Wolters Kluwer Risk Adjustment Solution
Health Language, Inc.
Wolters Kluwer Risk Adjustment Solution
Health Language, Inc.
Wolters Kluwer Risk Adjustment Solution
Health Language, Inc.
Risk Adjustment and RADV Audit Tool
Survive RADV audits with confidence. The Health Language Coder Workbench provides a project management tool that maximizes validation rates and minimizes penalties. Our cloud-based platform combines clinically trained NLP with CMS-aligned coding logic to help health plans efficiently navigate compressed 12-week timelines while coding up to 2,000 charts per contract. Smart chart organization and auto-populated ICD-10 suggestions accelerate workflows, while real-time dashboards provide operational visibility and a measurable impact across your entire Risk Adjustment program.
- 25–30% efficiency gains over manual chart review
- 5–7% net new, validated codes identified and accepted
- 10–15x ROI observed in pilot evaluations of 100 charts
The Coder Workbench optimizes accuracy, speeds production, and elevates coder satisfaction.
Transform your Risk Adjustment Operations with the benefit of a complete RADV Audit Response solution
Accelerate Chart Reviews: Smart table of contents and intelligently annotated charts reduce clicks and streamline coder workflows.
Maximize Code Accuracy: Built-in coding assistant delivers precise ICD-10 and HCC recommendations using clinically enriched terminology.
Ensure Regulatory Compliance: Integrated CMS rules and coding guidelines guarantee compliant documentation for every code recommendation.
Unlock Hidden Value: Identify diagnoses from unstructured data that traditional claims analysis misses.
Drive Operational Excellence: Real-time dashboards track coder performance, throughput, and project progress to optimize staffing decisions.
Excel in RADV Audits: Purpose-built project management capabilities that automatically prioritize high-confidence encounters, select optimal charts for maximum validation rates, and generate auditor-ready reports with full traceability.
Secure Cloud-Ready: Deploy seamlessly within your trusted Azure ecosystem while maintaining HIPAA compliance and reducing contracting complexity.