Health Services Delivery

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Health Services Delivery

Billing Validation and Strengthening Patient Safety

Objectives

Billing codes for radiology studies tends to be determined by the set of images that are collected. However, the work performed by the radiologist is more indicative of the correct billing code appropriate to the complete task. The objective was to determine the optimal billing code from the text in radiology reports.

Methods

A set of complex radiology studies needs to be analysed for the range of work they encompass and matched against their ostensible billing codes. The uncoded work gleaned from the report needs to be automatically coded.

Benefits

Identifying unbilled work

Opportunities

All departments of health suppliers where billing is derived from medical text files and accurate billing is required to match services provided.