Predictive Analytics

Section Sponsored by: Healthcare organizations have struggled with claim denials for decades and ICD-10 will likely exacerbate the issues. Current management processes, systems, tools and reporting are insufficient to eliminate preventable denials. A new approach is needed – predictive analytics. As ICD-10 implementation finally becomes a reality, predictive analytics can provide the insights required to more effectively manage claim denials – and foresee the overall impact of ICD-10 on an organization’s bottom line. With the conversion from ICD-9 to ICD-10, the performance of existing claims risk systems will suffer due to outdated “rules” for detecting problems. Providers need the ability to pinpoint where errors are likely to occur and take immediate action to avoid denials. Optimal financial performance depends on identifying problems before they occur.SEE ALSO: Comparative AnalyticsPredictive analytics can…


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