Artificial Intelligence to Support DRG Audits
Overview of DRG Reviews DRG reviews play a crucial role in ensuring accurate reimbursement for healthcare services. The two main types of DRG reviews, clinical DRG audits, and coding reviews bring different approaches to accurate reimbursement. While coding reviews focus on the accuracy of medical coding, clinical DRG audits take a broader approach by analyzing […]
NLP in Medical Record Review
Legacy Review The traditional medical record review process has long been plagued by challenges, including the obstacle of the sheer volume of medical records that need to be reviewed. Hundreds of millions of patient records are generated daily, making it a daunting task for medical professionals to review and extract relevant information manually. The review […]