5 Challenges of Telehealth – Infographic

Telemedicine has exploded out of necessity to address healthcare needs amidst stay in place constraints while also creating new reimbursement changes, especially for the value-based care market.  This note introduces a five blog post series addressing…

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The Ensuing Challenges of Telemedicine and Reimbursement, Part One of Five Part Series (1 of 5)

Telemedicine has exploded out of necessity to address healthcare needs amidst stay in place constraints,  but it’s created new reimbursement changes especially for the value-based care market.  This is the first in a series of five…

The Coronavirus Pandemic introduces three unforeseen challenges to Health Plan Risk Adjustment Operations

The American healthcare industry will undergo significant disruptions as the coronavirus crisis penetrates the American landscape. Three critical events are already affecting the Risk Adjustment operations process at America’s health plans for 2020.

5 Tips for Selecting Your Second-Level Chart Review (2LR) Vendor Infographic

Second-Level Review with NLP-Enabled Technology Will Boost Coding Accuracy Machine learning technology and advanced natural language processing can detect and extract HCC codes that were missed or miscoded during first-level reviews. Missed codes identified on a second-level review can result in millions of dollars in additional reimbursement for health plans while also improving RAF score accuracy.

Finally, Machine-Learning in Health Care

Learn how artificial intelligence and machine learning can increase efficiencies in the health care industry, including for Risk Adjustment programs.