Pulse8 to address New Technologies impacting Risk Adjustment and Quality at the Upcoming RISE West Summit

In its 7th year, the annual RISE West summit is the west coast’s premier healthcare event. Featuring expert speakers and dynamic thought leadership, RISE West delivers the most innovative Risk Adjustment, Quality, and Compliance solutions in the industry.

During this joint presentation, attendees will get a better understanding of why new technologies are needed to help move organizations to the next level of efficiency including the following:

  • Simple steps you can take to integrate Risk and Quality program efforts across lines of business
  • Leveraging integrative technologies to infuse analytic insights directly into Provider Workflows and extract member data directly from Provider EMRs
  • Exploring value propositions for Artificial Intelligence (AI), including Natural Language Processing (NLP), Machine Learning (ML), Optical Character Recognition (OCR), and Natural Language Generation (NLG)
  • Using innovative technologies to increase retrospective and prospective data capture rates and reduce provider abrasion
  • Utilizing advanced analytics, integrated reporting, and dynamic dashboards to monitor overall Risk Revenue and Quality Metric performance
  • A Case Study Review: How thoughtful use of the aforementioned technologies resulted in a fast and sizable financial turnaround while also improving provider relations

“While it’s essential to combine Quality Management with Risk Adjustment Coding and Documentation, it’s often difficult to achieve. You need a coordinated road map and integrating technologies that work no matter the organizational structure. The ideal approach uses data mining, clinical inferencing, and natural language processing to find the opportunities; statistical analytics to quantify the potential contribution of each gap; and predictive analytics to prioritize the opportunities and avoid wasteful interventions. You also need comparative analytics and coding technologies to determine which provider offices need support to improve their documentation and coding efficacy,” stated Scott Stratton, Chief Data Scientist and VP of Product Analytics at Pulse8. “Pulse8’s patent-pending Dynamic Intervention Planning applies our rich analytics within an integrated, efficient, and cohesive process that optimizes financial returns while minimizing provider abrasion and…

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