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In order to meet the evolving demands of modern healthcare, it is essential to embrace tech-driven solutions. Pointwest’s solutions provide deeper data insights and enhance operational efficiency to improve patient care. Whether it's analyzing high-risk codes or ensuring accurate coding and compliance, we equip you with the tools needed for impactful decision-making and effective healthcare management. Learn more about how Pointwest’s solutions are transforming healthcare at the speed of digital at https://lnkd.in/gWE7idad. #AccelerateToTheFuture  #TakeITFurther  #Pointwest

Navigating the transition to cloud infrastructure can be complex, but Pointwest’s cloud consulting services make it seamless. Whether you need a robust strategy, custom application development, or a smooth migration, our solutions are designed to help you unlock the full potential of cloud technologies. Make your move to the cloud scalable, secure, and cost-effective. Visit https://lnkd.in/gcFbb4BX and learn more about how Pointwest can transform your business strategy at the speed of digital.

For healthcare providers aiming to enhance their patient care and operational efficiency, Pointwest’s cutting-edge healthcare solutions are the key. Our AI-powered solutions in Pharmacy Benefits Management and Revenue Cycle Management streamline complex processes, control costs, and optimize data management. By integrating these services, healthcare professionals can deliver efficient, effective, and personalized care. Visit https://lnkd.in/gn2MJQPj to discover how our AI-powered healthcare offerings can help accelerate your operations. #AccelerateToTheFuture  #TakeITFurther  #Pointwest 

The OIG remains laser focused on preventing and detecting fraud, waste, and abuse and on promoting the economy, efficiency, and effectiveness of HHS programs. This oversight which includes audits, investigative recoveries, and criminal actions is independent, objective, and evidence-based. The key word is evidence based. At Raapid, our advanced solutions, fine-tuned using millions of clinical documents, integrates our Clinical Knowledge base and “Neuro-Symbolic AI,” ensuring practitioners are able to accurately review evidence to make correct decisions that help keep them out of trouble. Raapid can conduct a 2nd pass review to help you sleep well at night. Contact us now. RAAPID INC Marketing RAAPID INC healthcarecompliance.mgmt Centers for Medicare & Medicaid Services #OIGReport

Modernize your stores and optimize your retail operations with Pointwest’s innovative digital solutions! Leverage our tech-powered solutions to unlock smarter inventory management, data-driven decision-making, and a seamless shopping experience for your customers across multiple channels. Discover how Pointwest can help accelerate your retail enterprise's path to success by visiting: https://lnkd.in/gFe8RBzf #AccelerateToTheFuture  #TakeITFurther #Pointwest 

At Pointwest, we lead the way for industry transformation that empowers enterprises to not only adapt but thrive in today's digital era. We are dedicated to equipping our team with the expertise needed to solve our clients’ business challenges. Partnered with our tech-based solutions, our people are the key to making our mission a reality. Explore opportunities to accelerate your career as part of our team by visiting: https://lnkd.in/gARR9d2J #AccelerateToTheFuture  #TakeITFurther #Pointwest 

Modernizing your systems is no longer optional. It's the key to thriving in today's fast-paced tech landscape. While outdated systems can lead to higher costs and lower performance, this transition can help pave the way for further success for your organization. Here are several reasons why you should make the shift to modernization. Are you ready to evolve your business? Visit pointwest.com to find out how Pointwest can help accelerate your digital transformation journey today! #AccelerateToTheFuture  #TakeITFurther #Pointwest

Unlock your company’s digital potential with Pointwest! We provide our partners with the tools, talent, and expertise to help drive their businesses forward at the speed of digital. Partner with us and discover how we can accelerate your digital transformation journey by visiting: https://lnkd.in/gq5rqNzr #AccelerateToTheFuture  #TakeITFurther #Pointwest`

Humana's MA Clawback Lawsuit to move forward. A federal judge has ruled that Humana's challenge to a CMS rule implementing stricter auditing standards on MA plans can proceed. 👨⚖️ Humana's lawsuit against CMS's new risk-adjustment rules will proceed despite HHS's attempt to dismiss it 💲 The new rules aim to recover $4.7 billion in overpayments to MA plans over the next decade. 🔻 Humana, the second-largest Medicare Advantage insurer, is facing the largest substantial financial risk. Due to potential clawbacks, it will lose up to 17% of its 2023 earnings, a staggering $900 million. This is a significant concern, especially with the MA market expected to grow and 6.1 million MA members currently enrolled in Humana's plans. With the lawsuit moving forward, it's crucial to consider: Will this decision lead to increased scrutiny of MA plans? What could be the potential implications for patients and providers? How will CMS's new audit methodology affect the financial sustainability of MA plans, and what are the potential consequences for the healthcare industry? Considering the recent HHS vs. SCAN win, the government's increasing momentum in its efforts to recover alleged overpayments and its commitment to ensuring the financial sustainability of the MA program is highlighted. #MedicareAdvantage #Humana #HHS #HealthcareLaw #RiskAdjustment #CMS #Clawback #HumanaMA #HealthcareRegulation https://lnkd.in/gy_FgiRK