Talix Launches Coding InSight for Payers, New Risk Adjustment Application for Health Plans

Shahyan Currimbhoy
March 21, 2016

Hello from Nashville! We’re at the Gaylord Opryland Resort & Conference Center for the 10th Annual RISE Nashville Summit, where the exhibit hall is full, the energy level is high, and we’re looking forward to two action-packed days filled with speaking sessions, panel discussions, networking opportunities and, of course, showing attendees what our Coding InSight application can do.

RISE is known as the premier event in the risk adjustment industry, and since risk adjustment is our sweet spot, we couldn’t think of a better place to reveal our latest news. This morning, Talix announced the launch of our new risk adjustment application designed specifically for health plans, Coding InSight for Payers.

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At Talix, we understand that within the complex world of risk adjustment, providers and payers each have their own particular requirements, challenges and pain points. It was clear to us from the beginning that we needed to create risk adjustment solutions that were designed specifically for each segment and catered to each of their unique needs. This latest version of the Coding InSight application has been developed for high throughput, quality centric health plans managing Medicare Advantage and Commercial Exchange members. The application leverages our proprietary Talix Taxonomy and Talix NLP (natural language processing) to automatically analyze member data and accurately identify missed codes and documentation gaps. This dramatically streamlines the current laborious review process where coders need to manually comb through reams of clinical data to uncover coding gaps. In addition, the application’s feature rich, yet intuitive Coder Workspace unifies data across multiple data siloes and couples it with vital features so coders have all the information and resources they need to do their job more efficiently and accurately right at their fingertips.

In many ways, it’s hard to believe that Talix is less than six months old. In just a few short months, our customer base has greatly expanded, we’ve forged partnerships with some of the biggest leaders in the health IT industry, and now, with Coding InSight for Payers taking its place alongside Coding InSight for Providers, we’re able to offer powerful risk adjustment solutions that are customized to the particular needs of both the payer and provider markets. The best part? We’re just getting started.

If you’re at RISE and want to learn more about Coding InSight for Payers, stop by Talix booth 72 to see a live demo of the application in action.

Shahyan Currimbhoy is the SVP of Product Management & Engineering at Talix.
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