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Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews
Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews Identifying and submitting all appropriate ICD-9 diagnosis codes to CMS will result in a higher risk score for the ...- Authors: Corey Berger, Eric P Goetsch
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Demography; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare; Technology & Applications>Analytics and informatics
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Integrated Analytics—The Next Generation In Automated Underwriting
Integrated Analytics—The Next Generation In Automated Underwriting The following case study walks through the steps of a predictive modeling exercise to illustrate one way analytics can ...- Authors: Jinnah Cox, June Quah
- Date: Nov 2017
- Competency: External Forces & Industry Knowledge; Professional Values; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Reinsurance News
- Topics: Actuarial Profession>Best practices; Modeling & Statistical Methods>Data mining; Technology & Applications>Analytics and informatics