Discover this podcast and so much more

Podcasts are free to enjoy without a subscription. We also offer ebooks, audiobooks, and so much more for just $11.99/month.

NLP For Coding & Compliance

NLP For Coding & Compliance

FromMedicare Advantage For Health Plans


NLP For Coding & Compliance

FromMedicare Advantage For Health Plans

ratings:
Length:
17 minutes
Released:
Jan 4, 2024
Format:
Podcast episode

Description

NLP is an AI technology that is being used in healthcare IT for clinical documentation and medical coding. For medical coding, the program identifies diagnoses codes for HCC risk adjustable categories and flags it for a medical coder to review. In robust medical charts that span up to thousands of pages in length, this enables coders with an automated way to identify diagnoses codes for review, hence increases speed, efficiency, and output. Academic research has found NLP increases medical coding productivity by 15-20%. After the medical chart is reviewed by a medical coder, the chart goes through a pre-submission QA process for accuracy and compliance review. In some cases the chart will go through the NLP program for a second pass to identify additional insights and potential missed opportunities. Tune in to this episode to learn: Additional opportunities and limitations of NLP Why medical coders are needed now more than everHow organizational goals influence the way plans customize their NLP engine
Released:
Jan 4, 2024
Format:
Podcast episode

Titles in the series (24)

Insider insights and perspectives for healthcare executives of government-sponsored health plans. We’re talking to the experts about the unique operating infrastructure necessary for profitability and providing a best-in-class member experience. Topics include technology, data security, operations, health management, member engagement, risk adjustment, quality measures, start-up and growth tactics, legal and regulatory.