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Artificial Intelligence (AI) Integrity & Management Success 
DETECTING (1) algorithmic Anomaly AT A TIME

ARTIFICIAL INTELLIGENCE (AI)

Here at P3, we believe Human Collaboration, along with Artificial Intelligence (AI) Automation is thriving in Revenue Cycle Management (RCM) day-to-day operations. P3 helps to close medical claim error and inefficiency gaps: 

 

  1. Patient Demographics Data

  2. Missing Code Validation

  3. Documentation Discrepancies

  4. Billing Process Optimization 

 

 

REVENUE CYCLE MANAGEMENT (RCM)

RCM Operations allows us to focus on improving the Quality of Revenue Cycle Management processes. 

Using AI-Powered Methods:

  • 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 DRIVEN 

ALGORITHMS
 

  • AI-Based Coding 
    - Computer Assisted Coding

  • AI-Supported Clinical Documentation           - National Language Processing (NLP)

  • Machine Learning (ML)

  • Automated Rule-Based Charge Capture

OUR APPROACH

P3 examines Human and AI Collaboration and 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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