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 ...
AI’s rapid adoption proves that physicians want tools to save time and strengthen decisions. But its rise also underscores ...
Proactive documentation using AI reviews all patient data to reduce clinician burden and enhance care quality and efficiency.
LEWES, Del., April 22, 2025 (GLOBE NEWSWIRE) -- John Snow Labs, the AI for healthcare company, today announced its new end-to-end Hierarchical Condition Category (HCC) coding engine designed to help ...
"Modifying the HCC model is not a simple technical update or revision," the AMGA says. CMS recently released proposed changes to the CMS-HCC Risk Adjustment Model for payment year 2024 in February, ...
Claims data, which form the foundation of risk adjustment in payment for health care services, may reflect efforts to capture more—or more severe—clinical conditions rather than true changes in health ...