Ten Years of Health Fidelity: Natural Language Processing in Healthcare

Health Fidelity’s NLP engine Lumanent Insights was created based on the NLP ...
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2021: The Year of Optimized Risk Adjustment 

Calling 2020 disruptive to healthcare is an understatement. But 2021 offers some ...
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ACA Risk Adjustment: A Competitive Advantage

With the Biden administration re-opening the ACA exchange and the impacts of ...
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CMS Policy Update: RAPS and EDPS, Model Updates, and PY 2022 Risk ...

Last month, CMS released their final announcement for calendar year (CY) 2022. ...
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The Opportunity and Benefits of the Clinical Review Specialist

A hallmark (and problem) of technology in healthcare has been the drive ...
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What is Risk Adjustment in Healthcare?

Risk adjustment is a critical part of both the financial and clinical ...
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Machine Learning in Healthcare and the Value of Human Expertise

When discussing artificial intelligence like NLP, the use of machine learning in ...
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Pre-Encounter Risk Adjustment: If You Try Sometimes, You Get What You Need

As the significance of provider risk adjustment grows, especially within the clinical ...
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CMS Submission Deadline Extension Clarification

On 9/18/20, CMS announced a submission deadline extension option for 2019 dates ...
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Medicaid Risk Adjustment: Even if Your State’s Medicaid Hasn’t Expanded, Your Risk ...

Managing Medicaid risk adjustment is almost never a top priority. State by ...
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HCC Recapture is Critical, HCC Recapture is Never Enough

Recently, we discussed the imperative of HCC recapture, especially in a year ...
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CMS Policy Update on Encounter Data and Positive Risk Score Impact

On September 14th, CMS released part I of an advanced notice on ...
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