Articles

Thought-provoking perspectives to keep you informed and inspired

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Smart enrollment: how AI is transforming Medicare Advantage

Learn how AI-powered automation streamlines Medicare Advantage enrollment, ensures compliance, and improves data accuracy for better health plan operations.

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Solving data challenges: One platform for value-based care

Explore how intelligent automation enhances HEDIS reporting, streamlines workflows, and improves data accuracy for better healthcare outcomes.

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Achieve audit readiness faster with AI-powered retrieval

Learn how a large regional health plan saved more than a thousand hours of manual document preparation using Reveleer’s AI-powered retrieval solution.

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The ROI of AI-powered prospective risk adjustment

Discover five ways AI solutions can produce a significant ROI and help plans and providers achieve their value-based care goals.

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Navigating the HHS-RADV IVA: A strategic guide for selecting a partner

Discover strategies to optimize HHS-RADV IVA compliance and partner selection for better healthcare outcomes.

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Overcoming 5 barriers to healthcare quality improvement excellence

Prospective risk adjustment, streamlined retrieval and coding, and comprehensive quality assurance may be the key to preventing OIG audits.

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AI in Medical Coding: Enhancing Accuracy, Efficiency, and Patient Outcomes

See how AI improves efficiency and accuracy of medical coding for providers, improving value-based medicine outcomes.

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5 steps to align Risk and Quality for better health outcomes

Aligning risk adjustment and quality improvement requires collaboration, centralized, real-time patient data and an AI-powered platform for value-based care.

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3 Ways to prevent an OIG audit

OIG is auditing more health plans for Medicare and Medicaid Overpayments at a time when payers are already concerned about lower reimbursements.

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