Case Study 02
Problem
Denial management to ensure fair reimbursement is heavily dependent on manual
claim touches by the staff.
Solution
Predictive analytics is based on using historical data, machine learning, and
artificial intelligence to predict what happens in the future.
The historical data is modeled to examine key trends and patterns in the data.
The model can be applied to the current data to predict what will happen.
As an example of work queue management: Workflows can be prioritized into queues
based on
action required to assist the staff by managing the actions required timely and
efficiently despite increases in claim volume.
Impact Stats