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Business Meeting

Mid-Revenue Cycle Management Pathway to Success 
PRIORiTIze.   STRATEGize.   OPTIMize.

OUR STORY

P3 was conceptualized in a home-based office over a decade ago. P3 is an internet-based  Knowledge Center designed to share information that helps to drive Mid-Revenue Cycle Management (MRCM) leading practice process improvements remotely. 

 

THE BEST DEFENSE

The best defense against mitigating denied claims is developing an offensive strategy that prevents reimbursements from being rejected, denied, or delayed in the first place.

We develop people, process and procedural accountability strategies for MRCM and Electronic Medical Record (EMR) Software.

ALL EYES ON AI

Artificial Intelligence (AI), is the new Frontier for Smart Technologies as it relates to Revenue Integrity (RI) and Health

 

In 2011, the American Medical Association (AMA) estimated eliminating the payer claim payment error rate could save $17 billion.  Fast forward to 2021,

Federal Data shows that more than $49 million in medical claim payments were denied by payers. Algorithms, automated systems, and claim denial patterns?

 OUR VISION

Keeping an eye on AI! Artificial Intelligence applications are supposed to be self-learning cognitive systems that optimize service delivery, accelerate process improvements and make better claims management decisions than humans.

 

But, does AI really do what is it supposed to, the way that it is supposed to 100% of the time?

OUR APPROACH

Are Algorithmic flaws at work here that we should be paying attention to and addressing?

 

P3 examines established AI-Assisted coding, charge, documentation, and claims management processes. Structured procedures are reviewed, analyzed, and evaluated for consistent, compliant, and complete accuracy. 

 

P3 uses a Scientific Approach that allows us to scale AI System Quality and Data-Driven Elements designed to flag, reject or deny legitimate claims. 

 

OUR METHODOLOGY

P3 Evaluates AI-Assisted Automation to ensure Claims Management functions are reliable, the technical foundation improves day-to-day operations, reduces manual processes and Claims Management inefficiencies.  

QUICK HIT TARGETS

  • MRCM Charge Integrity

  • Revenue 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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