{"id":21744,"date":"2024-07-30T13:15:31","date_gmt":"2024-07-30T13:15:31","guid":{"rendered":"https:\/\/digitalscientists.com\/?post_type=case-studies&p=21744"},"modified":"2024-08-01T13:56:09","modified_gmt":"2024-08-01T13:56:09","slug":"raf-score-coding-ai","status":"publish","type":"case-studies","link":"https:\/\/digitalscientists.com\/case-studies\/raf-score-coding-ai\/","title":{"rendered":"RAF Score (Coding AI)"},"content":{"rendered":"\n\n\n\n
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\n \n \"arrow\n OUR CASE STUDIES<\/span>\n <\/a>\n
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\n RAF Score (Coding AI) <\/h2>\n\n
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New Risk Adjustment Factor models for reliable scoring<\/h1>\n <\/div>\n \n \n
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healthcare, user research, user experience, product design + development<\/h5>\n <\/div>\n \n \n <\/div>\n\n
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overview<\/h5>\n <\/div>\n \n
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Custom Risk Adjustment Factor solution delivers reliable scoring model<\/h3>\n <\/div>\n \n
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Best in class organizations delivering value based care are required to manage patient risk levels. Inability to do so leads to inaccurate risk scores, declining reimbursements, and sub optimal patient care. A targeted engagement to shore up these key elements led this organization back to delivering value based care at the highest levels.<\/p>\n

A large value-based care provider, serving 20K+ patients in 7 states, faced CMS reimbursement challenges due to coding gaps. Complex growth and tech hindered patient care, requiring better coordination among 200+ providers. Addressing gaps was vital for improved patient care and reimbursement.<\/p>\n <\/div>\n <\/div>\n\n

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industries<\/h5>\n <\/div>\n \n
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  • Digital health<\/li>\n
  • Social Determinants of Health<\/li>\n<\/ul>\n <\/div>\n <\/div>\n\n
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    services<\/h5>\n <\/div>\n \n
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    • Product strategy<\/li>\n
    • UX research & design<\/li>\n
    • Custom software development<\/li>\n
    • Strategic business advisory<\/li>\n
    • Competitive market analysis<\/li>\n
    • Capability differentiation<\/li>\n
    • Distribution strategy<\/li>\n
    • Product & market thought\u00a0 leadership<\/li>\n
    • Product roadmapping<\/li>\n<\/ul>\n <\/div>\n <\/div>\n\n <\/div>\n <\/section>\n\n\n\n\n\n\n
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