Optimize Risk Adjustment Performance With AI & Analytics

December 4, 2018 AHIP Webinar Recording

Webinar Speakers

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Jean Rao
Manager, Pharmacy & Health Management 
Chinese Community Health Plan (CCHP) 
Mariana Kwok
Risk Adjustment Supervisor
Chinese Community Health Plan (CCHP)

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Webinar Highlights

Two years into leveraging NLP-enabled technology, CCHP has realized several retrospective review performance improvements, including year-over-year MA revenue gains, an 80 percent decrease in document reviews, and improved efficiencies across chart chase.

Bolstered by these wins, CCHP has expanded its use of NLP into suspecting analytics and targeted physician education outreach, a program they initiated across MA and ACA member populations. Hear how CCHP is now able to:

  • Code ahead of schedule, usually about 3+ months in advance
  • Focus their chart chase efforts
  • Identify additional unsubstantiated codes
  • Track, measure, and report on physician gap closure using analytics

 

View the Webinar Recording

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