Technologies
Right Doc
Right Doc is a AI portal which helps the doctors to improve their documentation in the outpatient setting. The portal facilitates the doctors in selecting the right ICDs and match them to the correct CPTs based on the facility's claim experience with the insurance networks. This can be seamlessly integrated with the EMR / HIS and enhances the doctors' clinical documentation with least number of clicks.
The key utility of the Right Doc is not only to reduce the rejections of the investigations prescribed by the doctor for the patient but also enhance the productivity. The seamless integration of the portal with the EMR / HIS will facilitate bi-directional data transfer and hence reduces the time required for validation.
Key Features - '3R'
Right Coding at Source
The portal will facilitate accurate coding at the doctors' end in the EMR directly and this will improve the documentation of the patients' condition as per the insurance protocols
Reducing the Rejections
As the portal uses advanced AI / ML algorithms on the claim adjudication data of the HCO, the prompts to the doctors are evidence based information driven from the actual experience
Revenue Enhancement
The portal also supports the doctors to review the patients' condition fully and ensure that there are no missed aspects to the presenting condition
Optimizing Financial Health
Right Doc will improve the insurance claims turn around time after submission and will improve the cash flow of the organization. Due to the better and more accurate documentation the Insurance Companies / Third Party Administrators (TPAs) will be able to clear the claims faster and will less rejections. This will not only improve the cashflow but also have a direct impact on the bottom line.