Zuwa gabaJagora na gaba
AI a cikin HCC Risk Daidaita Coding
Masana'antu
Jagorar Masana'antu
Coding-taimakon Kwamfuta (CAC) software ce wacce ke karanta takaddun asibiti tare da sarrafa harshe na halitta kuma yana ba da shawarar ganewar asali da lambobin tsari.
Mai rikodin ɗan adam sannan yana karɓa, ƙi ko gyara kowace shawara kafin a kammala da'awar. Yana da mahimmanci saboda yana canza aikin mai ƙididdigewa daga ginshiƙi bincike zuwa ingantacciyar shaida, kuma ƙimar sa ya dogara da daidaito, daidaitaccen aiki da yadda ƙungiyar ke auna yawan aiki.
CAC tallafi a cikin Amurka ya girma a kusa da Oktoba 2015 sauyawa daga ICD-9 zuwa ICD-10. Sabbin saitin lambobin sun fi daki-daki, kuma ƙungiyoyi suna fargabar masu rikodin za su rasa aiki. Kafaffen samfuran sun fito ne daga kamfanoni kamar 3M, waɗanda kasuwancin bayanan lafiyarsu ya zama wani ɓangare na Solventum a cikin 2024, da Optum, da sauransu. Gudun aikin yana da matakai huɗu: Takaddun bayanai suna gudana daga EHR zuwa tsarin CAC, gami da bayanan ci gaba, rahotannin aiki, taƙaitawar fitarwa da sakamako; injin sarrafa harshe na halitta yana karanta rubutun, yana gano yanayi da matakai kuma yana ba da shawarar lambobi, kowannensu yana da alaƙa da jimlolin tallafi; coder yana duba kowace shawara. Suna karba, ƙin yarda da shi, ko gyara shi zuwa takamaiman ko madaidaicin lamba, kuma suna ƙara kowane lambobi da tsarin ya ɓace; kuma codeer yana amfani da jagororin hukuma, kamar bin ƙa'idodin da ƙa'idodin majinyata da na marasa lafiya daban-daban don rashin tabbas, kuma yana rubuta tambayoyi ga likitoci lokacin da takaddun shaida ba su da tabbas. CAC ya sha bamban da coding mai cin gashin kansa. A cikin CAC, ɗan adam yana tabbatar da kowane ginshiƙi. Tsare-tsare masu cin gashin kansu suna aika wasu gamuwa zuwa lissafin kuɗi ba tare da bitar ɗan adam ba. Ƙungiyoyi yawanci suna yin hukunci da CAC tare da ma'auni da yawa: Yawan aiki, auna su azaman ginshiƙi ko gamuwa a cikin awa ɗaya; daidaiton lambar, wanda aka auna ta hanyar dubawa; Daidaiton shawarwari da tunowa; Kwanakin da aka yi watsi da-ba-ƙarshe ba (DNFB), ma'ana tsawon lokacin da aka fitar da asusun ke jiran coding na ƙarshe; da Ƙididdigar ƙima na ƙasa. Rashin fahimta guda uku sun zama ruwan dare. Na farko shine CAC ta cire buƙatar ƙwarewar jagora. A zahiri, masu rikodin dole ne su sami shawarwari masu ma'ana amma ba daidai ba. Na biyu shi ne cewa samun yawan aiki yana zuwa ta atomatik. Ƙirƙirar allo mara kyau, shawarwari masu hayaniya ko raunin horo na iya rage yawan masu rikodin. Na uku shi ne cewa babban ƙimar ƙimar yana tabbatar da daidaito. Hakanan suna iya nufin masu rikodin sun daina dubawa.
Halin masana'antu yana ƙayyade ko ra'ayoyin AI sun tsira hulɗa da gaskiya.
Matsakaicin yanki yana tasiri karɓaɓɓun ƙimar kuskure da ƙirar sa ido.
Nasarar tura kayan aiki sun daidaita iyawar fasaha tare da ayyukan aiki na gaba.
CAC yana ƙara haɗuwa tare da manyan fasalulluka na harshe, kamar taƙaita tsayin daka, rubuta tambayoyin likita da bayanin dalilin da yasa aka ba da shawarar lamba. Wasu dillalai suna ƙaddamar da CAC zuwa ga ikon cin gashin kai don nau'ikan gamuwa masu sauƙi. Babban aikin tabbatar da aikin zai yuwu ya kasance don hadadden codeing na marasa lafiya, inda jagorori da gibin takardu ke kira ga hukuncin mutum. Ƙungiyoyin da ke ɗaukar sabbin kayan aikin yakamata su ci gaba da auna daidaito, tunowa, daidaiton bita da ƙaryatawa maimakon dogaro da iƙirarin samar da kayan tallace-tallace, kuma yakamata su sa ido ga masu ƙididdigewa suna zazzagewa cikin tambarin roba.
Coder yana buɗe ginshiƙi na marasa lafiya kuma ya ga CAC yana ba da shawarar lambobin ICD-10-CM don raunin koda mai tsanani da kuma nau'in ciwon sukari na 2 tare da hyperglycemia. Kowace shawara tana haɗe zuwa fitattun kalmomi a cikin bayanan ci gaba, waɗanda ta danna don tabbatarwa.
A cikin ginshiƙi na waje, CAC yana ba da shawarar lambar ciwon huhu bisa bayanin kula da ke cewa "kashe ciwon huhu." Coder ya ƙi shi, saboda jagororin marasa lafiya ba sa ba da izinin yin rikodin cututtukan da ba su da tabbas kamar yadda aka tabbatar.
Daraktan kula da bayanan kiwon lafiya yana kwatanta ginshiƙi a cikin awa ɗaya, daidaiton lambar ƙididdigewa da fitar da-ba-ƙarshe-kwanaki kafin da bayan CAC ta tafi-rayuwa. Haɓakawa na haɓakawa kawai bayan an horar da masu ƙididdigewa akan sabbin allon dubawa.
Wani mai duba da ke bitar bayanan karɓar CAC ya lura cewa masu ƙididdigewa suna karɓar kusan kowace shawara ga majinyatan likita ɗaya. Wannan tsarin yana haifar da bita daidai da niyya.
Bukatun tsari na iya ɓata in ba haka ba ƙaƙƙarfan samfuri.
Bayanan tarihi na iya ɓoye son zuciya da ke cutar da takamaiman al'ummomi.
Tsarin gado na iya haifar da ƙullun haɗin kai da ɓoyayyun farashi.
Haɗa ƙwararrun yanki daga tsara matsala zuwa ƙima.
Zane hanyoyin duba da takaddun kafin ƙaddamarwa.
Tabbatar da yarda da wajibai na aminci da wuri.
Fitar a cikin matakai tare da bayyanannen ma'auni na tsayawa da juyawa.
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Coding-taimakon Kwamfuta (CAC) software ce wacce ke karanta takaddun asibiti tare da sarrafa harshe na halitta kuma yana ba da shawarar ganewar asali da lambobin tsari. Mai rikodin ɗan adam sannan yana karɓa, ƙi ko gyara kowace shawara kafin a kammala da'awar. Yana da mahimmanci saboda yana canza aikin mai ƙididdigewa daga ginshiƙi bincike zuwa ingantacciyar shaida, kuma ƙimar sa ya dogara da daidaito, daidaitaccen aiki da yadda ƙungiyar ke auna yawan aiki.
CAC tana ba da lambobi don tabbatar da ɗan adam akan kowane ginshiƙi. Ƙididdiga mai sarrafa kansa yana ba wa wasu gamuwa damar ketare mutane gaba ɗaya.
"Kashe" yana nuna rashin tabbas. Dokokin shigar da marasa lafiya ba sa ba da izinin yin codeing marasa tabbas kamar an tabbatar da su.
Gano ƙwararru yana gano yanayin da ke na wani ban da mara lafiya, kamar ɗan dangi.
Tunawa shine rabon ingantattun lambobin da tsarin ke nunawa. Ƙarƙashin tunawa yana barin masu rikodin suna neman ginshiƙi don abin da ya ɓace.
DNFB tana bin jinkiri tsakanin fitarwa da lissafin kuɗi na ƙarshe, wanda saurin coding da daidaito ke shafar kai tsaye.
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Zuwa gabaJagora na gaba
AI a cikin HCC Risk Daidaita Coding
Masana'antu