UMHLAHLANDLELA WOKUSEBENZA

I-AI ku-Electronic Health Record Coding

I-AI ifunda amanothi omtholampilo futhi yabela ngokuzenzakalelayo amakhodi amisiwe okukhokha nawokuxilonga asetshenziswa izibhedlela ukuze zikhokhelwe futhi zilandelele ukunakekelwa.

Uhlolojikelele

I-AI ifunda amanothi omtholampilo futhi yabela ngokuzenzakalelayo amakhodi amisiwe okukhokha nawokuxilonga asetshenziswa izibhedlela ukuze zikhokhelwe futhi zilandelele ukunakekelwa. Iqondise emsebenzini oyisicefe, obizayo lapho amakhodi abantu ethatha kancane, eyivela kancane, futhi ethanda ukuba namaphutha abizayo.

I-AI ku-Electronic Health Record Coding igxile ekusetshenzisweni okungokoqobo: ukuguqula amandla emodeli ibe ukuhamba komsebenzi okuthembekile kwansuku zonke okuletha inani elilinganisekayo.

I-Deep Dive

Konke ukuvakasha kwesiguli kufanele kuhunyushwe kumakhodi ajwayelekile: I-ICD-10 yokuxilongwa, i-CPT yezinqubo, kanye ne-HCPCS yezimpahla namasevisi. Lawa makhodi aqhuba imbuyiselo yomshwalense, izibalo zezempilo yomphakathi, nokubikwa kwekhwalithi. Ngokwesiko, amakhodi ezokwelapha aqeqeshiwe afunda lonke ishadi futhi akhethe mathupha emashumini ezinkulungwane zamakhodi angaba khona, inqubo edinga abasebenzi abaningi kanye nomthombo ovamile wamaphutha enkokhiso kanye nokuphikwa kwezicelo. Ukubhala ngekhodi okusizwa yi-AI, okuvame ukubizwa ngokuthi i-computer-assisted coding, isebenzisa ukucubungula kolimi lwemvelo ukuze ufunde amanothi odokotela, ukukhomba izimo nezinqubo ezibhaliwe, futhi uphakamise amakhodi afanelekile anobufakazi obusekelayo obuqokonyiswe embhalweni. Lokhu kusheshisa ukuphuma, kuthuthukisa ukungaguquguquki, futhi kusiza ukuthwebula izimo amakhodi okwenziwa ngesandla angase aphuthelwe, kuyilapho kuhlaba umkhosi izikhala zemibhalo kodokotela.

I-Technical Insight

I-ICD-10 iyodwa inamakhodi acishe abe ngu-70,000, okwenza lokhu kube inkinga yokuhlukanisa amalebula amaningi ngokwedlulele. Amasistimu ahlanganisa ukuqashelwa kwebhizinisi le-NLP, okuthola ukuxilonga nezinqubo embhalweni, kanye nemephu eya kuhlelo lwekhodi nemithetho ephoqelela imihlahlandlela yokufaka amakhodi (ukulandelana, ukucaciswa, ukuhlanganisa). Ukuqaliswa okuqinile kunikeza ubufakazi obuxhumanisayo, okubonisa umusho oqondile othethelela ikhodi ngayinye, okubalulekile ukuze kucwaningwe, ukuthotshelwa, nokuvikela izimangalo ngokumelene nokunqatshelwa komkhokhi.

Ukwenza kahle i-AI ku-Electronic Health Record Coding

I-AI ifunda amanothi omtholampilo futhi yabela ngokuzenzakalelayo amakhodi amisiwe okukhokha nawokuxilonga asetshenziswa izibhedlela ukuze zikhokhelwe futhi zilandelele ukunakekelwa. Iqondise emsebenzini oyisicefe, obizayo lapho amakhodi abantu ethatha kancane, eyivela kancane, futhi ethanda ukuba namaphutha abizayo. I-AI ku-Electronic Health Record Coding igxile ekusetshenzisweni okungokoqobo: ukuguqula amandla emodeli ibe ukuhamba komsebenzi okuthembekile kwansuku zonke okuletha inani elilinganisekayo. Ukuze wakhe ukuqonda okujulile, phatha i-AI ku-Electronic Health Record Coding njengemodeli yokusebenza, hhayi isici esisodwa: chaza imiphumela oyifunayo, ucacise ukucabanga, futhi uhlukanise lokho uhlelo olungakwenza ngokwethembeka kulokho okusadinga ukwahlulela kochwepheshe.

Empeleni, amaqembu aqinile asebenzisa i-AI ku-Electronic Health Record Coding agxila emiphumeleni yokuhamba komsebenzi, hhayi amademo angamamodeli, futhi achaza izindawo zokuhlola abantu kusenesikhathi. Babhala imibandela yempumelelo ecacile, ukuhlola okuqhathaniswa nedatha engokoqobo nokugeleza komsebenzi, futhi baphindaphinde ngokusekelwe kumaphethini okuhluleka aqashiwe esikhundleni sokuwina kwebhentshimakhi yesikhathi esisodwa. Yilapho ukuqonda kwethiyori kuguquka kube amandla ahlala njalo kuwo wonke umkhiqizo, inqubomgomo, kanye nokusebenza.

Idizayini yezinga lohlelo lokusebenza inquma ukuthi i-AI iyathuthukisa yini imiphumela yangempela. Ngesikhathi esifanayo, Ukuzenzakalela inqubo ephukile kungakhulisa izinkinga ezikhona. Indlela eqine kakhulu iwukuhlanganisa isivinini sokuhlola nesiyalo sokuphatha: qhuba abashayeli bezindiza, bamba ubufakazi, ushicilele amalogi ezinqumo, futhi ubuyekeze izivikelo ngokuqhubekayo njengoba imodeli yokuziphatha, okulindelwe ngabasebenzisi, kanye nezimfuneko zokulawula zishintsha.

I-Strategic Impact

Idizayini yezinga lohlelo lokusebenza inquma ukuthi i-AI iyathuthukisa yini imiphumela yangempela.

Idizayini yezinga lohlelo lokusebenza inquma ukuthi i-AI iyathuthukisa yini imiphumela yangempela. Ekusetshenzisweni kwekhwalithi ephezulu, lokhu kuhunyushwa emithethweni yokusebenza elinganisekayo, imingcele yobunikazi, nemikhuba yokubuyekeza ephindelelayo ukuze amaqembu akwazi ukukala ukuzethemba esikhundleni sokukala ukungaqondakali.

Ukuhlanganiswa okuhle kokuhamba komsebenzi kudala izinzuzo zokukhiqiza abasebenzisi abangazethemba.

Ukuhlanganiswa okuhle kokuhamba komsebenzi kudala izinzuzo zokukhiqiza abasebenzisi abangazethemba. Ekusetshenzisweni kwekhwalithi ephezulu, lokhu kuhunyushwa emithethweni yokusebenza elinganisekayo, imingcele yobunikazi, nemikhuba yokubuyekeza ephindelelayo ukuze amaqembu akwazi ukukala ukuzethemba esikhundleni sokukala ukungaqondakali.

Amacala okusetshenziswa ahlelwe kahle anciphisa ukukhathala okushintshile kanye nengozi yokuqaliswa.

Amacala okusetshenziswa ahlelwe kahle anciphisa ukukhathala okushintshile kanye nengozi yokuqaliswa. Ekusetshenzisweni kwekhwalithi ephezulu, lokhu kuhunyushwa emithethweni yokusebenza elinganisekayo, imingcele yobunikazi, nemikhuba yokubuyekeza ephindelelayo ukuze amaqembu akwazi ukukala ukuzethemba esikhundleni sokukala ukungaqondakali.

Ikusasa le-AI ku-Electronic Health Record Coding

Inkambu iqhubekela ekubhaleni amakhodi okuzimele kochwepheshe bevolumu ephezulu, obuyinkimbinkimbi obuncane njenge-radiology kanye nemithi yezimo eziphuthumayo, lapho amakhodi e-AI emangalela ngokubuyekezwa okuncane komuntu. Amamodeli ezilimi amakhulu athuthukisa ukuphathwa kwemibhalo enamaphutha, angaqondakali. Lindela ukuhlangana okujulile nezinhlelo zobuqotho zemibhalo yomtholampilo, lapho i-AI ikhuthaza odokotela ngesikhathi sangempela ukuthi bengeze amakhodi acacisiwe adingekayo. Ukwengamela kuzoqinisa izindlela zokucwaninga nokuvimbela ukukhwabanisa, njengoba amakhodi angalungile angase ahlanganise ukukhwabanisa kwenkokhelo kungakhathaliseki ukuthi kwenziwa ngamabomu noma cha.

Ukuqaliswa Komhlaba Wangempela

Amaqembu e-Radiology asebenzisa izinjini ezizimele zokubhala ikhodi (isb., kusukela kubathengisi abafana neNym noma i-CodaMetrix) ukuze banikeze amakhodi e-ICD-10 kanye ne-CPT emibikweni yokucabanga enokubuyekezwa okuncane komuntu.

Amathuluzi okufaka amakhodi asizwa ngekhompiyutha njenge-3M (Solventum) 360 Encompass aphakamisa amakhodi kumakhodi omuntu futhi agqamise imibhalo esekelayo

Amaqembu obuqotho bemibhalo yomtholampilo asebenzisa i-AI ukuhlaba umkhosi amanothi angenakho ukucaciswa okudingekayo ekubhaleni amakhodi okunembile futhi atshele odokotela ukuthi bacacise.

Amasistimu ezempilo asebenzisa ukuhlolwa kwe-AI ye-pre-bill ukuze abambe amakhodi angaphansi noma amakhodi amaningi ngaphambi kokulethwa kwezimangalo, okunciphisa ukunqatshelwa kwabakhokhi.

Amaphethini Okusebenzisa

I-AI ku-Electronic Health Record Coding isebenza

Amaqembu e-Radiology asebenzisa izinjini ezizimele zokubhala ikhodi (isb., kusukela kubathengisi abafana ne-Nym noma i-CodaMetrix) ukuze banikeze amakhodi e-ICD-10 kanye ne-CPT emibikweni yokucabanga enokubuyekeza okuncane komuntu.

Amaqembu e-Radiology asebenzisa izinjini zokufaka ikhodi ezizimele (isb., kubathengisi abafana noNym noma i-CodaMetrix) ukuze banikeze amakhodi e-ICD-10 ne-CPT emibikweni yokucabanga enokubuyekezwa komuntu okuncane Amathimba ngokuvamile athola imiphumela engcono uma echaza imingcele yekhwalithi ngaphambili, agcine indlela yokukhuphuka komuntu ngamacala asemaphethelweni, futhi alandelele kokubili izinzuzo zokukhiqiza nezindleko zamaphutha ngokuhamba kwesikhathi.

I-AI ku-Electronic Health Record Coding isebenza

Amathuluzi okubhala amakhodi asizwa ngekhompiyutha afana ne-3M (Solventum) 360 Encompass aphakamisa amakhodi kumakhodi omuntu futhi agqamise imibhalo esekelayo.

Amathuluzi okubhala amakhodi asizwa ngekhompiyutha afana ne-3M (Solventum) 360 Encompass aphakamisa amakhodi kumakhodi abantu futhi agqamise imibhalo esekelayo Amathimba ngokuvamile athola imiphumela engcono uma echaza izinga eliphezulu ngaphambili, egcina indlela yokukhuphuka komuntu yamakesi asemaphethelweni, futhi alandelele kokubili izinzuzo zokukhiqiza nezindleko zamaphutha ngokuhamba kwesikhathi.

I-AI ku-Electronic Health Record Coding isebenza

Amaqembu obuqotho amadokhumenti omtholampilo asebenzisa i-AI ukuhlaba umkhosi amanothi angenakho ukucaciswa okudingekayo ekubhaleni amakhodi okunembile futhi atshele odokotela ukuthi bacacise.

Amaqembu obuqotho amadokhumenti omtholampilo asebenzisa i-AI ukuhlaba umkhosi amanothi angenakho ukucaciswa okudingekayo ekubhaleni amakhodi okunembile futhi atshele odokotela ukuthi bacacise Amathimba ngokuvamile athola imiphumela engcono lapho echaza imikhawulo yekhwalithi ngaphambili, egcina indlela yokukhuphuka komuntu yezimo ezibucayi, futhi alandelele kokubili izinzuzo zokukhiqiza nezindleko zamaphutha ngokuhamba kwesikhathi.

I-AI ku-Electronic Health Record Coding isebenza

Amasistimu ezempilo asebenzisa ukuhlolwa kwe-AI ye-pre-bill ukuze abambe amakhodi ngaphansi noma amakhodi amaningi ngaphambi kokuba izimangalo zithunyelwe, okunciphisa ukunqatshelwa kwabakhokhi.

Amasistimu ezempilo asebenzisa ukuhlolwa kwe-AI ye-Bill pre-bill ukuze abambe ukubhalwa kwekhodi ngaphansi noma ukufaka amakhodi ngokweqile ngaphambi kokulethwa kwezimangalo, ukunciphisa ukunqatshelwa kwabakhokhi Amathimba ngokuvamile athola imiphumela engcono lapho echaza izilinganiso zekhwalithi ngaphambili, agcina indlela yokukhuphuka kwabantu yamacala abucayi, futhi alandelele kokubili izinzuzo zokukhiqiza nezindleko zamaphutha ngokuhamba kwesikhathi.

Izingozi & Guardrails

!

Ukuzenzakalela inqubo ephukile kungakhulisa izinkinga ezikhona.

!

Amaqembu angase azenze ngokuzenzakalelayo futhi asuse ukwahlulela komuntu okudingekayo.

!

Ikhwalithi ingakhukhuleka uma okuphumayo kungahlolwa ngokuqhubekayo.

Ukuqalisa Umhlahlandlela

1

Imephu yokuhamba komsebenzi kwamanje futhi uhlonze isinyathelo sokungqubuzana okuphezulu kakhulu.

Imephu yokuhamba komsebenzi kwamanje futhi uhlonze isinyathelo sokungqubuzana okuphezulu kakhulu. Phatha isinyathelo ngasinye njengesango lobufakazi: uma imibandela ingafinyelelwa, misa ukukhishwa, vala igebe, bese unweba ukusetshenziswa.

2

Chaza izindawo zokuhlola abantu ngaphambi kokuzenzakalela okugcwele.

Chaza izindawo zokuhlola abantu ngaphambi kokuzenzakalela okugcwele. Phatha isinyathelo ngasinye njengesango lobufakazi: uma imibandela ingafinyelelwa, misa ukukhishwa, vala igebe, bese unweba ukusetshenziswa.

3

Qeqesha abasebenzisi ngokwaziswa, izindlela zokukhuphuka, namazinga ekhwalithi.

Qeqesha abasebenzisi ngokwaziswa, izindlela zokukhuphuka, namazinga ekhwalithi. Phatha isinyathelo ngasinye njengesango lobufakazi: uma imibandela ingafinyelelwa, misa ukukhishwa, vala igebe, bese unweba ukusetshenziswa.

4

Landelela imiphumela yezinga lomsebenzi ukuze uqinisekise inani eliqhubekayo.

Landelela imiphumela yezinga lomsebenzi ukuze uqinisekise inani eliqhubekayo. Phatha isinyathelo ngasinye njengesango lobufakazi: uma imibandela ingafinyelelwa, misa ukukhishwa, vala igebe, bese unweba ukusetshenziswa.

Qhubeka Uhlole