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A 3% Annual RAF Improvement isn’t Nearly Enough
What is HCC Coding in Risk Adjustment?
Risk Adjustment and Revenue Cycle: Benefits and Steps to Success

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Edifecs Blog

By Edifecs | February 28, 2023
Risk for Reward: Strategies Every Provider Should Adopt in Value-Based Arrangements
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Learn about strategic operational initiatives for providers that optimize financial performance in today's healthcare landscape.
By Trey Keller | January 30, 2023
How “Forgotten” Systems Drain Health Plan Profitability
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Address financial drains with operational cost containment strategies for health plans.
By Dr. Abhishek Jacob | January 10, 2023
Flexibility is Key to Oversight of Alternative Payment Models 
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Learn about the critical factors you should consider when purchasing a value-based care payment platform.
By Edifecs | December 20, 2022
Future Proofing Technology: 5 Considerations for the HIT Stack 
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Determine how to ensure your HIT investments are built to last by future proofing technology across your healthcare infrastructure.
By Maxim Abramsky | December 12, 2022
Solving for Automated Prior Authorization: Three Things You Need to Know
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Learn how to solve for real-time prior authorization and evolving legislation.
By Edifecs | November 29, 2022
The Technology and Data Needed to Empower More Equitable Care
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Health plans hold the key to accelerating value-based care – an Edifecs viewpoint in Chief Healthcare Executive.
By Shahyan Currimbhoy | November 02, 2022
The Opportunity and Benefits of the Clinical Review Specialist
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The role of Clinical Review Specialist continues the trend of focusing on providing the best tools for your talent.
By Shahyan Currimbhoy | November 02, 2022
Risk Adjustment and Revenue Cycle: Benefits and Steps to Success
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Risk adjustment and revenue cycle are becoming increasingly intertwined as more providers take on larger risk contracts under value-based care.
By Edifecs | November 02, 2022
Risk Adjustment Compliance Recap: Best Practices for Avoiding Legal Action
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Learn more about Risk Adjustment compliance and best practices for avoiding legal action in this webinar recap.
By Shahyan Currimbhoy | October 05, 2022
Third Pass: Risk Adjustment QA and Compliance
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Learn how robust quality assurance (QA) workflows are a pivotal element to success in risk capture.
By Shahyan Currimbhoy | September 08, 2022
Prioritizing Risk Capture Compliance with NLP
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Learn how Edifecs supports its partners’ risk capture efforts, as well as what we consider integral best practices to realize the full utility of our solutions.
By Shahyan Currimbhoy | August 09, 2022
A 3% Annual RAF Improvement isn’t Nearly Enough
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Understand regional and national trends, and how your population size, and changes to it, can change your benchmark.