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"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...

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What’s the Secret to Building Happier Communities?

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Face Swap Video Review – Explore the Smart Way to Create Realistic AI Videos

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Why Cast Iron Radiators Are Making a Comeback in UK Homes: Design Trends 2025

Why Cast Iron Radiators Are Making a Comeback in UK Homes: Design Trends 2025

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Why Cast Iron Radiators Are Making a Comeback in UK Homes: Design Trends 2025

For decades, homeowners in the UK have chosen convenience over character when it comes to heating systems. But in 2025, a growing number of interior … Read More...

Creating Accessible Websites: Best Practices for Inclusivity ●https://pixabay.com/photos/web-macbook-air-apple-graphics-1738159/ ●Websites are often seen through the eyes of a designer. In most cases the focus is more on making the site visually appealing. But there is a big but, what about people who actually can't see it? Over 94.8% of websites fail the web accessibility test. And this isn't a small number. ●Yes, it is a new era for websites and people with disabilities deserve a chance to use them. You see, the great news is, making a website accessible, it isn't rocket science. ●This article covers the following topics. ●Accessibility in Web Design: Why is it Important? ●Principles of Accessible Web Design ●Techniques to Make Websites More Accessible ●Accessibility Mistakes to Avoid Accessibility in Web Design: Why is it Important? Approximately 1.3 billion people in the world have a disability, which accounts to 16% of the global population. You can imagine if only some of them are currently locked out of your website. Here's something more interesting… Did you know that web accessibility is also considered to be a search engine optimization (SEO) issue? When you use modern development, especially good web development tools to make your site accessible, you automatically optimize it for search engines. Whether you're building in-house or hiring a web design agency, making accessibility a priority from day one saves time and money later. So what does this mean exactly? Building your site with accessibility in mind opens it up to an audience of over 1.3 billion. That's a big number of potential visitors and customers. Let's not forget the search engine optimization (SEO) benefits and it'll be easy to say that making your website accessible should now be a requirement for every website out there. Principles of Accessible Web Design Here are some accessibility best practices for web design and development. For starters, there are 4 key principles that make a website accessible. The word POUR comes up a lot. The four principles are as follows. Perceivable ●Your site needs to be perceivable through all types of senses for users. The perceivable information is available in one or more formats: ●Adding alternative text to images ●Using sufficient colour contrast ●Providing captions for videos Allowing text resizing without breaking layouts On average, a website has 51 total accessibility errors, 75% of these are related to the Perceivable principle. Operable Navigation needs to be possible for all users. This includes users who have mobility impairments that cannot use a mouse. Make sure your site is fully navigable by just a keyboard. Test it out! Use your site with the tab key and Enter and see if you can reach all content. Understandable Content needs to be understandable for the users. Easy to read, clear language, avoiding jargon where possible. Navigation should be consistent across all pages. There should be no guesswork for the user as to how the site works. Robust Robust content is simply content that needs to be interpreted by different devices such as desktops, laptops, mobile devices and assistive technology. The best way to ensure your code is robust is to keep it clean, using proper semantic markup, validated with W3C standards and tested with screen readers to check for issues. Techniques to Make Websites More Accessible Ok, here are some more technical topics. The most important thing to do when you are about to develop your site or looking to redesign an existing website is to start from the ground up and make sure everything follows best practices for accessibility. Use Semantic HTML ●One of the biggest issues in old websites is a ton of divs everywhere with no semantic meaning. When it comes to building an accessible website, these are critical. ●Use , , , properly. ●Structure your content with H1 through H6 in order. ●Use buttons for buttons (don't use divs with click handlers). Check links use the tags with proper href attributes. Tip: Semantic HTML is one of the most cost-effective accessibility wins you can make. Keyboard Navigation ●This goes hand-in-hand with the Operable principle in the POUR list of principles for accessibility. ●The most critical questions to answer: ●Do focus indicators exist and are they clear? ●Is the tab order logical? ●Do you have skip links so users can jump to the main content? Are there keyboard traps? A keyboard trap is what happens when a keyboard user gets stuck in a particular section of a site that they cannot get out of. Commonly this is found in widgets such as date pickers or content sliders. Tip: Make it a practice to regularly test all keyboard navigation! Alt Text Alt text is an area where people commonly make many mistakes. It either gets completely overlooked or too much information is put in alt attributes which could be expressed visually, rather than the purpose. Tip: A good rule of thumb is to focus on the purpose of the image as well as providing concise, clear information. Keep it simple and leave decorative images with empty alt text. Colour Contrast Colour contrast issues are surprisingly one of the biggest offenders on many websites today. WCAG requires a minimum of 4.5:1 contrast ratio on normal text, and 3:1 on large text. Bigger is better of course for ease of reading. Tip: Use free colour checkers, don't trust your eyes. Search engines like Google uses text contrast to identify and rank content as well. Accessible Forms Forms are another area where accessibility errors are common. Make sure all form fields have visible associated labels. Error messages and instructions need to be clear and not rely on placeholders. All elements should be grouped using fieldsets. Tip: Always show users what you want from them, give as much context as possible. Accessibility Mistakes to Avoid Here are the top mistakes that some websites make in the name of accessibility. Colour Alone Doesn't Work You should never rely on colour alone to provide important information. Colour-blind users will miss out on the information provided by your website if colour is the only way to understand something. Solution: Always add a second indicator such as icons, text labels, patterns or underlines for links. Auto-Play Features Automatic play for videos, carousels, slideshows and even audio can be an accessibility barrier. Solution: Give the user control at all times. Mobile Accessibility Mobile accessibility is another common mistake websites make. Touch targets should be large enough, and proper spacing should be given between clickable elements. Also, don't forget to test on real mobile devices. Complex Navigation Complex navigation in the form of mega menus and deep nested drop-downs can cause accessibility issues if not designed properly. Tip: Navigation should be kept as simple and predictable as possible. If you need to use mega menus, make sure they are accessible and operable by keyboard and screen readers. Missing Page Titles Page titles are another simple aspect that many sites forget to include or don't provide a unique, descriptive title for each page. Tip: Page titles are used for browser tabs, bookmarks, history navigation and even display on search results. It is important for accessibility and SEO. Key Takeaways Making your website accessible is something that should now be a requirement on every site you build. The return on investment over time is more than just good for the soul, it's good for business. You can start by covering the basics. Add alt text, fix colour contrast issues, make sure your keyboard navigation works. And then move on from there. You don't need to do it all at once. Small steps, constant iteration and improvements. Web accessibility isn't a one-time project, it's a way of life on the web. It should be considered with every new feature you build, every content update you make, every design change. The internet was built to be inclusive for all, make it stay that way.

Creating Accessible Websites: Best Practices for Inclusivity

Tech Leave a comment

Creating Accessible Websites: Best Practices for Inclusivity ●https://pixabay.com/photos/web-macbook-air-apple-graphics-1738159/ ●Websites are often seen through the eyes of a designer. In most cases the focus is more on making the site visually appealing. But there is a big but, what about people who actually can't see it? Over 94.8% of websites fail the web accessibility test. And this isn't a small number. ●Yes, it is a new era for websites and people with disabilities deserve a chance to use them. You see, the great news is, making a website accessible, it isn't rocket science. ●This article covers the following topics. ●Accessibility in Web Design: Why is it Important? ●Principles of Accessible Web Design ●Techniques to Make Websites More Accessible ●Accessibility Mistakes to Avoid Accessibility in Web Design: Why is it Important? Approximately 1.3 billion people in the world have a disability, which accounts to 16% of the global population. You can imagine if only some of them are currently locked out of your website. Here's something more interesting… Did you know that web accessibility is also considered to be a search engine optimization (SEO) issue? When you use modern development, especially good web development tools to make your site accessible, you automatically optimize it for search engines. Whether you're building in-house or hiring a web design agency, making accessibility a priority from day one saves time and money later. So what does this mean exactly? Building your site with accessibility in mind opens it up to an audience of over 1.3 billion. That's a big number of potential visitors and customers. Let's not forget the search engine optimization (SEO) benefits and it'll be easy to say that making your website accessible should now be a requirement for every website out there. Principles of Accessible Web Design Here are some accessibility best practices for web design and development. For starters, there are 4 key principles that make a website accessible. The word POUR comes up a lot. The four principles are as follows. Perceivable ●Your site needs to be perceivable through all types of senses for users. The perceivable information is available in one or more formats: ●Adding alternative text to images ●Using sufficient colour contrast ●Providing captions for videos Allowing text resizing without breaking layouts On average, a website has 51 total accessibility errors, 75% of these are related to the Perceivable principle. Operable Navigation needs to be possible for all users. This includes users who have mobility impairments that cannot use a mouse. Make sure your site is fully navigable by just a keyboard. Test it out! Use your site with the tab key and Enter and see if you can reach all content. Understandable Content needs to be understandable for the users. Easy to read, clear language, avoiding jargon where possible. Navigation should be consistent across all pages. There should be no guesswork for the user as to how the site works. Robust Robust content is simply content that needs to be interpreted by different devices such as desktops, laptops, mobile devices and assistive technology. The best way to ensure your code is robust is to keep it clean, using proper semantic markup, validated with W3C standards and tested with screen readers to check for issues. Techniques to Make Websites More Accessible Ok, here are some more technical topics. The most important thing to do when you are about to develop your site or looking to redesign an existing website is to start from the ground up and make sure everything follows best practices for accessibility. Use Semantic HTML ●One of the biggest issues in old websites is a ton of divs everywhere with no semantic meaning. When it comes to building an accessible website, these are critical. ●Use , , , properly. ●Structure your content with H1 through H6 in order. ●Use buttons for buttons (don't use divs with click handlers). Check links use the tags with proper href attributes. Tip: Semantic HTML is one of the most cost-effective accessibility wins you can make. Keyboard Navigation ●This goes hand-in-hand with the Operable principle in the POUR list of principles for accessibility. ●The most critical questions to answer: ●Do focus indicators exist and are they clear? ●Is the tab order logical? ●Do you have skip links so users can jump to the main content? Are there keyboard traps? A keyboard trap is what happens when a keyboard user gets stuck in a particular section of a site that they cannot get out of. Commonly this is found in widgets such as date pickers or content sliders. Tip: Make it a practice to regularly test all keyboard navigation! Alt Text Alt text is an area where people commonly make many mistakes. It either gets completely overlooked or too much information is put in alt attributes which could be expressed visually, rather than the purpose. Tip: A good rule of thumb is to focus on the purpose of the image as well as providing concise, clear information. Keep it simple and leave decorative images with empty alt text. Colour Contrast Colour contrast issues are surprisingly one of the biggest offenders on many websites today. WCAG requires a minimum of 4.5:1 contrast ratio on normal text, and 3:1 on large text. Bigger is better of course for ease of reading. Tip: Use free colour checkers, don't trust your eyes. Search engines like Google uses text contrast to identify and rank content as well. Accessible Forms Forms are another area where accessibility errors are common. Make sure all form fields have visible associated labels. Error messages and instructions need to be clear and not rely on placeholders. All elements should be grouped using fieldsets. Tip: Always show users what you want from them, give as much context as possible. Accessibility Mistakes to Avoid Here are the top mistakes that some websites make in the name of accessibility. Colour Alone Doesn't Work You should never rely on colour alone to provide important information. Colour-blind users will miss out on the information provided by your website if colour is the only way to understand something. Solution: Always add a second indicator such as icons, text labels, patterns or underlines for links. Auto-Play Features Automatic play for videos, carousels, slideshows and even audio can be an accessibility barrier. Solution: Give the user control at all times. Mobile Accessibility Mobile accessibility is another common mistake websites make. Touch targets should be large enough, and proper spacing should be given between clickable elements. Also, don't forget to test on real mobile devices. Complex Navigation Complex navigation in the form of mega menus and deep nested drop-downs can cause accessibility issues if not designed properly. Tip: Navigation should be kept as simple and predictable as possible. If you need to use mega menus, make sure they are accessible and operable by keyboard and screen readers. Missing Page Titles Page titles are another simple aspect that many sites forget to include or don't provide a unique, descriptive title for each page. Tip: Page titles are used for browser tabs, bookmarks, history navigation and even display on search results. It is important for accessibility and SEO. Key Takeaways Making your website accessible is something that should now be a requirement on every site you build. The return on investment over time is more than just good for the soul, it's good for business. You can start by covering the basics. Add alt text, fix colour contrast issues, make sure your keyboard navigation works. And then move on from there. You don't need to do it all at once. Small steps, constant iteration and improvements. Web accessibility isn't a one-time project, it's a way of life on the web. It should be considered with every new feature you build, every content update you make, every design change. The internet was built to be inclusive for all, make it stay that way.

Websites are often seen through the eyes of a designer. In most cases the focus is more on making the site visually appealing. But there is a big but, … Read More...

Best drop diamond gold earrings for Vacation Mini

Best drop diamond gold earrings for Vacation Mini

Fashion Leave a comment

Best drop diamond gold earrings for Vacation Mini

When you slip into a vacation mini dress, there’s a sense of freedom that no other outfit can replicate. The light fabric, the soft drape against your … 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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