HealthCare

Patient Intake

Customer was seeking to optimize the patient experience. New patient intake was a manual processes involved with capturing patient demographic, insurance, complaint, and other information.

Solution

We built intelligent bots to read patient intake forms completed on or before the day of visit. These bots validate insurance eligibility and automatically create or update the patient record in the electronic health record. This solution improves the patient experience by accelerating the new patient intake process.

Result

Reduce intake time by 20%
Reduced error and omissions by 2x
Reduction of over 1600 manual hours a month

Indicative AI Models & Methods

Natural Language Processing (NLP)
Robotic Process Automation (RPA)
Machine Learning

Implementation ease:

High.

Indicative Effort:

210 – 270 days.

Auditing Medical Record

Client needed to audit medical records and ensure diagnosis are well documented and auditable. This manual process is time-consuming for internal staff and puts reimbursements for medical treatments and proper patient care at risk.

Solution

We built a solution that leverages RPA, NLP, and ML/AI to audit medical records and validate that minimum data sets are completed with consistency. This helps facilitate compliance with programs like PDPM and leads to greater quality of care. It also saves staff valuable time and minimizes risks by increasing confidence in the audit process.

Result

An increase of 10% in new billing from missed billing codes
Compliance increase of over 25%
Reduction of over 1000 manual hours a month

Indicative AI Models & Methods

Natural Language Processing (NLP)
Machine Learning Regression Models
Anomaly Detection for Identifying Omissions

Implementation ease:

High.

Indicative Effort:

220 – 280 days.

Medical Code Audit

Auditing medical records and ensuring diagnosis are well documented is a common pain point in medical facilities. This manual process is time-consuming for internal staff and puts reimbursements for medical treatments and proper patient care at risk.

Solution

Using a solution that leverages RPA, NLP, and ML/AI to audit medical records and validate that minimum data sets are completed with consistency. This helps facilitate compliance with programs like PDPM and leads to greater quality of care. It also saves staff valuable time and minimizes risks by increasing confidence in the audit process. In addition, the system evaluates records and recommends possible missing medical codes.

Result

12% reduction in compliance cost
18% reduction in errors and omissions

Indicative AI Models & Methods

Natural Language Processing (NLP) for Medical Record Analysis
Machine Learning for Medical Code Validation
Voice Transcription for Record Keeping
Robotic Process Automation (RPA) for Process Automation

Implementation ease:

High.

Indicative Effort:

200 – 260 days

Image Recognition

The client needs to optimize document indexation in their EMR Platform, this means classifying documents and extracting the patient data from scanned documents and inserting this information into the platform making sure the accuracy of the process is above 99%.

Solution

Using a solution that leverages RPA, NLP, and ML/AI to automate the files download process and indexing process. Our smart Bots connect to a custom Cloud Application that uses a Machine Learning model, image recognition and customizable business rules to ensure the extracted data is presented with the highest possible accuracy. In addition we create a custom report with information on the amount of documents processed and their results.

Result

Accuracy exceed 99%
70% reduction in errors and omissions
Saved over 2000 manual hours per month
Reduced processing and cataloging time by 90%

Indicative AI Models & Methods

Machine Learning for Image Recognition
Natural Language Processing (NLP) for Data Extraction
Robotic Process Automation (RPA) for Process Automation

Implementation ease:

High.

Indicative Effort:

180 – 240 days

Drug Diversion

Our client was seeking a more effective way to monitor drug diversion compliance with best practices and clinical regulations.

Solution

We built a collection of smart bots that manage risk by monitoring provider compliance, ensuring processes and documentation are followed, and tracking approvals. This increases the quality of documentation, helps reduce waste, and flags non-compliant patterns like drug diversion.

Result

12% reduction in compliance cost
16% reduction in errors and omissions

Indicative AI Models & Methods

Indicative AI Models & Methods

Natural Language Processing (NLP)
Machine Learning
Anomaly Detection

Implementation:

High.

Indicative Effort:

200 – 260 days

Patient Data Extractions

Patient enrollment handles huge amounts of information that need to be readable and available for their staff. This process is usually driven by highly time-consuming, manual tasks.

Solution

We built an automated background process to perform a custom data extraction from input provided from another business unit. This allows the user to keep interacting with the desktop without interfering with their daily tasks. From the extracted data, queries were created dynamically to migrate the data to an Oracle database, making it available for the end users to perform additional validations.

Result

25% reduction in manual hours
100% reporting compliance

Indicative AI Models & Methods

Indicative AI Models & Methods

Robotic Process Automation (RPA)
Natural Language Processing (NLP)
Dynamic Query Generation

Implementation:

Moderate.

Indicative Effort:

160 – 210 days

Patient Enrollment Tracking

Patient enrollment relies on candidate data to keep a standard engagement across their platforms. One of our clients was not able to do this on time and was missing revenue opportunities.

Solution

We created a smart bot to extract the information from an Oracle database and transform it according to the business needs. The data is then uploaded to a public website to update the metadata of each candidate for further validations.

Result

Over 8% increase in billing
10% reduction in manual hours
100% reporting compliance

Indicative AI Models & Methods

Indicative AI Models & Methods

Robotic Process Automation (RPA)
AI-Driven Data Validation
Data Extraction and Transformation

Implementation:

Moderate.

Indicative Effort:

150 – 200 days