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.

Setup process

Install

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

Configure

Use the Bot in a bot, configure keys and other credentials the Bot will need (see the 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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