USING ALTERNATIVE SOURCES OF EVIDENCE IN COMPUTER-ASSISTED BILLING CODING

摘要

A computerized billing code generator reviews billing source data containing both admissible data (such as physician's notes) and inadmissible data (such as nurse's notes). The billing code generator determines whether to generate a request to review the first data based on both the first data and the second data. For example, the billing code generator may generate the request in response to determining that the second data contains information that is inconsistent with information contained in the first data. As another example, the billing code generator may generate the request in response to determining that the second data contains information that is not contained within the first data.