Edifecs, Inc., a global health information technology solutions company, is exhibiting (booth #901) and participating in panel discussions and keynotes at RISE National 2022 conference, March 7-9, 2022 in Nashville, Tennessee.
Given the growth of value-based care payment models, payers and providers alike are turning to risk adjustment to understand the risk in their Medicare Advantage, Marketplace, and Medicaid programs. In the next generation of risk adjustment, with the application of Natural Language Processing (NLP) and artificial intelligence (AI), provider organizations and health plans are able to better capture actionable insights from unstructured clinical data to secure accurate care funding and better serve their populations.
Edifecs’ executives and customers will take the stage at RISE National 2022 to share experiences and best practices for utilizing risk adjustment technology to further health plan and provider collaboration and improve financial and operational performance.
WHAT:
Unifying NLP-enabled Risk Adjustment Processes for Improved Revenue Integrity and Gap Closure (Tuesday, March 8 from 11:35 – 12:20 pm CST): This session will highlight AI in risk adjustment processes, specifically, NLP and the benefits of its use. Shahyan Currimbhoy, vice president of product management at Edifecs, and Katy Davis, director of risk adjustment coding quality and compliance at Medical Mutual of Ohio, will discuss actionable insights on NLP-enabled retrieval and coding platforms for risk-adjustment processes and insights on how the unified process can increase efficiency, enhance payer-provider collaboration through prospective gap closure and electronic data exchange, and support population health and value-based programs.
RISE of the Payvider—AI-based Strategies for Successful Alliances (Tuesday, March 8 from 2:20 – 3:05 pm CST): Representatives from UPMC Enterprises, SelectHealth and Apex Health Solutions will host a panel to discuss how collaborating payers and providers are utilizing AI to increase payment accuracy and minimize compliance exposure. UPMC Enterprises, SelectHealth and Apex Health Solutions are Health Fidelity customers, a leading provider of NLP-enabled risk adjustment solutions. Edifecs recently acquired Health Fidelity to bring in the company’s risk adjustment suite, developed to help organizations gain insights into administering care inclusive of all comorbidities while enabling more complete revenue capture, into Edifecs’ portfolio for a more complete end-to-end workflow.
Go From A to THE®: Stop Being A Leader. Start Being THE Leader (Tuesday, March 8 at 4:00 pm CST): Edifecs’ CEO, Venkat Kavarthapu, will introduce Ryan Avery, an Emmy-award winning journalist and two-time bestselling author, and moderate his keynote session to motivate and inspire attendees with insights into how to become THE product, THE solution, and THE leader to follow. Edifecs is the keynote sponsor.
WHERE: Gaylord Opryland Resort, Nashville, Tennessee
WHO:
Venkat Kavarthapu brings over 25 years of experience in technology leadership to his position as CEO at Edifecs. In various roles with the company over the last 12 years, Venkat has successfully built and scaled multiple product lines and led Edifecs’ services and product support business units. With the support of his global team, Venkat is focused on helping healthcare organizations collaborate on and exchange data, reduce operating costs, maintain compliance with industry regulations and accelerate adoption of alternative payment models through innovative software solutions.
Shahyan Currimbhoy is a vice president at Edifecs responsible for innovating and advancing the organization’s risk adjustment technology offerings. Shahyan joins Edifecs as a result of the company’s 2021 acquisition of Talix and leads Edifecs’ development of software to unify clinical and financial information and provide actional intelligence to healthcare organizations.
For updates on the latest news and announcements at the RISE conference, please follow @Edifecs on Twitter.
About Edifecs
Edifecs is a premier technology company in the US Healthcare market with solutions focused on interoperability, workflows, value-based care payments, and risk adjustment analytics. With innovative technology and solutions, Edifecs helps its customers by optimizing the secure exchange and processing of administrative and clinical data, reducing the cost of meeting various regulations, and automating workflows involved in multiple core processes within the healthcare ecosystem. Edifecs is a frontrunner in bringing new technology for B2B data exchange in healthcare streamlining business processes from “card to care,” and reducing the industry burden associated with data provisioning at the points of enrollment, care, payment, and risk adjustment. With the advent of FHIR and new regulatory guidance from HHS, Edifecs has emerged as a leader in easing the effort associated with achieving compliance with new federal rules and in making the healthcare consumer the primary stakeholder. The company is headquartered in Bellevue, Washington, with additional offices in Atlanta, Georgia; San Francisco, California; Pittsburg, Pennsylvania; and Mohali, India; engineering centers in Moldova, Belarus, and Ukraine, and has more than 1,000 employees.
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