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. The 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.

Get Bot

Free

Bot Security Program
Level 1
Applications
Business Process
Category
Downloads
144
Vendor
Automation Type
Bot
Last Updated
December 6, 2019
First Published
October 16, 2018
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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