Based on the responses of 163 respondents, the recent KLAS Research study has employed analytics to determine which companies provide the efficient Risk Adjustment Solution.
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Health it companies should try to improve risk adjustment techniques
1.
2. Based on the responses of 163 respondents, the recent
KLAS Research study has employed analytics to
determine which companies provide the efficient Risk
Adjustment Solution.
Payer groups, provider-sponsored health plans (PSHPs),
and care organizations show an increasing interest in Risk
Adjustment Solutions with a wide range of functions.
Many providers claim to offer a complete solution, but
which genuinely do?
The study evaluates companies based on the critical
elements of customer experience. Ethics, customer
satisfaction, operational processes, quality, correlation,
and value are key elements.
KLAS Research Study Analytics
3. Obsolete Technology Cannot Deliver Optimal Risk Adjustment Outcomes
Starting with an assessment of top market share leaders, the research revealed that, while
they are enticing for their complete solutions, the companies frequently fail to satisfy
consumers' expectations owing to obsolete Technology.
As per the survey, while some companies still do not offer complete solutions, they are
increasing and gaining market momentum. Some vendors have begun to expand their
organization's actionable insights-focused service with advanced functionality. Early
adopters of the functionalities have expressed a high degree of satisfaction.
Those that employ such advanced functionalities, particularly predictive modeling, note the
simplicity of use and cite benefits such as enhanced data accessibility, higher scores, and
shared savings. These healthcare organizations are hopeful that when the supplier expands
their HCC Coding Solution, they will obtain even higher accuracy and better outcomes.
4. NLP and HCC Coding Solution
Artificial intelligence, natural language processing (NLP), and machine learning are the
advanced software vendors commonly utilized to increase HCC Coding effectiveness and
address care gaps. However, applying these skill sets might be tough and challenging resulting in
unsatisfactory outcomes. According to client feedback, the vendor's machine learning and NLP
for HCC Coding Solution have pleased them.
Customers report that integrating such sophisticated tools and capabilities has helped them
achieve a good ROI. They also say that the client success managers assist them in obtaining
accurate values to achieve better outcomes.
Other suppliers who possess good NLP, with clients reporting higher risk scores and increased
insight into provider participation. However, customers say that attaining the necessary outcomes
with the advanced technologies might be challenging due to a lack of training and usability.
According to the research, having solid connections with consumers and providers contributes to
a positive level of customer satisfaction. Consulting services and frequent consultations can be
incorporated into the tool's installation, giving consumers the impression that the supplier is a
workforce member.