COMPUTER-IMPLEMENTED SYSTEM AND METHOD OF FACILITATING ARTIFICIAL INTELLIGENCE BASED REVENUE CYCLE MANAGEMENT IN HEALTHCARE

摘要

A system and method of facilitating revenue cycle management in healthcare are disclosed. A voice module records a physician treating a patient. A speech to text engine converts the recorded voice into a text format to generate a transcription file. The rules are based on the outcome/learning of the artificial intelligence engine to processes the text to automatically populate data field(s) associated with the diagnosis and treatment in a transcription template. The artificial intelligence engine processes document(s) associated with the diagnosis and treatment of the patient to identify code(s) and populating coding field(s) with the code(s). The rules from the dynamic rules engine are used to processes data records associated with the patient to automatically populate field(s) in an insurance claim form of an insurance claim associated with the patient, and identify a payor to be billed with an appropriate amount determined based upon the code(s) identified.