The New Era of Retrospective Risk Adjustment: Smarter AI, Stronger Controls

This webinar will dive into how payers can develop a highly effective and compliant strategy for retrospective risk adjustment using the latest AI technology advancements. With AI assisted medical record review capabilities, health plans can now support much more comprehensive HCC capture in a highly efficient manner compared to the manual effort of medical record reviews from days gone by. However, it is essential that health plans maintain important controls, policies, and procedures to ensure new tools are not unintentionally over-coding and leaving humans out of the loop.

This webinar will discuss best practices to implement these capabilities while avoiding regulatory pitfalls, creating a highly effective and efficient retrospective risk adjustment program that is iron clad.