Monday, November 26, 2012

IBM Watson Driven Algorithmic Diagnosis for Medicare Paper Work and Medical Billing

It seems everything the federal government has to regulate the health care industry, almost to the point of diverting the industry happens to represent 19% of our GDP - which could simplify the whole processes to reduce costs. At present, we have the FBI Federal Bureau of Investigation in force trying to catch fraud insurance. It is a good thing, unfortunately it is too easy to catch someone accidentally into this trap that was completely innocent.

You see, it is so easy to write code wrong, misdiagnosis of a patient, or to make an honest mistake. Fortunately, now they do not go after these people that they do correct these errors. It seems that we can avoid the mistakes too. Did you know that the IBM computer Watson beat the best players in Jeopardy man is now being used to help diagnose patients? Previously, doctors use their experience, intuition and the patient's history in their diagnosis. Today, IBM Watson (nearly a supercomputer) artificial intelligent program algorithm is used as a diagnostic tool.

You might be surprised how accurate it is, and it is almost as accurate as some of the best doctors in their fields. It uses many different components in the decision matrix, and more generally the top one, two, or three potential diagnosis of a patient are correct. With this tool, physicians can look at what the computer says and then look very carefully to reduce the patient. This will prevent physicians to defensive medicine when they are not quite sure. If they can not take advantage of this computer program to tell them what the diagnosis is likely they can skip unnecessary tasks and save Medicare $ 50 - $ 100 billion per year, I guess.

We want to reduce the cost of medicine and the health of this country right? It is a way to do it and it avoids the use of defensive medicine to avoid malpractice save a huge amount of money. During this time as long as the computer is diagnosed, it can also keep track of what made the diagnosis are, which ones are accepted, and actually billing Medicare. This will prevent people from slipping through the cracks and get into trouble for writing the code wrong. It will also keep doctors honest, and save us money.

Best of all the AI ​​program will get even better over time at diagnosis, improved accuracy means fewer errors.

Papers by insurance and medical billing for the doctor, they will not have to hire as many secretaries of all documentation, which is also significantly increase costs. In addition, it could prevent many doctors decide to completely abandon Medicare patients which is what is happening now, causing shortages and scarcity, as well as increased costs.

It will only get worse with cost control as the number of doctors to withdraw from Medicare. I think we can solve many problems at once using this tool and with good programming and software. That would be my guess. Indeed I hope you will please consider all this and think on it.

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