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News Roundup

News Roundup: August 2018 Edition

epi-Insiders: Read the August 2018 edition of our News Roundup.

Technology

4 Reasons NLP Should Work With Human Coders – Not Replace Them

NLP does have several major drawbacks, but it can make the coding process significantly easier when integrated with human coders.

Medicare Advantage Updates

Medicare Advantage Enrollment Update – June 2018

Learn about the top organizations, biggest enrollment changes, and year-over-year growth

Risk Adjustment

3 Data Points to Improve Medical Record Retrieval Rates

Medical record retrieval is vital for risk adjustment, HEDIS scores, and CMS Star ratings. Yet the process is time consuming, arduous, and costly, often resulting in physician abrasion and failure to retrieve charts.

Medicare Advantage Updates

Medicare Advantage Enrollment Update – May 2018

Learn about the top organizations, biggest enrollment changes, and year-over-year growth

Medicare Advantage Updates

Medicare Advantage Enrollment Update – April 2018

Learn about the top organizations, biggest enrollment changes, and year-over-year growth

Quality

New HEDIS Measure Strengthens Alcohol Screening and Follow Up

The Unhealthy Alcohol Use Screening and Follow-Up (ASF) measure is part of HEDIS 2018

Risk Adjustment

CMS to Release Medicare Advantage Encounter Data

CMS has collected data from Medicare Advantage plans since 2012 and began using it in 2016 to help calculate risk-adjustment payments, and it is now planning to make this data public. How can help plans leverage this data to improve their programs?

Quality

3 Steps to Closing HEDIS Gaps Early

In April, health plans are in the middle of HEDIS submission for 2017. Understandably, the process requires intense focus on the past year. Yet 2018 is underway, so members are already showing patterns of complying or not complying with care for the current year.

Risk Adjustment

Still struggling with Encounter Data Errors? Read this

The path to Encounter submissions is not an easy one. Learn what you can do to correct errors, better reconcile RAPS/EDPS, and allocate resources for a successful submission.

Medicare Advantage Updates

Medicare Advantage Enrollment Update – March 2018

Learn about the top organizations, biggest enrollment changes, and year-over-year growth

Risk Adjustment

Medicare HCC Prevalence by Specialty

Increase success rates of your programs. Discover which specialists are diagnosing which HCC codes with this interactive dashboard

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