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Compliance & Audits

Prior Authorization AI: What CMS-0062-P Means for Coders

CMS-0062-P extends prior auth to drug coverage — here's what medical coders need to do now, and how AI can handle the administrative load.

Arasu Elango

May 165 min read

Clinician reviewing medical records for HCC coding RADV audit compliance

HCC Coding and RADV Audits in 2026: What Medicare Advantage Coders Must Do Now

CMS RADV audits are accelerating in 2026, with AI-assisted reviews and full V28 model implementation. Here's what MA coders must do now to stay compliant.

Arasu Elango

May 101 min read