How Does the Ambulatory Specialty Model Differ From Traditional MIPS Reporting?

Garrett Schmitt, , ,

The Ambulatory Specialty Model (ASM) represents a significant shift from the traditional MIPS reporting system, aiming to enhance the accountability of specialists regarding patient outcomes and costs. Unlike MIPS, which operates like a choose-your-own-adventure format, ASM introduces a more structured approach, emphasizing greater responsibility in managing patient care. This change is substantial and requires clear…

Why AI Fails in Healthcare Clinics (And What Actually Works)

Garrett Schmitt

When clinics select an AI partner – especially for AI Voice Agents – the expectation is that the tool gets the job done. Without integration into your systems and workflows, that rarely happens. Clinics end up with an incomplete solution that never adds the expected value and fails at the exact use cases AI should…

RECORDED WEBINAR: How to Mitigate Risks of Using AI in Coding in Value-Based Care

Garrett SchmittNo Comments, , , ,

 Download Slides In this webinar, learn how to: Identify the most significant compliance and financial risks associated with using AI in coding within value-based care models Explain how AI-driven coding practices can unintentionally lead to unsupported diagnoses, audit exposure, and inaccurate risk adjustment Recognize red flags that indicate AI is influencing coding and documentation…

RECORDED WEBINAR: Triple the Value of your ACOs APP Reporting Performance

Garrett SchmittNo Comments, , , , , ,

 Download Slides The APP submission window is closed, and it is time for a debrief. If you’re like most, some aspects went well, but there are definitely opportunities for improvement. It’s likely that at least one of your measures suffered from a gap in documentation rather than a gap in care, and that others…

Healthcare Data Modeling for Payer-Provider Collaboration

Garrett Schmitt

The healthcare industry generates an astounding amount of data. The total amount of global healthcare information surpassed 4,200 exabytes in 2025 and is growing at an annual rate of 63%. However, about 97% of hospital data goes unused, meaning that organizations are missing out on valuable insights and opportunities that could lead to better operations,…

RECORDED WEBINAR: Risk Adjustment in 2027: What’s Changing and What to Do Now

Garrett SchmittNo Comments, , , ,

 Download Slides The 2027 Medicare Advantage changes are already reshaping risk adjustment strategy. Subbu Ramalingam and Michael Lesnik break down what these changes mean in practice — why the documentation burden is increasing, which HCC coding approaches create risk, and where to focus now before the rules tighten further. This session covers the four…