IMPROVING PATIENT CARE AND REVENUE INTEGRITY WITH A PRE-ENCOUNTER RISK CAPTURE SOLUTION

Risk-sharing arrangements between health plans and providers are becoming more common as the healthcare industry continues to shift towards value-based care (VBC), and effective risk adjustment is vital to the success of these arrangements. Many organizations use post-encounter reviews as part their risk capture program, but implementing a pre-encounter review process can help significantly improve care quality and reimbursement accuracy. In this white paper, we discuss the importance of pre-encounter reviews—and how natural language processing (NLP) technology can aid workflows.