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lester osp 2019-05-13
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Medical Billing, in the United States is used primarily for reimbursement purposes since the codes allow for efficient and accurate billing. We all know what a insurance claim is, Medical Billing is the process of submission and follow up on these insurance claims by insurance companies for the services provided by the healthcare provider. The Medical Coding future consists of software solutions that are able to take advantage of Artificial Intelligence, these AI powered Medical Billing Software Solutions would emerge as a new chapter for healthcare innovations. The medical billing Projects taken up by Medical Billing companies in 2019 leans more towards the use of Computer-Assisted Coding to identify and extract data from documents and apply the appropriate codes. Medical coding, if we talk about it at a very basic level -- is something that a coder takes, a written piece if you may, and translates it as accurately as possible into a coded format such as numeric or alphanumeric code. The piece that's taken for translation can be something such as a prescription for medication or a doctor's diagnosis or something else medical related.
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lester osp 2019-03-11

 The importance of Artificial Intelligence is often understated and also overstating the same is quite difficult.. to get in-depth with how AI is actually bringing changes in MCA, we must get to the basics of what Medical Billing and Coding really are.MEDICAL CODINGMedical coding, if we talk about it at a very basic level -- is something that a coder takes, a written piece if you may, and translates it as accurately as possible into a coded format such as numeric or alphanumeric code.

A code for each and every event is created, these events can be of injuries, diagnosis or medical procedures.Presently, there are about a hundred thousand codes existing that are used for medical procedures, outpatient procedures, and diagnoses.

Let us have a look at a simple example of Medical Coding:Let's say that a patient has walked into a doctor’s office and he/she is coughing tirelessly, they have a high production of mucus, and have a dreaded fever.

Then a nurse walks up to the patient and asks them their symptoms, once the symptoms are noted, she performs some initial tests to get an idea of what is actually going on, and then comes the doctor who analyzes and concludes the diagnoses saying that the patient is suffering from bronchitis.

A medication is then prescribed to the patient by the doctor.Now comes the interesting part of Modern Healthcare, each and every part of the visit is recorded by the clinic be it the doctor or someone in the office who is authorized to carry out such operations.

Then begins the coders job that is to translate all of relevant information of the visit into numeric and alphanumeric codes, which are ultimately used in the billing process.The medical coder should be equipped with the knowledge of a few sets and subsets of code, let's take two of the subsets: International Classification of Diseases (ICD) these codes correspond to a patient’s injury or sickness, and Current Procedure Terminology (CPT) that are related to the functions and services Healthcare providers perform to the patient this can be as performing on them and performing for them.A task included for the Medical Coders is to translate every bit of data or information of the patient's visit to the clinic and shape it in the form of a code.

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0
lester osp 2019-04-22
img

The Healthcare RCM Process is a complicated cycle, it follows an order and it flows in the way as mentioned below:  RegistrationFinancial CounselingCharge CaptureUtilization ReviewMedical Record DocumentationClaims SubmissionThird Party Follow-upRejection ProcessingPayment PostingAppealsContract Management  These are the processes included as a part of Healthcare Revenue Cycle Management Services.

They differ in their features based on the type of software that the Hospital or Clinic is using.

These are the organizations that not only provide Healthcare Revenue Cycle Software but also Healthcare RCM Solutions.

From providing Healthcare Revenue Cycle Analytics that include customized reporting of financial data, information management and providing key performance metrics, it is also ensured that intuitive data visualizations are present to get a better understanding of the reports by just rolling one’s eyes through the charts and graphs -- all just in a single glance.

Errors such as code flaws, inaccurate capturing of patient data, low quality of patient engagement and other factors are analysed using Healthcare Revenue Cycle Analysis softwares in order to get an overview of the situation and ensure that Healthcare Revenue Cycle Management Optimization is done correctly to leave no room for errors.

Also, in hindsight, Healthcare Revenue Cycle Management (RCM) Outsourcing does not account to being a better fit than Healthcare RCM Softwares.

collect
0
lester osp 2019-02-06
img

Today, in the world of Healthcare and Information Technology there are a huge number of small companies that are entering the competition, now -- as a matter of fact, these so called 'small healthcare technology companies' have been much more successful than these large non-industry-specific technology companies and specifically in addressing the the issues related to the industry-specific needs of healthcare.In the years leading up until this present day, there are many examples around us where we saw that the large and the better known technology organizations -- those that had invested in the Health Information Technology market with high expectations ended up hitting up bad values such as low sales, low revenues, negative investment returns that displayed their inability to capture the right mindset required to take a lead in this market.

These large organizations, with the help of the newly integrated technology industry began to build the so called Healthcare Solutions and began selling them, in the present day there are many companies that provide Custom Healthcare Solutions which are totally customized to the clients needs, this change is the change that brought in a new wave of clients than before, if you did want such software solutions, there were a defined set of them from which you had to choose, there was no way to provide better features even if you wanted to this all changed with the aid of HIT.The interesting part of this all is the way these different organizations put forth their approach and ideas on the subject of the application, the solution and the addressing of the business and clinical challenges in healthcare.

Today, the solutions such as Electronic Medical Records (EMR's), Health Information Exchanges (HIE) and as of most recently, Enterprise Business Intelligence Solutions more commonly known as Business Intelligence (BI).These Healthcare Solution Companies also provide Custom Medical Solutions that include the likes of EMR's and EHR's now since we are on the subject of things such as EMR's we can say that the key to a successful and well run medical practice is the bedrock to understand that being efficient and effective is an important factor for patient care.

The present-day medical practices are shifting away from the outdated paper charts and are heading towards technologies such as Electronic Records and Patient Portals.

It is used for the storage of the patient's medical history, medications, lab results, treatment plans, and even patient billing information in a centralized database.The reports created by these EMR's use a kind of unique algorithm which takes some factors of each product into consideration such as the active customer count, active user count, the social presence.

These 'Active Customers' are defined as organizations that license the product these can range anywhere from practices, hospitals, etc, and 'Active Users' as medical professionals who access the system, these include doctors, nurses, office staff, etc.

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0
lester osp 2019-03-29

What it does is that it connects the various systems and machines all together through the means of sensors and other tracking devices in order to obtain meaningful information from these systems, the end result being a huge improvement in human productivity and efficiency.Some examples of the work IoT does are:- Giving reminders to complete tasks like those such as bill payment or the parking meter payments, etc.- The lighting on the streets being enhanced by Smart Lighting through the use of sensors.- Similar to smart lighting, it can be used for the automation of traffic signals.- IoT enhanced 'Smart Automobiles' that can adapt to the dynamic environmental conditions.- Assistance in Healthcare Sector through the use of remote administered medication and remote monitoring of patients.But as the saying goes "With great power comes great responsibility" so does the burden of responsibility come on IoT.

The IoT devices are specially designed to reduce power consumption with their limited connectivity, the disposable nature of these devices makes it a challenge for implementation of security measures such as encryption and other robust security options, even through all this, one security threat persists that is cyber attacks.Now the question arises is that what is it's impact on you?The new saying for the future is most probably going to be something like "Everything that can be connected, will be connected" But why on earth would you want so many connected devices talking to each other?

There are in fact many examples for what this might look like or what the potential value of this would be.

Let's say for example you are in your can, on way to attend a meeting, now due to the presence of IoT, your car would have access to your calendar and will already know the best path to reach your destination.

If the traffic is heavy your car will send a text to the other person and notify them that you will be late, or what if your alarm starts ringing to wake you and then notifies your coffee brewing machine to brew some strong coffee.

What if your office equipment knew when it was running low on supplies and automatically re-ordered more?

collect
0
lester osp 2019-02-04

Lets take a brief look at the journey of AI through the Financial Industry and whether or not its incorporation has proved to be beneficial.As intelligence is believed to be a gift by nature.

The ethical argument continues about whether the human intelligence is to be replicated or not, technological advancement in Artificial Intelligence, a rather complex but seamlessly interesting domain – has proved to be a rising factor among a number of industries, and Finance is one of them.

AI started taking over the the Finance industry in the form of waves which only grew larger and ended up turning into tides, the AI Technology used now a days includes providing value-based business strategies, improving customer experiences, increasing revenue generation reduction of costs.One interesting point that we can take from AI is that since it is an emerging entity known for its factor of success for many industries, the finance industry has thus also followed the footsteps others took and aimed towards increasing revenues and achieving business goals through it.

From providing value-based business strategies, improved customer experiences, increased revenue generation and reduced costs, AI has been establishing itself as a significant technological advancement to achieving business success.But the secret behind this resurgence of AI is the Availability of Big Data.The machine learning algorithms, more specifically, the deep learning algorithms, required enormous amount of data.

For example, lets take a supervised Neural Network with about 50 input attributes and 1 output perceptron and with three hidden layers containing 50 perceptrons each of which consits of 10,050 connections, now this network may require a hundred thousand or even more labelled data points for training since each connections weight would be needed to be optimized.

To our luck, inexpensive and easily available hardware and network connectivity has allowed humans to produce more than 8 quadrillion Gigabytes of data by 2017.

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0
lester osp 2019-03-19
img

Custom Software Development is a thing of the present and the future, companies are beginning to realize what they've missed out on and why the word Custom has a price tag attached to it.

The word 'Custom' had been thrown around many times in the past but it's only recently attached to many different words, but it's latched on to one in particular that is Software Development.Let's take a look at Custom Softwares, and why is turning it into a norm.What is Custom Software?

to satisfy a whole process of work (employees, end clients, intermediaries) as well as to target a certain group of people, for example, workers in a company, to satisfy their business requirements, many companies are turning over towards boutique software development companies as there's a more closer bond between the developers and the clients in such environments.A company choosing custom software development over a non-customized software is the one that knows of it's business goals, knows the benefits that it provides over pre-configured products and knows the advantages it can give over its competitors.There are some advantages and disadvantages that it provides, but all in all, the advantages outweigh the disadvantages if done right.Advantages: It contains only the required functions as the client needs.

Competitive advantage over its competitors.

It's easier to implement since it's built around the companies business process.

Keeping long run goals in mind, Custom Software is more favorable for the company's business environment.Disadvantages: High development costs.

collect
0
lester osp 2019-01-28
img

The Finance Industry is where the money is at.

And the place where the money is at, there's bound to be risks and threats of losing that money along the way, be it Accounting or Lending even.One way of securing the Finance Industry of fraud and threats is the implementation of AI in order to provide the required amount of security in a financial domain a number of strict protocols have to be followed.

The progress in Artificial Intelligence in recent times has excelled to such an extent that a number of AI-based machine learning applications have been developed at near perfection to sort out the obvious issues, direct or indirect that are faced by the Financial Services domain, these applications range from sentiment analysis, fraud detection, credit scoring, trading signals, risk management models, capital optimization trading portfolio management to regulatory compliance.One of the main reasons that AI in Financial Security has gained a huge traction is because of its potential to go above and beyond the capabilities humans are capable of.

AI is embedded into the financial services through the use of advanced algorithms and deep learning since this field is very volatile and any error or poor handling can send the whole industry crashing down.Having to integrate AI to it's now-partner Finance, was a challenging task in its own, the main challenge here was to get everything on the right track.

You see, Finance is a volatile domain, the numbers and data keep fluctuating back and forth which is why there was a need of a consistent and robust system along with an algorithm that can keep up to the changing conditions of Finance (mind you, changes in Finance take place every second) so that could handle everything in seconds.The technology age walked up to us and then voila!

There were human brains that were being driven by machines and everyone was now looking at the bigger picture that was -- handling the rigorous tasks that were required to perform by humans but are now performed by near-perfect machine-humans.If you can take a deeper look about the use of AI in Finance in our article that we published. 

collect
0
lester osp 2019-05-13
img
Medical Billing, in the United States is used primarily for reimbursement purposes since the codes allow for efficient and accurate billing. We all know what a insurance claim is, Medical Billing is the process of submission and follow up on these insurance claims by insurance companies for the services provided by the healthcare provider. The Medical Coding future consists of software solutions that are able to take advantage of Artificial Intelligence, these AI powered Medical Billing Software Solutions would emerge as a new chapter for healthcare innovations. The medical billing Projects taken up by Medical Billing companies in 2019 leans more towards the use of Computer-Assisted Coding to identify and extract data from documents and apply the appropriate codes. Medical coding, if we talk about it at a very basic level -- is something that a coder takes, a written piece if you may, and translates it as accurately as possible into a coded format such as numeric or alphanumeric code. The piece that's taken for translation can be something such as a prescription for medication or a doctor's diagnosis or something else medical related.
lester osp 2019-03-29

What it does is that it connects the various systems and machines all together through the means of sensors and other tracking devices in order to obtain meaningful information from these systems, the end result being a huge improvement in human productivity and efficiency.Some examples of the work IoT does are:- Giving reminders to complete tasks like those such as bill payment or the parking meter payments, etc.- The lighting on the streets being enhanced by Smart Lighting through the use of sensors.- Similar to smart lighting, it can be used for the automation of traffic signals.- IoT enhanced 'Smart Automobiles' that can adapt to the dynamic environmental conditions.- Assistance in Healthcare Sector through the use of remote administered medication and remote monitoring of patients.But as the saying goes "With great power comes great responsibility" so does the burden of responsibility come on IoT.

The IoT devices are specially designed to reduce power consumption with their limited connectivity, the disposable nature of these devices makes it a challenge for implementation of security measures such as encryption and other robust security options, even through all this, one security threat persists that is cyber attacks.Now the question arises is that what is it's impact on you?The new saying for the future is most probably going to be something like "Everything that can be connected, will be connected" But why on earth would you want so many connected devices talking to each other?

There are in fact many examples for what this might look like or what the potential value of this would be.

Let's say for example you are in your can, on way to attend a meeting, now due to the presence of IoT, your car would have access to your calendar and will already know the best path to reach your destination.

If the traffic is heavy your car will send a text to the other person and notify them that you will be late, or what if your alarm starts ringing to wake you and then notifies your coffee brewing machine to brew some strong coffee.

What if your office equipment knew when it was running low on supplies and automatically re-ordered more?

lester osp 2019-03-11

 The importance of Artificial Intelligence is often understated and also overstating the same is quite difficult.. to get in-depth with how AI is actually bringing changes in MCA, we must get to the basics of what Medical Billing and Coding really are.MEDICAL CODINGMedical coding, if we talk about it at a very basic level -- is something that a coder takes, a written piece if you may, and translates it as accurately as possible into a coded format such as numeric or alphanumeric code.

A code for each and every event is created, these events can be of injuries, diagnosis or medical procedures.Presently, there are about a hundred thousand codes existing that are used for medical procedures, outpatient procedures, and diagnoses.

Let us have a look at a simple example of Medical Coding:Let's say that a patient has walked into a doctor’s office and he/she is coughing tirelessly, they have a high production of mucus, and have a dreaded fever.

Then a nurse walks up to the patient and asks them their symptoms, once the symptoms are noted, she performs some initial tests to get an idea of what is actually going on, and then comes the doctor who analyzes and concludes the diagnoses saying that the patient is suffering from bronchitis.

A medication is then prescribed to the patient by the doctor.Now comes the interesting part of Modern Healthcare, each and every part of the visit is recorded by the clinic be it the doctor or someone in the office who is authorized to carry out such operations.

Then begins the coders job that is to translate all of relevant information of the visit into numeric and alphanumeric codes, which are ultimately used in the billing process.The medical coder should be equipped with the knowledge of a few sets and subsets of code, let's take two of the subsets: International Classification of Diseases (ICD) these codes correspond to a patient’s injury or sickness, and Current Procedure Terminology (CPT) that are related to the functions and services Healthcare providers perform to the patient this can be as performing on them and performing for them.A task included for the Medical Coders is to translate every bit of data or information of the patient's visit to the clinic and shape it in the form of a code.

lester osp 2019-02-04

Lets take a brief look at the journey of AI through the Financial Industry and whether or not its incorporation has proved to be beneficial.As intelligence is believed to be a gift by nature.

The ethical argument continues about whether the human intelligence is to be replicated or not, technological advancement in Artificial Intelligence, a rather complex but seamlessly interesting domain – has proved to be a rising factor among a number of industries, and Finance is one of them.

AI started taking over the the Finance industry in the form of waves which only grew larger and ended up turning into tides, the AI Technology used now a days includes providing value-based business strategies, improving customer experiences, increasing revenue generation reduction of costs.One interesting point that we can take from AI is that since it is an emerging entity known for its factor of success for many industries, the finance industry has thus also followed the footsteps others took and aimed towards increasing revenues and achieving business goals through it.

From providing value-based business strategies, improved customer experiences, increased revenue generation and reduced costs, AI has been establishing itself as a significant technological advancement to achieving business success.But the secret behind this resurgence of AI is the Availability of Big Data.The machine learning algorithms, more specifically, the deep learning algorithms, required enormous amount of data.

For example, lets take a supervised Neural Network with about 50 input attributes and 1 output perceptron and with three hidden layers containing 50 perceptrons each of which consits of 10,050 connections, now this network may require a hundred thousand or even more labelled data points for training since each connections weight would be needed to be optimized.

To our luck, inexpensive and easily available hardware and network connectivity has allowed humans to produce more than 8 quadrillion Gigabytes of data by 2017.

lester osp 2019-04-22
img

The Healthcare RCM Process is a complicated cycle, it follows an order and it flows in the way as mentioned below:  RegistrationFinancial CounselingCharge CaptureUtilization ReviewMedical Record DocumentationClaims SubmissionThird Party Follow-upRejection ProcessingPayment PostingAppealsContract Management  These are the processes included as a part of Healthcare Revenue Cycle Management Services.

They differ in their features based on the type of software that the Hospital or Clinic is using.

These are the organizations that not only provide Healthcare Revenue Cycle Software but also Healthcare RCM Solutions.

From providing Healthcare Revenue Cycle Analytics that include customized reporting of financial data, information management and providing key performance metrics, it is also ensured that intuitive data visualizations are present to get a better understanding of the reports by just rolling one’s eyes through the charts and graphs -- all just in a single glance.

Errors such as code flaws, inaccurate capturing of patient data, low quality of patient engagement and other factors are analysed using Healthcare Revenue Cycle Analysis softwares in order to get an overview of the situation and ensure that Healthcare Revenue Cycle Management Optimization is done correctly to leave no room for errors.

Also, in hindsight, Healthcare Revenue Cycle Management (RCM) Outsourcing does not account to being a better fit than Healthcare RCM Softwares.

lester osp 2019-03-19
img

Custom Software Development is a thing of the present and the future, companies are beginning to realize what they've missed out on and why the word Custom has a price tag attached to it.

The word 'Custom' had been thrown around many times in the past but it's only recently attached to many different words, but it's latched on to one in particular that is Software Development.Let's take a look at Custom Softwares, and why is turning it into a norm.What is Custom Software?

to satisfy a whole process of work (employees, end clients, intermediaries) as well as to target a certain group of people, for example, workers in a company, to satisfy their business requirements, many companies are turning over towards boutique software development companies as there's a more closer bond between the developers and the clients in such environments.A company choosing custom software development over a non-customized software is the one that knows of it's business goals, knows the benefits that it provides over pre-configured products and knows the advantages it can give over its competitors.There are some advantages and disadvantages that it provides, but all in all, the advantages outweigh the disadvantages if done right.Advantages: It contains only the required functions as the client needs.

Competitive advantage over its competitors.

It's easier to implement since it's built around the companies business process.

Keeping long run goals in mind, Custom Software is more favorable for the company's business environment.Disadvantages: High development costs.

lester osp 2019-02-06
img

Today, in the world of Healthcare and Information Technology there are a huge number of small companies that are entering the competition, now -- as a matter of fact, these so called 'small healthcare technology companies' have been much more successful than these large non-industry-specific technology companies and specifically in addressing the the issues related to the industry-specific needs of healthcare.In the years leading up until this present day, there are many examples around us where we saw that the large and the better known technology organizations -- those that had invested in the Health Information Technology market with high expectations ended up hitting up bad values such as low sales, low revenues, negative investment returns that displayed their inability to capture the right mindset required to take a lead in this market.

These large organizations, with the help of the newly integrated technology industry began to build the so called Healthcare Solutions and began selling them, in the present day there are many companies that provide Custom Healthcare Solutions which are totally customized to the clients needs, this change is the change that brought in a new wave of clients than before, if you did want such software solutions, there were a defined set of them from which you had to choose, there was no way to provide better features even if you wanted to this all changed with the aid of HIT.The interesting part of this all is the way these different organizations put forth their approach and ideas on the subject of the application, the solution and the addressing of the business and clinical challenges in healthcare.

Today, the solutions such as Electronic Medical Records (EMR's), Health Information Exchanges (HIE) and as of most recently, Enterprise Business Intelligence Solutions more commonly known as Business Intelligence (BI).These Healthcare Solution Companies also provide Custom Medical Solutions that include the likes of EMR's and EHR's now since we are on the subject of things such as EMR's we can say that the key to a successful and well run medical practice is the bedrock to understand that being efficient and effective is an important factor for patient care.

The present-day medical practices are shifting away from the outdated paper charts and are heading towards technologies such as Electronic Records and Patient Portals.

It is used for the storage of the patient's medical history, medications, lab results, treatment plans, and even patient billing information in a centralized database.The reports created by these EMR's use a kind of unique algorithm which takes some factors of each product into consideration such as the active customer count, active user count, the social presence.

These 'Active Customers' are defined as organizations that license the product these can range anywhere from practices, hospitals, etc, and 'Active Users' as medical professionals who access the system, these include doctors, nurses, office staff, etc.

lester osp 2019-01-28
img

The Finance Industry is where the money is at.

And the place where the money is at, there's bound to be risks and threats of losing that money along the way, be it Accounting or Lending even.One way of securing the Finance Industry of fraud and threats is the implementation of AI in order to provide the required amount of security in a financial domain a number of strict protocols have to be followed.

The progress in Artificial Intelligence in recent times has excelled to such an extent that a number of AI-based machine learning applications have been developed at near perfection to sort out the obvious issues, direct or indirect that are faced by the Financial Services domain, these applications range from sentiment analysis, fraud detection, credit scoring, trading signals, risk management models, capital optimization trading portfolio management to regulatory compliance.One of the main reasons that AI in Financial Security has gained a huge traction is because of its potential to go above and beyond the capabilities humans are capable of.

AI is embedded into the financial services through the use of advanced algorithms and deep learning since this field is very volatile and any error or poor handling can send the whole industry crashing down.Having to integrate AI to it's now-partner Finance, was a challenging task in its own, the main challenge here was to get everything on the right track.

You see, Finance is a volatile domain, the numbers and data keep fluctuating back and forth which is why there was a need of a consistent and robust system along with an algorithm that can keep up to the changing conditions of Finance (mind you, changes in Finance take place every second) so that could handle everything in seconds.The technology age walked up to us and then voila!

There were human brains that were being driven by machines and everyone was now looking at the bigger picture that was -- handling the rigorous tasks that were required to perform by humans but are now performed by near-perfect machine-humans.If you can take a deeper look about the use of AI in Finance in our article that we published.