Blog

  • The shift from fee-for-service to value-based care is changing not only how patients are cared for, but also how providers are measured and compensated for performance.

  • If compliance is a key priority for your organization, we’ve put together a brief “playbook” of the areas we recommend you explore during your 2017 RISE West Summit trip.

  • Big data. Artificial intelligence. Cognitive computing. Natural language processing. Machine learning. These terms have become the latest buzzwords in healthcare. But what do they mean?

  • Teresa Ross discusses the buzz around compliance in risk adjustment. Find out how technology-enabled solutions can help achieve the utmost compliance in an efficient and effective manner.

  • Vast amounts of clinical data are generated daily, but traditional methods of collecting and making use of it are inadequate. Adam Gronsky explores options for risk-bearing entities to invest in technology-enabled solutions that require minimal maintenance and decrease the need for manual retrieval in this month's post.

  • Christina Sung sits down with Dr. Rob Kalfus, Health Fidelity’s Clinical Informaticist, to address some commonly asked questions about Natural Language Processing. Rob delves into the application of NLP technology in risk adjustment and explains how Health Fidelity's technology is uniquely suited to healthcare.

  • Given the imperative to modernize risk adjustment, organizations must first understand what gaps currently exist for achieving the full 360° view, set a baseline and plan a measurable path forward. Learn more about our Blueprint to 360° Risk Adjustment in our latest post.

  • Steve Whitehurst presents three reasons why the 360-Degree Risk Adjustment strategic framework for optimizing coding performance needs to be part of any risk-bearing organization's 2017 plans.

  • Introducing 360-Degree Risk Adjustment - a strategic approach that considers risk adjustment optimization from all angles, including technology modernization, enhanced provider collaboration, departmental integration, and performance management.

  • Overlooking missed diagnoses is just half of the challenge of attaining accurate risk scores. Learn how solve the other half by applying technology to help with compliance in this post from Health Fidelity Director of Coding & Quality, Kathy Ormsby.

  • With risk adjustment becoming increasingly important to the bottom line of health plans and the wellness of patients, Christina Sung offers strategies for organizations to adopt new coder technology with low time-to-value barriers.

  • Risk Adjustment and Quality typically operate in distinct silos, despite the fact that they are both working to achieve goals that are closely related. Our CEO calls for collaboration between these different but closely aligned components.