Automate the Audit Of Healthcare ICD-10

This BOT automates the audit of ICD-10 Codes with the diagnosis report. The auditing entails conducting internal & external reviews of coding process for accuracy. This Bot predicts the accuracy by matching diagnosis report with the ICD-10 code description. \nThe match is provided in terms of percentage. This can be further used to scrutinize the payments made on claims for healthcare services and identify them as underpayments or over payments.

Top Benefits

  • Large number of diagnosis report can be audited in very less time.
  • Can reduce FTEs count significantly
  • Control on revenue leakage by identifying over coding and under coding
  • Bot works in an unbiased manner
  • Process standardization and adherence to regulatory compliance

'- Bot executes in Background - Uses Natural Language Processing (NLP) in Python

Need Microsoft Excel

Key Use Case: Makes work easy for Auditors.Makes work easy for Auditors.

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In your Control Room, use the ‘Import’ button to load the downloaded file into your Automations.

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Bot Security Program
Level 1
Applications
Business Process
Category
Downloads
166
Vendor
Automation Type
Bot
Last Updated
July 24, 2020
First Published
October 16, 2018
Platform
11.x
Support

Bot Security

Level 1
  • All bots on Bot Store have passed a malware scan.

Bot Security Program

Automation Anywhere Bot Security is the RPA industry’s first of its kind bot security framework. In partnership with cyber security experts, Bot Security encompasses four (4) progressive levels of security designation. All bots including those built in-house or procured from Bot Store, can now be deployed reliably with secure bot development practices in alignment with prevailing Confidentiality, Integrity, and Availability (CIA) cybersecurity principles and best practices. View full Bot Security details.

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Setup Process

Install

Download the Bot and follow the instructions to install it in your AAE Control Room.

Configure

Open the Bot to configure your username and other settings the Bot will need (see the Installation Guide or ReadMe for details.)

Run

That's it - now the Bot is ready to get going!

Requirements and Inputs

  • AA Enterprise 11.1.2
  • Inputs: - Diagnosis reports containing ICD-10 codes assigned by the medical coder - Database of Standard ICD-10 codes with their description

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