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  • Home
  • About Lighthouse Healthcare Advisors
    • Meet the Advisors
    • Helpful Links
    • Client Testimonials
    • Webinars
    • Careers
  • Services
    • Healthcare Management Consulting
    • Risk Adjustment Coding
    • Coding, Compliance, & Education
    • Contract Review & Fee Negotiating
  • Contact
  • Resources
    • Blog
    • Case Studies
    • E-Guide

Daily Archives: March 26, 2024

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Why Medicare Advantage Plans And ACOs Need Experienced Vendors To Prepare For CMS-HCC Version 28

Risk AdjustmentBy Lighthouse Healthcare AdvisorsMarch 26, 2024Leave a comment

Medicare Advantage (MA) plans and Accountable Care Organizations (ACOs) should be reevaluating their vendor strategy in light of coming changes. This is largely because of a new version of the Hierarchical Condition Category (CMS-HCC) risk adjustment model that CMS released in 2023.

8 Signs You Should Invest In A Medical Coding Audit Before 2024

Medical Coding AuditsBy Lighthouse Healthcare AdvisorsMarch 26, 2024Leave a comment

All the change in healthcare over the recent years has unfortunately meant new opportunities for abuses of medical billing. This kind of fraud and misuse puts providers at risk financially and ultimately jeopardizes the quality of care you can provide in the long term. Many providers who have realized this understand that now is a good…

Why Self Audits Are One of the Most Valuable Medical Coding Audits

Medical Coding AuditsBy Lighthouse Healthcare AdvisorsMarch 26, 2024Leave a comment

Medical coding audits are critical to a healthy revenue cycle, but with all the options, it is difficult to know where to position the different types of medical coding audit services in your revenue cycle management optimization strategy.

Risk Adjustment Reviews Are Your Key To Success In Value Based Contracts

Risk Adjustment CodingBy Lighthouse Healthcare AdvisorsMarch 26, 2024Leave a comment

Retrospective reviews of risk adjustment coding are foundational to the financial health and stability of Accountable Care Organizations (ACOs) and Medicare Advantage plans (MAPs). This is increasingly true as value-based contracts.

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National Health Plan Observes an ROI Of 17 to 1 With LHA’s Risk Adjustment Services

Risk Adjustment Services Case Study

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Navigating Negotiations With LHA’s Managed Care Contracting Services

Managed Care Contracting Case Study

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FQHC’s Working Within The Epic Platform With LHA

FQHC’s Working Within The Epic Platform With LHA

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Risk Adjustment Essentials: Common Challenges & Key Solutions for Success

Risk Adjustment Essentials Guide

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Reach out to our business development team to learn more about our services.