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The Opportunity and Benefits of the Clinical Review Specialist
A hallmark (and problem) of technology in healthcare has been the drive to automate processes and eliminate staff headcount to boost ROI. For risk adjustment operations in particular, this often results in an increased burden on physicians, asking them to learn and apply CPT, ICD-10, HCC, and any number of other codes alongside their primary […]
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Six Emergent Best Practices in Telehealth Risk Adjustment Coding
Telemedicine is accelerating, in both adoption and refinement; review the emerging best practices for actionable insights to ensure effective submission and mitigate audit risk.
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Forward Looking Opportunities of NLP in Healthcare
An in-depth look at how our technology stack processes information from our NLP engine, Lumanent Insights, to derive clinical suspects and deliver them to providers.
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Coders Code: The Imperative Reduction of Non-Clinical Work for Physicians
Healthcare is a technological paradox. On the clinical side, the bleeding edge of science and engineering present physicians with increasingly greater imaging tools, robotic surgical devices, gene-targeted therapy: the limits of what is technologically possible in healthcare are in lockstep with the limits of human understanding. At the same time, despite two decades of explosive […]
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Concurrent Coding Increases Claims Accuracy While Reflecting True Patient Disease Burden
Concurrent coding is an alternative audit process to correct documentation and coding errors that immediately follows the physician visit, before a claim is submitted for payment. Physicians are not coders, so concurrent coding finds billing oversights that physicians might overlook in the rush to complete electronic paperwork. Automating concurrent coding is available with the Lumanent Post-Encounter Review module from Health Fidelity.
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Leveraging Technology in Data Acquisition to Transform the ROI on Risk Adjustment
Given the importance of patient charts to an organization’s success in risk adjustment, Health Fidelity's data acquisition technology can alleviate the burden of manual retrieval while also improving ROI.
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Clinical Data Acquisition with Technology
Vast amounts of clinical data are generated daily, but traditional methods of collecting and making use of it are inadequate. Adam Gronsky explores options for risk-bearing entities to invest in technology-enabled solutions that require minimal maintenance and decrease the need for manual retrieval in this month's post.
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Natural Language Processing Demystified
Christina Sung sits down with Dr. Rob Kalfus, Health Fidelity’s Clinical Informaticist, to address some commonly asked questions about Natural Language Processing. Rob delves into the application of NLP technology in risk adjustment and explains how Health Fidelity's technology is uniquely suited to healthcare.
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Why Clinical Data is a Critical Aspect of Risk Adjustment
With the right technology, the analytical value and insights gained from incorporating clinical data into risk adjustment operations is worth the effort.
Tag: Clinical Data
Why Clinical Data is Important in Risk Adjustment
Clinical data contains the greatest details about patient health and risks that simply can’t be obtained from claims data alone. Additionally, only clinical data can validate the risk assumptions and predictions that are developed through the analysis of claims data. Read more about the importance of clinical data in our blog.
