![](https://static.wixstatic.com/media/7607b5_7e726b3cd5f5499dafd1b46d786fddef~mv2.jpg/v1/fill/w_288,h_165,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/7607b5_7e726b3cd5f5499dafd1b46d786fddef~mv2.jpg)
CONVENTIONAL
RISK ADJUSTMENT CODING
PATIENT
MEDICAL
RECORDS
HEALTH PLAN CODERS
![Coder analyzing code charts](https://static.wixstatic.com/media/7607b5_8890938920dd4a109b094877654ce69a~mv2.png/v1/fill/w_74,h_74,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/Asset%2012_4x.png)
Coders analyze and capture HCC codes from charts and submit to Health plan
![Reviewing HCC code of patient every year](https://static.wixstatic.com/media/7607b5_25c82dca532a4bdfa40e1ca5e3458192~mv2.png/v1/fill/w_71,h_68,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/Asset%208_4x.png)
REVIEW
RISK
SCORE
![How risk adjustment coding works](https://static.wixstatic.com/media/7607b5_77b4a64b60d84065a6991660c1b0109f~mv2.png/v1/fill/w_122,h_17,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/Asset%2018_33_33x.png)
![Determine Risk score of a patient based on the submitted HCC](https://static.wixstatic.com/media/7607b5_9fef34b85bce4dd59a974888cb42d392~mv2.png/v1/fill/w_67,h_54,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/Asset%2011_4x.png)
HCC codes
of patient reviewed every year
Health plan determines RISK SCORE of a patient based on the submitted HCC
![CMS adjust monthly capitated payments to Health plan based on risk score](https://static.wixstatic.com/media/7607b5_ae7176a0e3cc49189fbf4beebf89e534~mv2.png/v1/fill/w_74,h_74,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/Asset%2010_4x.png)
ADJUSTMENT
PAYMENT
![Health plan pays the provider](https://static.wixstatic.com/media/7607b5_07e888ead3434e0f9055b5cc0aa233ae~mv2.png/v1/fill/w_68,h_74,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/Asset%209_4x.png)
CMS adjust monthly
capitated payments to Health plan based on risk score
Health plan pays the provider
![patient health risk score HCC coding](https://static.wixstatic.com/media/7607b5_e313293b3b3a41f19d7d9fdb2f19a44d~mv2.png/v1/fill/w_81,h_54,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/pyramid_4x.png)
PATIENT CONDITION
"Unlock the potential of ML and NLP, transforming data into actionable insights!"
REVITALIZING RISK ADJUSTMENT CODING THROUGH EMEDLOGIX NLP
![Arrows 4](https://static.wixstatic.com/media/7607b5_a670b74c5ee243e7b9fd29b21592e3bd~mv2.png/v1/fill/w_74,h_43,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/7607b5_a670b74c5ee243e7b9fd29b21592e3bd~mv2.png)
![Arrows 1](https://static.wixstatic.com/media/7607b5_1f81f5d4a91e405890b14884245f7b80~mv2.png/v1/fill/w_77,h_45,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/7607b5_1f81f5d4a91e405890b14884245f7b80~mv2.png)
![Arrows 3](https://static.wixstatic.com/media/7607b5_cb4896767e3b4e22ab2d92d8d43f1ffb~mv2.png/v1/fill/w_77,h_45,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/7607b5_cb4896767e3b4e22ab2d92d8d43f1ffb~mv2.png)
![Arrows 2](https://static.wixstatic.com/media/7607b5_a670b74c5ee243e7b9fd29b21592e3bd~mv2.png/v1/fill/w_87,h_51,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/7607b5_a670b74c5ee243e7b9fd29b21592e3bd~mv2.png)
![Arrows 5](https://static.wixstatic.com/media/7607b5_dfc1933023004b659c47be72d6133186~mv2.png/v1/fill/w_123,h_72,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/7607b5_dfc1933023004b659c47be72d6133186~mv2.png)
![Emedlogix receives medical records as PDF, word and other formats](https://static.wixstatic.com/media/7607b5_23c97d819c414af2aaff9bea74ac1852~mv2.png/v1/fill/w_160,h_213,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/Asset%2010_33_33x.png)
STEP 1
EmedlogixNLP receives Medical records as PDF/IMAGE/WORD/
CCDA or any other formats from Health plan.
STEP 2
EmedlogixNLP
extract key terms
from medical records.
![How EmedlogixNLP extract key terms from medical records](https://static.wixstatic.com/media/7607b5_2aaa883352374d04ae39f994a7476176~mv2.png/v1/fill/w_159,h_213,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/Asset%209_33_33x.png)
![how EmedlogixNLP converts key terms to ICD-10-CM codes.](https://static.wixstatic.com/media/7607b5_29d2ee24ece4482882c5f5b5f603097d~mv2.png/v1/crop/x_0,y_0,w_3451,h_4531/fill/w_163,h_214,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/Asset%2014_33_33x.png)
STEP 3
EmedlogixNLP converts key terms to ICD-10-CM codes.
STEP 4
EmedlogixNLP
applies ICD-10-CM, HCC & other terminology guidelines.
![EmedlogixNLPÂ applies ICD-10-CM, HCC & other terminology guidelines](https://static.wixstatic.com/media/7607b5_f315a6c029574c908b17aef2e25b742c~mv2.png/v1/fill/w_158,h_213,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/Asset%2013_33_33x.png)
![Prepares finalized list of extracted codes and publishes them.](https://static.wixstatic.com/media/7607b5_72f7c6ae4c224bc1a6f901bb84c4bcaf~mv2.png/v1/fill/w_160,h_213,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/Asset%2012_33_33x.png)
STEP 5
Prepares finalized list of extracted codes and publishes them.
STEP 6
EmedlogixNLP performs audits as per client-specific guidelines & compares code lists for missed opportunities and coding errors.
![EmedlogixNLP performs audits as per client-specific guidelines & compares code lists for missed opportunities and coding errors.](https://static.wixstatic.com/media/7607b5_a3d8dd3ccc0f4c70bf9e20d4ec7920cc~mv2.png/v1/fill/w_159,h_213,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/Asset%2011_33_33x.png)
How Emedlogix Enhances Risk Adjustment Coding
Emedlogix-NLP, the groundbreaking Natural Language Processing (NLP) solution designed specifically for risk adjustment coding in the healthcare industry.
​
Application built on top of Advanced AI, Enhanced ML and Versatile NLP to reduce Medical Coding Errors and achieve an extremely high level of Automation, Accuracy, and Efficiency.
Prospective risk adjustment examines the patient's medical records to identify potential risks, detect emerging conditions, and provide timely support for patient care
Enhancing retrospective risk adjustment analysis with NLP, AI, and ML: accuracy, insights, performance from medical records.
Emedlogix enhances coder productivity through suggested ICD-10 and HCC codes, along with M.E.A.T. criteria justification including medication, orders & justification.
![Emedlogix NLP logo](https://static.wixstatic.com/media/7607b5_1ecf4924e0f049729ce6c17d89d734e2~mv2.png/v1/fill/w_83,h_18,al_c,q_85,usm_0.66_1.00_0.01,blur_2,enc_auto/1-01.png)
Proprietary NLP rules engine to convert diagnosis condition to diagnosis codes and HCCs to calculate risk scores
HOW RISK ADJUSTMENT CODING WORKS
Emedlogix NLP can help achieve a significant cost reduction of minimum 30% for your organization
At Emedlogix NLP, our goal is to provide cost-effective solutions for our clients
We leverage the power of natural language processing (NLP) and large language model (LLM) to optimize coding processes and reduce expenses
By streamlining coding workflows and improving accuracy, we eliminate unnecessary expenses and increase operational efficiency.
![Streamlining coding workflows](https://static.wixstatic.com/media/7607b5_b56f25b481934768969b640a160d0c1b~mv2.png/v1/fill/w_109,h_89,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/1.png)
![Emedlogix NLP algorithm to automate coding tasks](https://static.wixstatic.com/media/7607b5_217edaf8dbb5489dab8b6e5bc666da7f~mv2.png/v1/fill/w_103,h_89,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/7607b5_217edaf8dbb5489dab8b6e5bc666da7f~mv2.png)
Our advanced NLP algorithms automate coding tasks and reduce manual efforts, resulting in substantial savings.
With our cost reduction strategies, you can allocate resources more effectively and enhance your organization's financial performance.
![Emedlogix nlp helps cost reduction stratergies](https://static.wixstatic.com/media/7607b5_d542e5c508da492c843db8bde9898a20~mv2.png/v1/fill/w_102,h_89,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/7607b5_d542e5c508da492c843db8bde9898a20~mv2.png)