As a result of the COVID-19 pandemic, millions of Americans were either unable to get the care they needed or were deterred from tending to developing medical conditions in fear of contracting the coronavirus. Either way addressing this significant drop off in medical care is a key focus area for both payers and providers in 2021.
At the same time, the need for Risk Adjustment in payment models and incentive plans continues to grow. Along with an increasing number of audits, the importance of accurate diagnosis is greater than ever.
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Payer and provider organizations must look to advanced technology such as clinically tuned, natural language processing (NLP) to help empower your risk adjustment strategies. Join us on April 8th to uncover potential areas where cNLP could be leveraged within your own organization.
Michael Stearns, MD, CPC, CRC, CFPC is a physician informaticist, health information technology (HIT), and healthcare compliance professional. He has over 20 years of experience in the areas of electronic health records (EHRs), telehealth, virtual services, quality reporting, risk adjustment, health information exchange, clinical terminology development, standards, and billing and coding compliance.
Dr. Stearns has provided leadership to informatics and terminology projects at the National Library of Medicine, the National Cancer Institute, and the College of American Pathologists. He served as the International Director of SNOMED International during the development of SNOMED CT and he was the founding board president of the Texas e-Health Alliance. Dr. Stearns is the co-founder and a lecturer at the University of Texas at Austin Health Information Technology Certificate Program.
Dr. Stearns co-chaired the American Health Information Management Associations’ (AHIMA) Technology and Innovations Practice Council in 2020. He also served as a subject matter expert for the Health Information Management Department of Grand Canyon University. Dr. Stearns has won several awards for teaching, patient privacy and EHR-related patient safety. He is currently the Specialized Consulting Director – Medical Informatics at Wolters Kluwer, Health Language.
As a Senior Director of Product Management, David supports the company’s Health Language division of Wolters Kluwer by helping organizations across the health care spectrum regarding standardized terminologies, data normalization, and using NLP to accelerate Chart Review.
David has over 20 years of healthcare industry experience helping organizations with Revenue Cycle Management and Clinical Terminology, and one of his notable accomplishments is that he developed the first predictive model to help cash-strapped hospitals manage receivables during the housing crisis.
He holds a Bachelor’s degree from Pepperdine University.