Medical coding may sound simple; however, there are quite a few things that can and do go wrong. The sheer volume of manual documentation and paperwork creates opportunities for error, thereby leading to improper payments.

Payers can leverage artificial intelligence to eliminate coding gaps. Closure of coding gaps can improve risk revenues, Star Ratings, and HEDIS scores and increase enrollments. Payers can ensure care delivery excellence within their provider network, improve patient experience, and plan performance using AI-driven technology.