Anshal Dwivedi
Founder, FirstOps
Founder of FirstOps. Writing about the revenue cycle, the workflows in it that can be automated, and how to measure that honestly.
Anshal is the founder of FirstOps, where he is building agents that find and recover money healthcare providers are owed: coding, denials, underpayments, and appeals. Before FirstOps, he built security programs and compliance infrastructure at Uber, and led agent-based product decisions at Enterpret.
His writing focuses on the measurement side of that work: public benchmarks, confidence intervals, what a number means and what it does not, and where language models help and where they do not.
Research notes
The Convention That Beat Fine-Tuning at ICD-10 Coding
On a public outpatient benchmark with two-coder ICD-10-CM labels, the best open classifier scores micro-F1 0.34. A system that trains nothing on coding data scores 0.74, above every published result on the same notes. Most of the gain came from one convention, confirmed on a held-out split: code what the visit addressed, not everything the note documents.