METHODS, SYSTEMS, AND COMPUTER PROGRAM PRODUCTS FOR CAPTURING MISSING CURRENT PROCEDURAL TERMINOLOGY (CPT) CODES FOR CARE PROVIDED TO A PATIENT

Fecha de publicación: 05/01/2023
Fuente: Wipo Milk or dairy products
A method includes receiving a current claim associated with care provided to a patient by a provider, the claim including a current diagnosis code and a first current procedural terminology (CPT) code that are based on the care that was provided; identifying, using an artificial intelligence (AI) engine, a second current CPT code based on the current diagnosis code and the first current CPT code; and generating a current confidence level value that the second current CPT code is missing from the current claim.