NLP and HCC Coding are Essential For Today’s Risk Adjustment Solution
Medicare Advantage (MA) has proven to be successful in giving Medicare beneficiaries the healthcare alternatives that are tailored to their specific requirements. The MA system offers the advantages for private healthcare sector innovation and growth to a government plan, and Centers for Medicare & Medicaid Services’ (CMS) is dedicated to bolstering MA by supporting increased innovation, accountability, adaptability, and application clarity. Risk Adjustment Solution helps in the statistical technique for forecasting a person's likelihood of using and paying for healthcare services. It's utilized in Medicare Advantage to modify the government's fee for service reimbursement to cover participants' predicted healthcare spending. As we have approached 2022, various studies and data analysis will be able to adequately facilitate healthcare professionals to know the open care gaps for preemptive closing, and even provide insurer agnostic data to assist diagnostic, p...