Advantmed

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News, Events & Blogs

Healthcare never stands still and neither do we. Read the latest news and developments from Advantmed and join us at our upcoming events.
April 2, 2025

Advantmed, LLC Welcomes Risk Adjustment and Quality Expert Scott Filiault to its Board of Directors

FOR IMMEDIATE RELEASE IRVINE, Ca, April 2, 2025 – Advantmed, LLC, an industry leader in risk adjustment and quality services for health...
August 10, 2022

Advantmed’s ELEVATE^ Quality Insights ®️ Software Fully Certified for the HEDIS ®️ MY 2022 Season

Irvine, CA – August 10, 2022 – Advantmed, LLC, a healthcare solutions company focused on integrated quality improvement and risk adjustment...
February 14, 2022

Advantmed Physician Record Reviews: Medicare Advantage Plans Gain Clinical Insights for Risk-Adjusted Conditions and Quality/Care Management Opportunities, Impact HCC Coding & CMS Reimbursement

Santa Ana, CA — February 14, 2018 — Advantmed, LLC, an integrated risk-adjustment optimization and quality improvement company, today...
February 23, 2022

Advantmed Advances Payer Understanding and Preparation for 2019 Medicare Advantage and Part D Rate Announcement and Call Letter, Issues Fact Sheet

Santa Ana, CA — April 12, 2018 — Responding to the recent release of the 2019 Medicare Advantage and Part D Rate Announcement and Call...
August 28-30, 2023

RISE West in Dallas

Join us in Dallas for RISE West and learn more about our risk adjustment, quality, and in-home assessment...
June 20-23, 2023

RISE Qualipalooza in Miami

Join us in Miami for the RISE Qualipalooza Leadership Summit and learn how to streamline the retrieval process to better support your quality...
May 08-10, 2023

RISE Risk Adjustment Forum in Chicago

Join us in Chicago at the RISE Risk Adjustment Forum and stop by our booth to learn more about our coding, retrieval, and analytics...
June 26, 2025

RADV Audits: What Medicare Advantage Plans Need to Know

Risk Adjustment Data Validation (RADV) audits are now an annual reality for every Medicare Advantage (MA) contract In what’s widely seen as the...
April 10, 2025

2026 CMS Final Notice: Everything Plans Need to Know

On April 7, the Centers for Medicare & Medicaid Services (CMS) released the final 2026 Medicare Advantage (MA) Capitation Rates and Part C and...
January 23, 2025

2026 CMS Advance Notice: Impacts on Medicare Advantage

On January 10, CMS released the 2026 Advance Notice for Medicare Advantage (MA) plans, detailing proposed changes to MA capitation rates and Part C...
January 8, 2025

The Value of In-Home Health Assessments: Insights from Nurse Practitioners

In-home health assessments offer a personalized approach to care, helping members address their physical, mental, and social health concerns in a...
October 21, 2024

ACA Risk Adjustment: 3 Keys to Open Enrollment Success

As we approach the upcoming Affordable Care Act (ACA) Open Enrollment period starting November 1, it's crucial for health plans to prepare for what...
July 1, 2024

3 Reasons Why Your Health Plan Should Implement Complete Code Capture for Risk Adjustment

Today’s healthcare landscape is constantly evolving and with new regulations impacting risk adjustment, health plans are reevaluating their...
May 14, 2024

Navigating V28 and the Changing Regulatory Landscape: 3 Strategies for Health Plans

Health plans are facing a storm of changes with the arrival of the V28 risk adjustment model for Medicare Advantage, along with increased scrutiny...
April 16, 2024

CMS PY2025 Final Notice: A Summary

On April 1, The Centers for Medicare & Medicaid Services (CMS) released the Medicare Advantage (MA) PY2025 Final Notice Here are some of the...
February 13, 2024

CMS PY2025 Advance Notice: A Clinical Perspective  

On January 31, The Centers for Medicare & Medicaid Services (CMS) released the Medicare Advantage (MA) PY2025 Advanced Notice Some of the...
February 8, 2024

Risk Adjustment Coding Challenges: Reducing MA Audit Risk

Medicare Advantage (MA) organizations are under extreme scrutiny to ensure proper coding to reduce overpayments for MA beneficiaries The recent...

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