With challenges like the increasing rate and pace of RADV and OIG audits and the impending CMS Final Rule on repayment methodologies, health plans are under more pressure than ever to ensure their risk adjustment (RA) programs are accurate and efficient.
To be most effective, many organizations are leveraging advanced technology to support RA workflows, however, they're realizing their technology is not providing the value it promised.
In this RISE Association webinar, Wolters Kluwer risk adjustment experts, Amy Campbell, RN, MSM, CCDS-O, Clinical Documentation Improvement Director, and Melissa James, CPC, CPMA, CRC, RA SME, Senior Consultant, Coding Specialist, offer both provider and health plan perspectives on existing risk adjustment workflows and coding practices, and discuss room for improvement.
Watch on-demand to learn:
- Top challenges in risk adjustment coding operations
- Existing computer-assisted automated coding technology used today
- Shortfalls of current technology
- How clinically-tuned NLP can improve both retrospective and prospective risk adjustment workflows
