Coding InSight for Payers is designed to help health plans automate and streamline risk adjustment processes for both Medicare Advantage and Commercial Exchange plans.
The platform’s various features include a unified coder workspace, automated suspect identification, analytics and reporting and multifactor auditing capabilities.
“The manual coding process is time-intensive and often costly, which presents a tremendous pain point for many health plans around the country as they shift to value-based care models. Automating and streamlining this laborious process has a big impact on coder productivity and accuracy, resulting in much-needed cost savings,” said Dean Stephens, CEO of Talix.
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