I Didn't Trust Autonomous AI Coding. Here's What Changed My Mind.

Director of Risk Adjustment Coding & Compliance, RAAPID INC

Two years ago, I would have told you that autonomous AI coding was too risky for risk adjustment. Today, I'm implementing it—but only after finding an approach that met my compliance requirements. Here's what changed, and what it means for your 2026 planning.

The Regulatory Uncertainty Problem

Let's start with where we are right now.

CMS paused RADV extrapolation. That bought everyone breathing room. But it didn't change the underlying challenge: MA Plans still need to defend every HCC they submit.

The pause won't last forever. And when the rules shift again—and they will—the plans that survive will be the ones with defensible documentation.

Read the rest of the article here!