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Business Meeting

The Pathway to Revenue Integrity (RI) Management Success 
 People.   policies.  & The process.

REVENUE INTEGRITY (RI)

Here at P3, we believe Human Collaboration, along with Artificial Intelligence (AI) Automation is continuing to Transform the day-to-day operations in Revenue Integrity (RI) and Health Information (HIM).  P3 helps to close gaps between: 

 

  1. Coding Accuracy Validation

  2. Documentation Integrity Remediation, and

  3. Billing Process Optimization 

 

 

HEALTH INFORMATION MANAGEMENT (HIM)

HIM Operations allow us to provide Indirect Patient Care for healthcare organizations.  We help to improve the Quality of Revenue Cycle Management processes. 

Using AI-Powered Natural Language Processing (NLP) tools:

  • AI Algorithms can help to improve data accuracy and the speed of how Patient Information is retrieved

  • Automated Coding Systems can assign the appropriate diagnosis and procedure codes of patient care services that help to create the medical billing statement.

MEDICAL CLAIM  

ALGORITHMS
 

  • AI-Based Coding 
    - Computer Assisted Coding Software

  • AI-Supported Clinical Documentation

  • - Voice Recognition
    - National Language Processing (NLP)
    - Machine Learning (ML)

  • Automated Rule-Based Charge Capture

OUR APPROACH

P3 examines Human and AI Collaboration Performance.

Understanding what the AI Integrity and Compliance standards are? Have Best Practice processes/metrics been implemented?  How are they measuring up?

Overreliance on AI can deliver positive outcomes and/or undesirable results.  

The P3 Approach to AI, RI, and HIM Automation:

  • Assess Current State

  • Develop policies and procedures 

  • Review and draft roles and responsibilities standards

  • Serve as an Interim to support Future State Change Management Initiatives 

OUR METHODOLOGY

P3 performs a Deep Dive review, evaluation, and analysis into RI and HIM essential activities that improve Operational Performance.  

 

QUICK HIT FOCUS

  • RI Charge Integrity

  • RI Metrics

  • CDM Auditing

  • Charge Capture Integrity

  • Charge Reconciliation 

  • Pre-Bill Edit Management

  • HIM and Revenue Integrity

  • Pre/Post EHR Implementations

  • Work Queue Maintenance

  • HIPAA Privacy & Interoperability

20 Minute Consultation

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