With the increasing speed and velocity of RADV and OIG audits and challenges such as the impending CMS repayment method final rule, health plans are under more pressure than ever to ensure their risk adjustment (RA) programs are accurate and effective.
Many organizations are leveraging advanced technology to support RA workflows in order to be most effective, however, they realize that their technology is not delivering the value it promises.
In this RISE Associates webinar, Wolters Kluwer Risk Adjustment Specialist, Amy Campbell, RN, MSM, CCDS-O, Director of Clinical Documentation Improvement, and Melissa James, CPC, CPMA, CRC, RA SME, Senior Consultant, Coding Specialist, Both providers provided and health plans’ perspectives on existing risk-adjusted workflows and coding practices, and discussed room for improvement.
Watch on-demand to find out:
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Key Challenges of Risk-Adjusted Coding Operations
- Existing computer-aided auto-coding techniques currently in use
- Shortcomings of current technology
- How Clinically Adjusted NLP Improves Retrospective and Prospective Risk Adjustment Workflows