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:
Coding Accuracy Validation
Documentation Integrity Remediation, and
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.
- Computer Assisted Coding Software
AI-Supported Clinical Documentation
- Voice Recognition
- National Language Processing (NLP)
- Machine Learning (ML)
Automated Rule-Based Charge Capture
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
P3 performs a Deep Dive review, evaluation, and analysis into RI and HIM essential activities that improve Operational Performance.