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Coding Insight 9.0 Release

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Streamlined Multi-Level QA
Health plans often perform multi-level QA on claims to ensure quality. After an initial coder completes a chart or set of encounters, these charts are routed to a first level QA person and frequently routed to additional QA personnel to do further reconciliation.

Coding InSight 9.0

Streamline the coding process and avoid CMS audits by duplicative manual entry of 2nd and 3rd level QA. With Coding Insight 9.0 you can pass subsequent QA reviews through the system for added efficiency and increased accuracy.

Medicaid Risk Model—CDPS Support 
Health plans with Medicaid lines of business using the CDPS model can now use Talix to code their Medicaid population.

Coding InSight 9.0

Talix now supports the most widely used Medicaid risk adjustment model CDPS (The Chronic Illness and Disability Payment System).

Single DOS Scanned Document Capabilities 
Customers have indicated that there are some inefficiencies in coding a single DOS document as the coder would have to re-enter information from the document manually.

Coding InSight 9.0

With this feature, we can ingest a single DOS document in the encounter view where DOS and rendering provider information is auto mapped to the document making the coding process more efficient and improve the user experience.

April 10, 2020 @ 8:00 am 5:00 pm