specialist corner — the domain of Medicare Advantage risk-adjustment teams. That era is over. With value-based contracts spreading across payers…

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Your October 1 Readiness Checklist: Six Weeks to the New Code Set

Every October 1, the diagnosis code set changes — and every October, some organizations sail through while others spend the fourth quarter working denials they created themselves. The difference is…

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Denial Management 101: Turning Rejections into Revenue

Every practice has a denial rate. The difference between healthy and struggling revenue cycles isn't whether denials happen — it's what happens next. Too many organizations treat denials as write-off…

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Excludes1 vs. Excludes2: Why the April 2026 Revisions Matter

Exclusion notes are among the most misunderstood conventions in ICD-10-CM — and the April 1, 2026 update quietly changed several of them in ways that affect everyday code assignment. If…

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