ARTICLES AND THOUGHT LEADERSHIP

What we're seeing from the people doing the work


Articles, case studies, and updates on coding, CDI, denials, quality, and revenue cycle written by UASI's own specialists and leadership.

Is Your Health System Ready for the Shift to Risk Adjustment? 

The healthcare landscape is evolving, and the transition to Risk Adjustment is more critical than ever. As we approach the CMS 2025 changes, it’s essential that health systems are not only aware of the challenges ahead but are also strategically preparing to navigate this shift.


In our latest panel discussion, we dive deep into the complexities of Risk Adjustment, exploring:
Key Challenges in Risk Adjustment
, Varied Perspectives, and Actionable Strategies


We asked UASI experts to weigh in on this important topic;

*Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC

*Linda Wiseman, BSN, RN, CCDS

*LouAnn Widemann, MS, FAHIMA, RGIA, CHDA, CDIP

*Kathy DeVault, MSL, RHIA, CCS-P, FAHIMA

 

Learn about practical steps, best practices, and tools that will ensure your organization stays ahead of the curve.


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Covering clinical indicators and query opportunities that are easy to miss, from the team that reviews documentation every day.

Female coder considering scrutinizing paperwork
By Autumn Reiter, MBA, BSN, RN, CCDS, CCDS-O, CDIP, CCS • October 22, 2026
Recent False Claims Act settlements, new OIG guidance, and CMS audits put risk adjustment coding under scrutiny. Six questions to test if your diagnoses hold up.
Cover graphic for a new article on hospital denials management, with puzzle pieces and a red piece highlighted
By Tanya Citron, MBA, RHIA • October 6, 2026
Manage hospital denials effectively to enhance recovery. Contact UASI for expert solutions in coding & documentation improvement.
Medical coder at table reviewing database on computer
By Holly Saylor, Vice President Human Resources • September 8, 2026
Explore what's next in your medical coding career, from expanding your expertise to finding an employer that supports long-term professional growth.
Laptop with icons displayed and graphic text for UASI & Protiviti Explore AI in the Middle Revenue
By Nancy Koors, CEO, UASI & Bryan Beaudoin, Associate Director, HIM Solution Lead, Protiviti • August 24, 2026
UASI CEO Nancy Koors and Protiviti explore six strategies for operationalizing AI across coding, CDI and the middle revenue cycle.
Jennifer Eaton, Director of CDI Services at UASI
August 18, 2026
UASI welcomes Jennifer Eaton, MSN, CCDS, CRCR, as Director of CDI Services, bringing 20+ years of healthcare and CDI leadership experience.
Healthcare professional looking at camera, graphic image for 2026 OIG work Plan Outpatient
August 13, 2026
Review key 2026 OIG and RAC focus areas affecting outpatient coding and documentation, plus UASI’s recommended compliance and audit activities.
Title graphic for 2026 IP OIG Work Plan-doctor holding a stethescope
August 13, 2026
Review key 2026 OIG and RAC focus areas affecting inpatient coding and documentation, plus UASI’s recommended compliance and audit activities.
Graphic Image for article on charge capture and picture of paper that says
By Leah Jeffries, RHIT, CDIP, CCS, CCS-P • August 10, 2026
Hospital revenue leakage from denials hit $48B in 2025. Learn how health system leaders can identify charge capture failures and protect revenue before claims are submitted.
Why Physician Queries Matter in CDI and Coding
By Linda Wiseman, BSN, RN, CCDS • July 14, 2026
Learn why physician queries are essential to clinical documentation accuracy, coding integrity, compliance, quality reporting, and reimbursement.
3 stars on an orange background
By Jessica Burrell, CPC, CRC, CDEO, CCDS-O • May 4, 2026
Learn how 2026 CMS Star Rating changes create a gap between care and reported performance, and why documentation, coding, and risk adjustment now directly impact quality outcomes.
Graphic text: Acute Hospital Care at Home: CMS Policy & Risk Adjustment
By Leah Jeffries, RHIT, CDIP, CCS, CCS-P • April 30, 2026
Explore how CMS is using risk adjustment, HCC coding, and patient complexity data to evaluate Acute Hospital Care at Home and future Medicare payment models.
Welcome Elspeth
By Katie Curry • April 6, 2026
UASI is pleased to announce the addition of Elspeth Alston, CPC, as Education and Quality Manager.
Title for CDI and Coding assessment series highlighting 8 key insights from healthcare poll data
By Katie Curry • March 27, 2026
What are healthcare organizations getting right and wrong about CDI and Coding programs? Explore 8 key insights from LinkedIn poll data on KPIs, workflows, compliance, and more.
Tile graphic tech image icons: Risk Adjustment as Hospital Strategy, Not Just a Payer Function
By Jessica Burrell, CPC, CRC, CDEO • March 26, 2026
Hospitals are rethinking risk adjustment as a strategic priority. Learn how documentation, visibility, and value-based care are converging.
Stack of papers representing False Claims Act risk, audits, and recoupments
By Jessica Burrell, CPC, CRC, CDEO • March 17, 2026
Unsupported HCCs can trigger False Claims Act risk, audits, and recoupments. Learn why defensible documentation is essential in today’s risk adjustment environment.
Mid-revenue cycle risk management graphic showing staffing vs managed services decision concept
By Nancy Koors, MBA, MS, BS • February 11, 2026
Learn when staffing solves mid-revenue cycle challenges — and when managed services deliver greater control, consistency, and margin protection.
Welcome Jessica Burrell
By Katie Curry • February 3, 2026
Welcome Jessica Burrell
Title graphic for When Was the Last Time You Pressure-Tested Your HIM Program?
January 30, 2026
HIM operations doesn’t always mean optimal performance. Learn why Q1 is the ideal time to step back, validate program alignment, and prevent workflow drift.
Welcome Tanya Citron
By Katie Curry • January 28, 2026
UASI Welcomes Tanya Citron as Managing Consultant, Denials Management & Strategy
Hospital staff walking in a clinical setting with reference to the 2026 CMS Five Star Rating Rule
By Linda Wiseman, BSN, RN, CCDS • December 15, 2025
An in-depth look at CMS’s 2026 Five Star Rating Rule and how documentation accuracy and safety measures influence hospital quality ratings and long-term performance.
Lena Wilson joins UASI as our newest client success manager
By Katie Curry • December 2, 2025
With 20 years of CDI and coding experience, Lena Wilson brings experience in building, scaling, and optimizing CDI programs across complex health systems.
Medicare and Medicaid regulatory changes overview
December 1, 2025
Learn about the major CMS regulations taking effect in 2026, including compliance impacts, reporting requirements, and deadlines healthcare organizations should prepare for.
Image illustrating announcing rising Medicare costs for 2026
November 19, 2025
Learn how Medicare costs are expected to rise in 2026, what CMS announced this week, and how these changes affect providers and patients.
The Financial Power of Quality Metrics and RAF Scores in Today’s Healthcare Landscape | UASI
By Leah Jeffries, RHIT, CDIP, CCS, CCS-P • November 17, 2025
Explore how quality metrics and RAF scores directly impact financial performance, reimbursement, and organizational success in today’s healthcare landscape.
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