This interdisciplinary team will be positioned to identify and address concerns and act quickly to implement education and policy updates. Q: We're looking for ways to bring our CDI and coding teams ...

Accurate risk adjustment isn’t just a box to check; it’s now a strategic lever. Hierarchical Condition Category (HCC) coding underpins risk scores that drive Medicare Advantage and other value-based ...

The medical coding landscape is evolving rapidly due to increased regulatory complexities, the adoption of ICD-11, and AI-driven automation. Healthcare providers demand coders who are not only ...

Artificial intelligence (AI)-enabled tools such as natural language processing (NLP) have been integrated into a wide range of applications, including risk adjustment coding tools, for greater ...

Geisinger Health Plan of Pennsylvania has implemented a new application to help professional risk adjustment coders uncover missed Hierarchical Condition Category codes in member charts. The ...

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.

SAN MATEO, Calif., May 27, 2020 /PRNewswire/ -- Apixio Inc., the AI healthcare analytics company, today announced the release of HCC Complete to its portfolio of risk adjustment solutions. Apixio's ...