RISK ADJUSTMENT CODING WITH LEXA
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.
Proprietary NLP rules engine to convert diagnosis condition to diagnosis codes and HCCs to calculate risk scores.
Step 1
LEXA receives Medical records as PDF/IMAGE/WORD/ CCDA or any other formats from Health plan.
Step 2
LEXA extract key terms from medical records.
Step 3
LEXA converts key terms to ICD-10-CM codes.
Step 4
LEXA applies ICD-10-CM, HCC & other terminology guidelines.
Step 5
LEXA prepares finalized list of extracted codes and publishes them.
Step 6
LEXA performs audits as per client-specific guidelines & compares code lists for missed opportunities and coding errors.
