By Wynda Clayton,Director of Risk Adjustment Coding & Compliance, RAAPID INC | Autonomous coding seemed too risky. But with regulatory uncertainty ahead, MA Plans need technology they can defend. Here ...
George Witwer, CEO of Cavo Health Outperforms Machine Learning Tools with 96%+ HCC completeness, 2–4x Productivity Gains and Reduced Audit Risk Our platform delivers more accurate, audit-ready results ...
Medicare Advantage is the dominant Medicare delivery system, now covering 54% of all Medicare enrollees. With the increase in enrollment and federal spending, however, has come increased scrutiny from ...
As Medicare payment models evolve, reconciling differences in coding intensity between Medicare Advantage (MA) and traditional Medicare (TM) is a persistent challenge. High coding intensity in MA and ...
Improving health equity requires changes to risk adjustment, physicians said Tuesday. Current risk adjustment underestimates the total cost of care of patients who have comorbidities and socially ...
Capturing accurate diagnostic codes through comprehensive risk adjustment programs has become increasingly important for provider-sponsored health plans to improve patient care and clinical quality.
Talix has entered into a reseller agreement with NextGen Healthcare, Allscripts and Capstone Performance Systems to make Talix’s risk-adjusted coding solution available to customers on the companies’ ...
LOUISVILLE, Ky., Feb. 28, 2025 /PRNewswire/ -- RAAPID, an AI-powered risk adjustment technology leader, will present critical insights on modernizing RADV audit preparation, sharing real-world results ...
In programs with three leading value-based care organizations, including Homeward Health, Zus used AI for both suspecting and recapture to uncover hidden clinical complexity and close risk adjustment ...
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