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Tuesday October 27th at 2 PM ET

High Acuity Claims, DRG Upcoding, and the Case for AI-Powered Review

High acuity inpatient claims carry significant financial weight in a health plan's portfolio, and are increasingly vulnerable to AI-driven coding drift. In this panel discussion, Alaffia's clinical and AI solutions experts break down how DRG escalation occurs at the documentation level, where traditional review falls short, and how AI-powered clinical review closes the gap.

In this webinar

  • A clearer picture of where high acuity claims create the most payment accuracy risk, using sepsis DRG escalation as a concrete example
  • A framework for evaluating where your current payment integrity program may have gaps
  • Insight into how leading health plans are approaching complex inpatient claims review differently

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