Major Regional Health Plan Case Study

Flexible Coding Partner Model

Major Regional Health Plan Improves Productivity and Accuracy with Talix Coding InSight

Challange

CMS’ regulatory requirements for full and accurate data submission made it important for this health plan to eliminate its multiple outsourced vendors in favor of a single technology platform that would deliver full control over risk adjustment while boosting productivity and efficiency while reducing costs.

Solution

Talix Coding InSight, complete with advanced NLP capabilities, enables the health plan to streamline chart review in accordance with CMS requirements

Results

Increased coding productivity by 200%

Improved coding accuracy