Category Archives: by Eli Wolter

Risk Adjustment Spotlight: Evolving strategies to drive risk adjustment performance

If you think the risk adjustment chart review process is frustratingly fragmented, you are not alone. Integrating in-house efforts with outsourced point solutions are often not only frustrating; they are also costly in terms of time and money. Increasingly, health plans are turning to Software as a Service (SaaS) as a way create an more […]
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4 questions to ask when evaluating Natural Language Processing (NLP) for risk adjustment

Natural language processing (NLP) has proven to be a highly effective way to hone in on specific, relevant clinical information to fuel effective risk adjustment. But there are a range of NLP strategies and options. Which best serves your needs? Here are four questions to guide your evaluation. 1. Is NLP integrated into the risk […]
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