Identify incorrect documentations
Use AI to spot errors in the healthcare plans
Medical NecessityEnsuring that all services, tests, and treatments provided are medically necessary and clearly documented in relation to the patient’s diagnosis and care plan.
Documentation CompletenessVerifying that charts contain detailed notes, proper coding, and all required elements such as physician certifications, care plans, and progress notes.
Overutilization and Billing Patterns:Examining for unusual patterns in service frequency, duration of care, or billing practices that may indicate overutilization or inappropriate charging.
