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Responsible AI Blog

Hierarchical Condition Category (HCC) coding plays a pivotal role in federally regulated risk adjustment payment models, ensuring accurate reimbursement for health insurance plans and better care for managed populations. Providers are essential in this process, as effective collaboration with health plans leads to improved patient outcomes. Traditionally, electronic medical records (EMRs) served primarily as data repositories, but technological advancements, particularly in Natural Language Processing (NLP), have transformed their utility.This presentation will explore how WVU Medicine has harnessed unstructured patient data within their EMR system to accurately assess and assign HCC codes. By leveraging NLP models from John Snow Labs, WVU Medicine was able to identify and extract relevant HCC codes from clinical notes, subsequently providing these codes to physicians through best practice alerts. This innovative approach has significantly streamlined HCC coding, reducing the burden on providers while enhancing the accuracy and efficiency of the process.

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Hierarchical Condition Category (HCC) coding plays a pivotal role in federally regulated risk adjustment payment models, ensuring accurate reimbursement for health insurance plans and better care for managed populations. Providers...

There is overwhelming evidence from academic research and industry benchmarks that domain-specific and task-specific large language models outperform general-purpose LLMs across multiple dimensions: Accuracy, veracity, human preference, and cost. This...

Current US legislation prohibits AI applications in recruiting, healthcare, and advertising from discrimination and bias. This requires organizations who deploy such systems to test and prove that their solutions are...

In today’s landscape of AI-driven recruitment, candidate-job matching models play a pivotal role in enhancing the hiring process’s efficiency and effectiveness. This necessitates rigorous evaluation to ensure fairness and equity....

Builders and buyers of AI systems are required to test and show that their systems comply with legislation – on safety, discrimination, privacy, transparency, and accountability. This talk covers recent...