To tighten oversight and minimize overpayments to Medicare Advantage plans, the Centers for Medicare & Medicaid Services (CMS) introduced a new rule in 2023 that revamped the agency’s approach to risk ...

The AI-enabled solution addresses expanded CMS RADV requirements with automated workflows, audit-ready reporting, and scalable operations developed based on insights from leading health plans.

Artificial intelligence (AI)-enabled tools such as natural language processing (NLP) have been integrated into a wide range of applications, including risk adjustment coding tools, for greater ...

MILLERSVILLE, Md.--(BUSINESS WIRE)--J29 Inc. is happy to announce that it has been awarded a prime contract in support of the Centers for Medicare and Medicaid Services (CMS), a federal agency ...