Coding at a crossroads and unpacking the next generation of AI for risk adjustment: Fathom featured in RISE

RISE is the premier community for health care professionals who aspire to meet the extraordinary challenges posed by the emerging landscape of accountable care and government healthcare reform. Recognized industry-wide as the number one source for information on risk adjustment and quality improvement within health care, RISE strives to serve the community on four fronts: networking, education, industry intelligence and career development.

In this article, Fathom's CEO, Andrew Lockhart, examines the evolution of risk adjustment technology, from limited NLP tools to today's deep learning AI, and breaks down why adopting the latest AI for risk-adjustment coding is a competitive necessity for health plan leaders.

"While some health plan leaders remain skeptical of AI for RA, citing concerns about oversight and the human element in coding, these objections miss today's reality. The latest generation of technology already exceeds average human accuracy, as early adopters have proven. And to win over compliance teams ... strong vendor partners can demonstrate performance at scale by running side-by-side coding accuracy comparisons between technology and manual teams in a blinded fashion."

Read the full article from RISE.