https://www.linkedin.com/in/wenprofiri/
<aside> ⚕️ As a nurse informaticist with expertise in Part C, Part D, ESRD, and ACA risk adjustment solutions, I have 15 years of experience in product management for value-based care.
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<aside> 🧮 I Launched RAmodels, a healthcare informatics company, to offer high-impact tools for Risk Adjustment Practitioners in 2022. Our statistical models are calibrated using diagnosis and cost data from CMS and HHS dating back to the year 2000.
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Our mission is “AI Tooling Medicare”. We curated a library of CMS published Medicare policy changes and operation manuals using the linguistics semantic method, which is the foundation of our healthcare prompt engine to be used in open source Large Language Models. We want to help people who work in healthcare industry, patients and family to ask AI the right question and get the right answer in one specialty domain at a time.
This #SecondBrain library is growing.
Just ask any question:
Dementia Guide in 14 Languages
Effortlessly navigate the original CMS documents to stay up-to-date with the most recent Risk Adjustment policies, rules, and model changes.
Whether you work in a provider organization’s coding/billing department, or as a payer’s clinical coding educator, or as an auditor of HCC coding, these tools can help you stay on top of the latest trends, regulations and best practices in Risk Adjustment, so you can optimize your revenue or your performance.
We monitor and analyze CMS and OIG reports as they are published. We then update our software tools with the new rules and regulations to ensure you are always compliant and efficient in the payment year.
