Topic Categories

Configure topics to track and filter content

Priority Scale:
10
8
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2

Utilization Management

Prior authorization, utilization review, medical management, and care management technologies

prior authorizationprior authutilization managementutilization reviewUMmedical managementcare managementpreauthorization+5 more
Priority: 10/1013 keywords

Payment Integrity

Payment accuracy solutions, fraud detection, claims editing, overpayment recovery, and related payment integrity initiatives

payment integritypayment accuracyclaims editingoverpayment recoveryfraud waste abuseFWAprepayment reviewpostpayment review+4 more
Priority: 10/1012 keywords

Federal Policy

Federal healthcare policy, CMS regulations, coverage determinations, and reimbursement policy

CMSHHSMedicareMedicaidcoverage policyLCDNCDreimbursement policy+10 more
Priority: 10/1018 keywords

Risk Adjustment

Risk adjustment coding, HCC optimization, RAF scores, and related payment methodologies

risk adjustmentHCChierarchical condition categoriesRAF scorerisk scorechart reviewNLP codingretrospective review+4 more
Priority: 9/1012 keywords

Investment Activity

Private equity and venture capital investments, acquisitions, and divestitures in healthcare

private equityventure capitalPEVChealthcare investmentacquisitiondivestitureportfolio company+6 more
Priority: 9/1014 keywords

Value-Based Programs

Value-based care arrangements, ACOs, bundled payments, and alternative payment models

value-based careVBCACOaccountable carebundled paymentsalternative payment modelsAPMshared savings+5 more
Priority: 8/1013 keywords

Quality

Quality measurement, HEDIS, Stars ratings, quality improvement, and outcomes measurement

quality measuresHEDISStarsstar ratingsquality improvementCAHPSoutcomes measurementquality reporting+4 more
Priority: 8/1012 keywords

Healthcare M&A Activity

Mergers, acquisitions, and strategic transactions across healthcare sectors

mergeracquisitionM&Astrategic transactionconsolidationjoint venturepartnershiphealthcare deal+5 more
Priority: 8/1013 keywords

Revenue Integrity

Revenue cycle management, charge capture, coding optimization, and revenue integrity for providers

revenue integrityrevenue cycleRCMcharge captureCDIclinical documentation improvementcoding optimizationdenials management+3 more
Priority: 7/1011 keywords