Creative Solutions
for the Shift to Value-Based Care
Talix is a SaaS health information technology company serving payers and healthcare providers
Talix is a SaaS health information technology company serving payers and healthcare providers. The Talix Platform uses purpose-built natural language processing (NLP) and machine learning (ML) techniques to power workflow applications that help healthcare organizations shift to value-based care. Talix’s cloud-hosted applications read structured and unstructured patient data to extract accurate reimbursement codes, identify gaps in care, and analyze population health trends. These solutions drive customer revenue and reduce administrative costs.
Talix leads the market in addressing everywhere that risk adjustment is applied. We enable payers and providers who participate in Medicare Advantage, Managed Medicaid, ACA commercial and Medicare ACO programs. Our cloud-based applications also enable organizations to work virtually anywhere, especially when your teams and partners are required to work from home.
The Talix Platform
Turning unstructured patient data into usable coding output for payers and providers.
In-House Set up
In-house set up where administration, QA, and chart reviews are conducted with internal staff.
Outsourced
Outsourced where most of your HCC coding operations are assigned to third-party vendors.
Hybrid
Outsourced where most of your HCC coding operations are assigned to third-party vendors.
In addition, all customers enjoy using our real-time reporting and analytics infrastructure
to track progress on your coding campaigns and to report to every level of your organization, from the business unit to the C-suite. And you have direct insight into how your chart review vendors are performing. Talix solutions address all 3 phases of Risk Adjustment. For payers, our applications are designed to address the specific prospective and retrospective chart review needs of payers. The workflow applications address first level and second level review, and can satisfy both coding “adds” and “deletes.”
For providers, we solve for all 3 phases:
In fact, Talix deployed the first in market coding applications to support physicians at the point of care. Integrated directly into the EHR workflow, our chart and encounter review capabilities enable physicians to “code for care” quickly, easily, and effectively. Delivering software that works is the hallmark of Talix.
PROSPECTIVE
CONCURRENT
RETROSPECTIVE
The Difference
Only Talix offers a complete suite of medical data processing solutions for health plans and medical providers. Whether your claims processing is outsourced, in-house, or a hybrid of both, the Talix system improves your accuracy, efficiency, and bottom line. Make your Risk Adjustment department an indispensable part of your operational strategy.
Risk Adjustment Solutions and Results Overview for Payers and Providers
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Payer Solutions
Improve coder efficiency and accuracy for reduced costs, increased revenue accuracy, and improved drive risk adjustment ROI.
Provider Solutions
Easily find missed HCC codes and documentation gaps—pre-encounter and/or at the point of care—for improved care planning and more accurate RAF scores and reimbursements.
Talix Blog
Edifecs Announces Acquisition of Talix
Talix’s Workflow Solutions Backed by Natural Language Processing and Machine Learning Technologies Expand Edifecs’ Encounter Management and Risk Adjustment Solutions BELLEVUE, Wash.– Edifecs, Inc., a health information technology solutions company, announced today
Talix Launches Chart InSight, an Enterprise-Wide Solution that Enables Payers to Manage All Aspects of Medical Record Retrieval
Talix, a SaaS information technology company serving both healthcare payers and providers through a sophisticated coding and claims platform
Talix Wins Bronze Stevie® Award in 2021 Stevie Awards for Sales & Customer Service
Talix was presented with a Bronze Stevie® Award for the Front-Line Customer Service Team of the Year category in the 15th annual Stevie Awards for Sales & Customer Service.
Talix Granted Patent for Healthcare Technology That Enriches Patient Data
Talix, a SaaS solution for both payers and healthcare providers to manage their patient information, announced a patent awarded by the U.S. Patent and Trademark Office entitled, “Health Information System
What our Customers are Saying
Talix team is responsive to the business needs, capability is sound.
Healthcare is hard. The Talix Program makes it easy. Magical.
Talix is very user friendly and increases coder productivity.