Exclusive Webinar Invitation for ACOs
Exclusive Webinar Invitation for ACOs Presented by Metacare AI Endorsed by the IPA Association of America Discover How Leading ACOs Are Achieving: A 94% increase in PMPM capitation A 0.22 average rise in RAF scores Webinar Highlights How to achieve 5 to 10 times ROI through AI risk adjustment Best practices to maximize HCC V28 […]
Avoiding Common Pitfalls in HCC Risk Adjustment Coding Reviews: Tips and Tricks for Health Plans
Are you tired of sifting through mountains of coding reviews, only to find the same mistakes repeated over and over? As a health plan, it’s essential to ensure accurate hierarchical condition categories (HCC) risk adjustment coding reviews to protect your bottom line. But with so many potential pitfalls, it can be challenging to know where to […]
How Automation Can Transform the Way Health Plans Conduct Their Medical Chart Auditing
As the healthcare industry continues to evolve and become more complex, health plans are constantly seeking new ways to streamline their operations and improve patient outcomes. One area where automation has shown tremendous promise is in the realm of medical chart auditing – a critical process that helps ensure accurate risk adjustment payments for Medicare […]
Benefits of Outsourcing Metecare AI Medical Coding Services to a Technology Solution Provider
Are you preparing for the upcoming 2023 Mid-Year risk adjustment data submission? Are you worried about handling the increasing number of hierarchical condition category (HCC) medical coding tasks (e.g. chart review & audit) within tight deadlines? With the Centers for Medicare & Medicaid Services (CMS) holding insurers accountable,¹ in the Medicare Advantage (MA) Risk Adjustment Data […]
Best Practices for Successful Risk Adjustment Documentation and Coding in Value-based Care
If you’re still struggling to get a handle on risk adjustment documentation and coding, don’t worry-you’re not alone. With constantly evolving regulations, changing reimbursement models, and increasing pressure to deliver high-quality care while managing costs, it’s no wonder so many Medicare organizations find themselves overwhelmed. But fear not – we’ve compiled a list of best […]
Enhance Your HCC Code Review & Audit with Easy-to-Integrate Solutions
As a healthcare professional, you understand the importance of accurate coding and documentation, especially when it comes to Hierarchical Condition Category (HCC) coding. HCC coding is used to determine the risk adjustment factor for Medicare Advantage (MA) plans, which affects reimbursement rates for healthcare providers. Table of Content: CMS/HCC model and risk adjustment coding HCC coding […]
Achieving a Comprehensive Patient Health View With Metacare AI for Enhanced Care Optimization
In healthcare, understanding the full scope of a patient’s health goes beyond reviewing test results or glancing at recent clinical notes. It requires a broader lens-one that captures the entirety of a patient’s health journey. This is where Metacare AI manifests its full potential. By processing healthcare data integration from multiple systems—such as Electronic Health Records (EHRs), […]
Proactive PCPs: The Future of Healthcare with Prospective Risk Adjustment Solutions
The ICD-10-CM Official Guidelines emphasize collaboration between healthcare providers and medical coders for accurate documentation. Medical records must include detailed clinical documentation from qualified physicians responsible for patient diagnoses. Understanding Today’s Healthcare Challenges Healthcare providers and health plans face mounting challenges with fragmented data across the healthcare continuum. Electronic Health Records (EHRs) store critical patient […]
Metacare AI Pre-Encounter CDI Prospective NLP Analytics for Optimized HCC Capture
The business of healthcare delivery requires a combination of learned, attentive patient care and thorough documentation for subsequent encounter reimbursement. Both goals can be enhanced with automated pre-visit chart reviews delivered through Pre-Encounter CDI-like NLP analytics, proving that the best way forward can often be achieved by beginning with a quick look back. The double-edged […]
Metacare AI Pre-Encounter CDI Prospective NLP Analytics for HCC Capture Optimization
The business of healthcare delivery requires a combination of learned, attentive patient care and thorough documentation for subsequent encounter reimbursement. Both goals can be enhanced with automated pre-visit chart reviews delivered through Pre-Encounter CDI-like NLP analytics, proving that the best way forward can often be achieved by beginning with a quick look back. The double-edged […]