Retrospective Audit: How RAAPID.AI is helping Healthplans & Providers
An AI-Based Risk Adjustment Coding solution does more than simply identify bad claims to fix them, it allows Medicare Advantage (MA) organizations to enhance the
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We bring the breadth and depth of experiences to work every day. We work together to make a difference in the way the world works, lives, and conceives healthcare. Learn more about our AI-powered solutions for Risk adjustment. Read the latest trends in RAF.
An AI-Based Risk Adjustment Coding solution does more than simply identify bad claims to fix them, it allows Medicare Advantage (MA) organizations to enhance the
There are 3,834 Medicare Advantage Programs¹ as of 2022, and the total Medicare Advantage enrollees have doubled since the past decade, with two-thirds being Health
Risk adjustment in healthcare, also known as ‘case-mix management,’ administered by the Centers for Medicare & Medicaid Services (CMS), is a program that aims to
Missing any of the HCC codes to CMS can lead to underpayments while incorrect diagnosis codes can lead to overpayments affecting the entire healthcare system
With value-based care programs¹ being focused by Accountable Care Organizations² (ACOs), which includes a group of doctors and healthcare providers in the United States, offer
The global natural language processing (NLP) market revenue is expected to reach 43 billion in 2025.¹ NLP is helping value-based care health insurance companies allow