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Future of Healthcare – Medical Coding with AI


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Future of Healthcare – Medical Coding with AI

Artificial Intelligence, Machine Learning and Computer assisted coding systems are the present and future of most industries that aim to take on challenges and achieve a more secure and efficient functioning. Coding for medical diagnosis and treatment is no exception.



In fact, the latest International Classification of Diseases ICD-10 international version has over 14,000 codes for diagnosis which gets further complex in the US with an addition of 70,000+ codes for diagnosis and another 70,000+ codes for treatment. It is beyond human abilities to memorize these codes and ensure accurate medical and dental billing services always.

The number of codes used in the enhanced version of ICD-10 in US have already made medical coding and billing increasingly complex and vulnerable to errors. On top of this, healthcare


organizations are preparing for the implementation of the upcoming ICD-11 from January 2022. It is likely that the number of medical codes will go further up!



How Artificial Intelligence Can Help

Over the course of the last 2 decades healthcare businesses have introduced and adapted to computer assisted coding systems.


In fact, many such systems have already begun incorporating state-of-the-art Machine Learning methods and Artificial Intelligence aspects to enable the system to analyze the clinical documents and determine relevant codes. AI will take it leaps further in terms of increasing accuracy, efficiency and revenue by overcoming human challenges with cognizance.


The CMS (Centers for Medicare & Medicaid Services) reported in FY 2017 that errors caused improper payments of $36.21 billion. Healthcare costing frauds due to false claims and charges were estimated up to $230 billion.


The primary cause remains improper documentation and/or lack of it. From detection and diagnosis to treatment, it is in dire need of simplification of process of medical coding.


Sophisticated AI and cloud analytics like IBM Watson are transforming healthcare and clinical needs by revolutionizing medical coding and billing.



Here’s How…


In addition to the above advantages, the good news for medical coding specialists is that AI is not here for their jobs. The field is far too complex and will always require manual coders due to specific circumstances and many variables.


AI is here to enhance the system, reduce errors and assist for faster revenue cycle management thereby, increasing revenue – the sustenance for every industry. Yes, the future is to move beyond the constraints of manually searching and scanning the codes to find the appropriate one. AI is designed to support the work of medical coders.


Looking for accurate and prompt medical and dental billing services powered by latest technologies and expert coders? Get in touch with us!