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Restaurant-Quality at Home

Restaurant-Quality at Home: Why Chefs’ Favorite Tools Are Worth the Investment

Home Improvement Leave a comment

Restaurant-Quality at Home

In a world where feeling good matters, the kitchen isn’t only for making meals - it’s where ideas flow, focus grows, because food fuels life. While … Read More...

The Smart Way to Keep Gear Fresh

The Smart Way to Keep Gear Fresh: Why Locker Boot Dryers Are a Game-Changer

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The Smart Way to Keep Gear Fresh

There’s nothing worse than putting on wet boots. Damp gear can become uncomfortable and develop unpleasant odors over time. Moisture can also cause … Read More...

Leading Brands Everyone Should Know

From Cleaning to PPE: Leading Brands Everyone Should Know

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Leading Brands Everyone Should Know

When it comes to keeping a home or small workspace safe, the right gear matters. Whether you’re handling DIY repairs, tackling cleaning jobs, or … Read More...

Key Upgrades That Improve Comfort and Reliability

Touring With a 70 Series? Key Upgrades That Improve Comfort and Reliability

Auto Leave a comment

Key Upgrades That Improve Comfort and Reliability

The Toyota 70 Series is known for its toughness, and it has proved itself on rough tracks and long touring routes for years. It carries weight well … Read More...

My Stay Where Larnaca’s Shoreline Redefines Five-Star Calm

Golden Bay Beach Hotel: My Stay Where Larnaca’s Shoreline Redefines Five-Star Calm

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My Stay Where Larnaca’s Shoreline Redefines Five-Star Calm

I’ve stayed in enough coastal hotels to know the difference between marketing and meaning. The Golden Bay Beach Hotel, though, didn’t need to convince … Read More...

How to Find the Right Heating Contractor for Your Project

How to Find the Right Heating Contractor for Your Project

Construction Leave a comment

How to Find the Right Heating Contractor for Your Project

When choosing a technician for your heating unit, you need a reliable professional who can install, repair, or maintain it. This specialist also helps … Read More...

The-Importance-of-Sleep-in-Addiction-Recovery

The Importance of Sleep in Addiction Recovery

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The-Importance-of-Sleep-in-Addiction-Recovery

Sleep is one of the most underrated elements of addiction recovery. It's not exactly rocket science: quality rest can make the difference between life … Read More...

Starting Your Professional Life in a New Country: The First 90 Days

Starting Your Professional Life in a New Country: The First 90 Days

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Starting Your Professional Life in a New Country: The First 90 Days

The first three months in a foreign country dictate everything that comes after. Are you going to get settled and find yourself naturally cruising by … Read More...

Must-Try Culinary Experiences on a Spain and Portugal Tour

Must-Try Culinary Experiences on a Spain and Portugal Tour

Travel Tips Leave a comment

Must-Try Culinary Experiences on a Spain and Portugal Tour

Spain and Portugal are neighboring countries on the Iberian Peninsula in southwestern Europe. Spain has a much larger population of about 48.8 million … Read More...

"This risk adjustment software will transform your operations," the sales rep promised. Eight months later, our coders were using Excel spreadsheets to track what the $400,000 system couldn't handle. The software worked perfectly, if your workflow matched their demo, your data was pristine, and your coders thought like programmers. None of those things were true. So we had a very expensive system that technically functioned but practically failed. The Workflow Mismatch The software assumed everyone codes the same way. Chart in, review it, code it, submit. Linear. Clean. Nothing like reality. Sarah likes to review all medications first, then look at notes. Kevin starts with most recent encounters and works backwards. Linda groups similar conditions and codes them in batches. The software forced everyone into the same rigid workflow. Productivity crashed 40%. We couldn't assign charts based on coder strengths anymore. The system distributed work "intelligently" using an algorithm nobody understood. Our cardiac specialist coder got pediatric charts. Our mental health expert got orthopedic cases. The AI was intelligent like a particularly dense brick. Simple tasks became complex ordeals. Reassigning a chart? Seven clicks through three menus. Adding a note? Navigate to a different module. Checking previous coding? Log into the audit portal. We spent more time navigating than coding. The Black Box Problem When the software suggested an HCC, we had no idea why. It just appeared: "Consider E11.42." Based on what? Which documentation? What logic? The vendor called it "proprietary AI." We called it guessing. Auditors don't accept "the AI said so" as supporting documentation. We need to know exactly where diagnoses come from. But the software wouldn't show its work. It was like having a coder who refuses to explain their decisions. Expensive and useless. The risk scores it calculated were consistently wrong. Not wildly wrong, just wrong enough to matter. Off by 3-7% every time. For a 10,000-member population, that's millions in misestimated revenue. When we asked why, they said the algorithm was "complex." Complex doesn't mean correct. The Integration Nightmare "Seamless integration" turned into six months of consultants trying to make our seven systems talk to one black box that spoke its own language. Patient IDs didn't match. Date formats conflicted. Diagnosis codes came through corrupted. We spent $75,000 on integration fixes for a system that was supposed to integrate seamlessly. The real killer? Updates. Every time any connected system updated, something broke. EHR upgrade? Risk adjustment software stops pulling charts. Claims system patch? Risk scores disappear. We spent more time fixing connections than using the actual software. The Report Nobody Wanted The software generated 47 different reports. Beautiful, colorful, completely useless reports. We needed to know three things: What needs coding? What got coded? What are we missing? Instead, we got "Hierarchical Condition Category Velocity Trending Analysis" and "Prospective Risk Stratification Heat Maps." I still don't know what those mean. Creating a simple list of completed charts required exporting three reports, combining them in Excel, and manually filtering. The "one-click reporting" they promised required approximately 47 clicks and a prayer. My favorite feature was the executive dashboard that showed real-time coding productivity. Except it wasn't real-time (24-hour delay), and the productivity metrics measured things nobody cared about. Executives wanted revenue impact. They got colorful circles showing "coding velocity vectors." The Excel Solution After eight months of suffering, Jenny from IT built us a replacement in Excel and Access. Took her three weeks. Cost nothing but overtime pizza. It's ugly. It's basic. It does exactly what we need and nothing else. Charts come in, get assigned based on simple rules, coders review them, codes get tracked. No AI. No algorithms. No intelligence. Just functional simplicity. Betty can explain exactly how it calculates risk scores because she can see the formulas. When something breaks, Jenny fixes it in an hour, not three weeks of vendor support tickets. When we need a new report, we build it ourselves. The homemade system is 200% faster than the expensive software. Not because it's sophisticated, but because it matches how we actually work instead of forcing us to match how it works. Your Software Reality Check Time how long it takes to code one chart in your risk adjustment software, including every click, screen load, and system navigation. Now time the same task in Excel. If Excel is faster, you've got a problem. Ask three coders to explain how your software calculates risk scores. If you get three different answers (or three confused looks), you're trusting math nobody understands. Count how many workarounds your team has created. External spreadsheets? Manual tracking documents? Post-it note systems? Each workaround proves the software doesn't actually work for real humans doing real work. The best risk adjustment software isn't the smartest or most features-rich. It's the one that gets out of the way and lets coders code. Everything else is expensive friction that makes simple tasks complex and complex tasks impossible.

The Risk Adjustment Software That Actually Made Our Jobs Harder

Tech Leave a comment

"This risk adjustment software will transform your operations," the sales rep promised. Eight months later, our coders were using Excel spreadsheets to track what the $400,000 system couldn't handle. The software worked perfectly, if your workflow matched their demo, your data was pristine, and your coders thought like programmers. None of those things were true. So we had a very expensive system that technically functioned but practically failed. The Workflow Mismatch The software assumed everyone codes the same way. Chart in, review it, code it, submit. Linear. Clean. Nothing like reality. Sarah likes to review all medications first, then look at notes. Kevin starts with most recent encounters and works backwards. Linda groups similar conditions and codes them in batches. The software forced everyone into the same rigid workflow. Productivity crashed 40%. We couldn't assign charts based on coder strengths anymore. The system distributed work "intelligently" using an algorithm nobody understood. Our cardiac specialist coder got pediatric charts. Our mental health expert got orthopedic cases. The AI was intelligent like a particularly dense brick. Simple tasks became complex ordeals. Reassigning a chart? Seven clicks through three menus. Adding a note? Navigate to a different module. Checking previous coding? Log into the audit portal. We spent more time navigating than coding. The Black Box Problem When the software suggested an HCC, we had no idea why. It just appeared: "Consider E11.42." Based on what? Which documentation? What logic? The vendor called it "proprietary AI." We called it guessing. Auditors don't accept "the AI said so" as supporting documentation. We need to know exactly where diagnoses come from. But the software wouldn't show its work. It was like having a coder who refuses to explain their decisions. Expensive and useless. The risk scores it calculated were consistently wrong. Not wildly wrong, just wrong enough to matter. Off by 3-7% every time. For a 10,000-member population, that's millions in misestimated revenue. When we asked why, they said the algorithm was "complex." Complex doesn't mean correct. The Integration Nightmare "Seamless integration" turned into six months of consultants trying to make our seven systems talk to one black box that spoke its own language. Patient IDs didn't match. Date formats conflicted. Diagnosis codes came through corrupted. We spent $75,000 on integration fixes for a system that was supposed to integrate seamlessly. The real killer? Updates. Every time any connected system updated, something broke. EHR upgrade? Risk adjustment software stops pulling charts. Claims system patch? Risk scores disappear. We spent more time fixing connections than using the actual software. The Report Nobody Wanted The software generated 47 different reports. Beautiful, colorful, completely useless reports. We needed to know three things: What needs coding? What got coded? What are we missing? Instead, we got "Hierarchical Condition Category Velocity Trending Analysis" and "Prospective Risk Stratification Heat Maps." I still don't know what those mean. Creating a simple list of completed charts required exporting three reports, combining them in Excel, and manually filtering. The "one-click reporting" they promised required approximately 47 clicks and a prayer. My favorite feature was the executive dashboard that showed real-time coding productivity. Except it wasn't real-time (24-hour delay), and the productivity metrics measured things nobody cared about. Executives wanted revenue impact. They got colorful circles showing "coding velocity vectors." The Excel Solution After eight months of suffering, Jenny from IT built us a replacement in Excel and Access. Took her three weeks. Cost nothing but overtime pizza. It's ugly. It's basic. It does exactly what we need and nothing else. Charts come in, get assigned based on simple rules, coders review them, codes get tracked. No AI. No algorithms. No intelligence. Just functional simplicity. Betty can explain exactly how it calculates risk scores because she can see the formulas. When something breaks, Jenny fixes it in an hour, not three weeks of vendor support tickets. When we need a new report, we build it ourselves. The homemade system is 200% faster than the expensive software. Not because it's sophisticated, but because it matches how we actually work instead of forcing us to match how it works. Your Software Reality Check Time how long it takes to code one chart in your risk adjustment software, including every click, screen load, and system navigation. Now time the same task in Excel. If Excel is faster, you've got a problem. Ask three coders to explain how your software calculates risk scores. If you get three different answers (or three confused looks), you're trusting math nobody understands. Count how many workarounds your team has created. External spreadsheets? Manual tracking documents? Post-it note systems? Each workaround proves the software doesn't actually work for real humans doing real work. The best risk adjustment software isn't the smartest or most features-rich. It's the one that gets out of the way and lets coders code. Everything else is expensive friction that makes simple tasks complex and complex tasks impossible.

"This risk adjustment software will transform your operations," the sales rep promised. Eight months later, our coders were using Excel spreadsheets … Read More...

What’s the Secret to Building Happier Communities?

What’s the Secret to Building Happier Communities?

Construction Leave a comment

What’s the Secret to Building Happier Communities?

Happier communities are built with hard work, they aren’t found by chance. They grow from the daily acts of kindness and inclusion that make people … Read More...

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Hi, I'm Yetta. I love having dance parties in the kitchen with my family, traveling, and Mason jar creations.

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