Learn the power of data analysis of medical and pharmacy claims for surfacing problematic diagnoses, and of NLP for evaluating these diagnoses.
Download the presentation to learn:
- Discuss the recent literature from the Office of Inspector General focused on integrity in diagnosis code submissions, and impacts on coding in Medicare Advantage
- Learn the power of data analysis of medical and pharmacy claims for surfacing problematic diagnoses, and of NLP for evaluating these diagnoses
- Understand how to efficiently follow-up on high-risk diagnosis codes in preparation for a potential future audit
- Learn what data available in standard claims is key for customizing and expanding the search for high risk diagnosis codes