There’s widespread consensus that payments to Medicare Advantage Organizations (MAOs) are a mess. These programs, which care for more than 30 million of the nearly 64 million Medicare enrollees, operate on the cutting edge…
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Providers and Payers would be familiar with a situation where their medical coders struggle to proceed when there is more than one way to code a particular medical diagnosis and treatment.
The latest revision of WHO’s International Classification of Diseases ICD-11 contains 17,000 unique codes and more than 120,0000 codable terms yielding +1.6 million clinical situations! Searching for the most appropriate ICD code and mapping the available medical data accurately is one of the biggest challenges the healthcare system faces today.
Unstructured medical data is another perennial challenge. About 80% of medical data remains unstructured according to an NCBI journal. Extracting…
