Advantmed

Advantmed offers integrated solutions to help healthcare organizations improve performance.

In the news and on the move.

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.
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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...
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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...
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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...
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August 29, 2018

Advantmed’s ELEVATE! Software Receives HITRUST CSF Certification, Validates Commitment to Safeguarding Sensitive Information

Santa Ana, CA — August 29, 2018 — Advantmed, LLC, an integrated risk-adjustment optimization and quality improvement company, received the...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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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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November 16, 2023

Three Strategies to Improve Member Engagement  

Effective member engagement allows a health plan to accurately assess the health status of its members Engaged members are more likely to...
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April 14, 2023

CMS Final Notice: A Clinical Perspective

On March 31st, 2023, The Centers for Medicare & Medicaid Services (CMS) published the Final Rate Announcement for PY 2024 This is an update to...
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March 23, 2023

CMS Advance Notice: A Clinical Perspective

The Centers for Medicare & Medicaid Services (CMS) has had a busy 2023 already with a flurry of regulatory activity We saw the CMS RADV Final...
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March 1, 2023

The RADV Final Rule: What You Need to Know

On January 30th, CMS released its Final Rule regarding the Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program You might be...
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