A recent increase in CMS audits has led to a greater need for health plans to focus on the integrity of data across the entire risk adjustment lifecycle. By leveraging technology in risk adjustment compliance, such as NLP, health plans can avoid compliance challenges and improve program performance.
Key Takeaways:
- Avoid potential lawsuits by utilizing NLP solutions to increase coding accuracy
- Maximize tools to increase provider awareness of coding challenges and reduce error rates
- Utilize analytics to drive provider education programs
