How Artificial Intelligence Can Transform Risk Adjustment

January 10, 2019

To receive funding for serving high-risk patient populations, payers must prove their population risk scores. STEP 1 Risk Analytics Payers use predictive modeling, big data, and intelligent chart selection to target appropriate members for coding review. STEP 2 Record Retrieval Members’ medical records are retrieved through call centers, drop boxes, mail, and electronic methods.

Spotlight

Mammoth Data, Inc

Every company wants to be “data-driven.” The problem is, getting to that point isn’t easy. Having information is one thing … finding and analyzing the useful information is another. Mammoth Data is a Big Data consulting and analytics firm specializing in new data technologies like Hadoop and Apache Spark. Mammoth Data’s consultants bring together data science and engineering expertise to help companies design, architect and implement modern data architectures. By turning structured and unstructured information into real business intelligence, Mammoth Data transforms companies into data-driven organizations…

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Spotlight

Mammoth Data, Inc

Every company wants to be “data-driven.” The problem is, getting to that point isn’t easy. Having information is one thing … finding and analyzing the useful information is another. Mammoth Data is a Big Data consulting and analytics firm specializing in new data technologies like Hadoop and Apache Spark. Mammoth Data’s consultants bring together data science and engineering expertise to help companies design, architect and implement modern data architectures. By turning structured and unstructured information into real business intelligence, Mammoth Data transforms companies into data-driven organizations…

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