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Computer-Assisted Coding (CAC)

Melax Tech has worked with multiple clients to develop CLAMP-based CAC systems for ICD-10 and Hierarchical Condition Category (HCC) Codes to improve reimbursement rates and reduce the manual coding workload. A CAC system typically consists of NLP technology components such as

  • named entity recognition,

  • relation extraction,

  • concept normalization

  • and utilizes both machine learning and rule-based technologies.

Based on the most recent ICD-10 and HCC codes, CAC improves reimbursement rates, and decreases claim denials and appeals.

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