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Apr 15, 2026

We Built Risk Adjustment Software That Deletes Codes, Not Just Adds Them. Here’s Why

Risk adjustment software is undergoing a major shift in 2026 as DOJ enforcement and RADV audits intensify. Add-only coding models are now a liability, with penalties reaching billions. Modern platforms must support two-way coding (add and delete), provide explainable AI with evidence trails, and ensure audit readiness. The future is compliance-first—proving every code matters more than maximizing them.

Source: HackerNoon →


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