Revolutionizing Medicare Advantage: AI Integration for Accurate HCC Coding
Introduction: In a recent audit conducted by the Office of Inspector General (OIG), SelectCare of Texas, Inc. (SelectCare), a Medicare...
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6 min read
Coding for Profit: Strategies for Improved Risk Adjustment
In UShealthcare, organizations are continually seeking innovative ways to optimize their revenue streams and provide high-quality patient...
11 min read
Population Health Management in Healthcare
Unlocking the full potential of healthcare begins with population health management. In an era where preventive care and proactive...
7 min read
Benefits of a Prospective Payment System in healthcare
Introduction to Prospective Payment System (PPS) In today's ever-evolving healthcare landscape, it is crucial for providers and patients...
8 min read
Navigating the Complex Landscape of HCC Coding and Risk Adjustment Programs
In the ever-evolving landscape of healthcare, addressing challenges in implementing Hierarchical Condition Category (HCC) coding and...
2 min read
Computer-Assisted Coding and the Role of AI, ML, and NLP in Enhancing Performance: Case Study
What is computer assisted coding? Computer-Assisted Coding (CAC) is a technology that converts clinical documentation into medical codes....
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