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Clinical NLP Part 3: Streamlining, Optimizing Medical Necessity Review

This third blog segment will uncover the challenges of medical necessity reviews and why the ability to extract data from free text is critical to improve the process. In our first installment of this four-part blog series, we explored how Clinical Natural Language Processing (cNLP) can impact risk adjustment. In the second installment, we discussed […]

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Clinical NLP Part 2: A Better Equation for Calculating Quality Measures

In this second installment of our four-part series on cNLP, we uncover the opportunities and challenges providers and payers face when extracting data from free text for quality measures reporting. Whether a provider, payer, or patient, all benefit from clinical records that are thorough, accurate, understandable, and interoperable.

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Clinical NLP Part 1: Spotlight on Risk Adjustment

Welcome to the first installment of a four-part blog series that explores the broad and growing value of using clinical natural language processing (cNLP) to deliver results for both payer and provider organizations.

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Clinical NLP: The Key to Unlock Your Data

We’re kicking off a Clinical Natural Language Processing (cNLP) blog series! Over the next few months, subject matter experts from the Health Language Content Team will dig into four, distinct high-value use cases where cNLP can be leveraged to provide significant value within: 1) Risk Adjustment, 2) Quality Measure Reporting, 3) Medical Necessity Review, and […]

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Health Plans – Are You Ready for the New CMS Interoperability Rules?

On March 9th the Office of the National Coordinator (ONC) and the Centers for Medicare & Medicaid Services (CMS) finalized two rules focused on interoperability – the ONC Cures Act Final Rule and the CMS Interoperability and Patient Access Final Rule.

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Keeping Up With COVID-19

With the outbreak of the COVID-19 virus, the world is hyper-focused, as it should be, on the caregivers and the population of patients contracting the virus.  However, we must also keep in mind the need for clear and concise documentation regarding the diagnosis, testing, and tracking of the spread of the virus.

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Webinar Recap: Applying AI in Healthcare: Practical Applications of Clinical NLP to Drive Value in Your Organization

In this recent webinar, three experts from Wolters Kluwer discussed how hospitals and health plans can take advantage of using clinically tuned NLP technology to improve patient outcomes and enhance performance.

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The Strategic Role of Health Plans and Providers in the Opioid Battle

The Health Language experts at Wolters Kluwer have worked with healthcare organizations to create a customized opioid value set to be used to prepare for adherence to measures or for analytics.

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From Data to Intelligence: The Path to Improving Plans’ Performance

The Health Language Clinical Natural Language Processing (cNLP) Solution optimizes manual medical record review, automates the review of unstructured data, extracts clinically relevant data, and codifies extracted data to industry standards.

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Is Your Organization Protecting Sensitive Patient Information?

As healthcare organizations deploy frameworks to support meaningful data sharing and greater care coordination across the continuum, one area that must not be overlooked is the compliant protection of sensitive health information.

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Social Determinants of Health (SDoH) … or maybe, Socially Dominating Our Health Information!

Since 2002, researchers have attempted to assess the impact of social factors on health outcomes. Recent studies estimate that traditional medical care accounts for only 10-20% of an individual’s health, while the remaining 80-90% is due to SDoH.

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Webinar Recap: Investing for the Future: The ONC and CMS Proposed Rules on Interoperability

A recent webinar hosted by Health Data Management—Investing for the Future: The ONC & CMS Proposed Rules on Interoperability—explored the critical elements in the proposed rule and how they could impact payers, providers, and health IT vendors.

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Your Data is the Problem

The topic of this final blog post for our four-part blog series dedicated to the importance of data mapping is the importance of mapping problems and diagnoses, specifically the clinical and financial benefits of accurately mapping problems and diagnoses, essential elements of a successful mapping strategy, how Health Language Solutions can help overcome these challenges, […]

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The Crack Down on Silos of Patient Data: CMS and ONC Interoperability Rules Hit Health Plans

Earlier in the year, the Office of the National Coordinator (ONC) and the Centers for Medicare and Medicaid (CMS) proposed rules on interoperability, data blocking, and other activities as part of implementing the 21st Century Cures Act. The proposed separate but related rules would require that patients have easy access to their health data.

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Are You Allergic to Messy Data?

Incomplete and inconsistent allergy data is a significant industry problem. Prescribers override more than 90% of allergy alerts intended to protect patients from ADEs due to the belief that many of the documented EHR drug allergies are incorrect, and therefore inconsequential to patient care.

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Webinar Recap: Leveraging AI to Solve Common Healthcare Challenges: Hear from the Experts

Three experts from Wolters Kluwer addressed how AI-powered software solutions, including natural language processing (NLP) and machine learning (ML), can help optimize the tedious process of reviewing patient medical records to more accurately inform high-value organizational initiatives and drive improved patient care.

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Drugs making a mess of your data?

Without a data infrastructure in place to support data normalization, healthcare organizations risk experiencing negative downstream impacts resulting in revenue loss, misidentified gaps in patient care, inaccurate analytics, or incorrect clinical decision support.

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Lab Mapping…what the LOINC?!

Why Is lab mapping important? Why should you (provider/payer) care? What exactly is being mapped and why? We discuss how Health Language® Solutions can help and give examples in client use cases.

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Raising the Bar on Semantic Interoperability and Data Quality

With healthcare costs reaching an all-time high, payer and provider organizations are hyper-focused on initiatives that improve patient outcomes, control costs and increase profitability.

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Webinar Recap: How Quality Data is Key to Delivering Value

As hospitals, health systems, and health plans implement value-based care programs, managing the quality of an organization’s data continues to be key to driving down costs and improving the value that patients receive from healthcare providers.

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