SYSTEM AND METHOD FOR ANALYZING AUDIT RISK OF CLAIMS-BASED SUBMISSIONS FOR MEDICARE ADVANTAGE RISK ADJUSTMENT

Systems and methods have been developed that provide for the examination of data available on members of a Plan and based on the examined data, and on each reported ailment for a member, a determination is made as to the risk level such member presents to the Plan. This risk level is a measure of ho...

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Bibliographische Detailangaben

1. Verfasser:	MCCALLUM JACK
Format:	Patent
Sprache:	eng
Schlagworte:	HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATIONTECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING ORPROCESSING OF MEDICAL OR HEALTHCARE DATA INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTEDFOR SPECIFIC APPLICATION FIELDS PHYSICS
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