This study aims to understand the ways in which augmenting AI with clinical reviewers can unlock faster adoption, increase efficiency, and improve compliance in the HCC coding process. Probing the relative benefit of AI versus augmenting with service-based solutions is especially relevant. The market offers many solutions that offer either service or technology solutions, but few solutions pair technologies with optimized, customized clinical coding and documentation review services. This study intends to deliver an evidence-backed rationale for augmenting technology with high-skill labor to support risk adjustment processes.
Discover the pros and cons of AI-augmented risk adjustment and how tech + expertise drive results.
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