Within this toolkit, we provide a complete list of how to accomplish a successful prospective risk adjustment program by leveraging artificial intelligence (AI). We have also included a comprehensive approach for adopting an AI-driven prospective risk strategy to meet your business needs, including opportunities to:
- Surface vital clinical information to develop a trustworthy patient health profile
- Improve patient chart-prep processes to streamline administrative efforts
- Deliver actionable patient insights in the clinical workflow to improve the point-of-care experience
- Ensure documentation completeness and coding accuracy before claims submission