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Risk Adjustment

HEDIS & Star-Spangled Banner

O say can you see,All my new H.I.T.,Which so proudly we bought,At the last HIMSS in Vegas.

When we saw its bright screen,Catch the CMO’s sight,O’er the smartphone we watched,While the demo was streaming.

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Health Plan Allegedly Cheated Risk Adjustment

An industry shake-up may be coming. The FBI is investigating an innovative Portland-based health organization for allegedly falsifying medical claims. According to a former employee, Zoom+care changed records to avoid paying around $3 million to the...

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