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September 14, 2020 — Change Healthcare announced innovative new artificial intelligence (AI) models, trained by expert physicians, which extract meaningful diagnostic information from text in EHRs. The first application of this technology will be within the InterQual AutoReview solution, which automates medical necessity reviews using real-time data from EHRs.Conducting a medical necessity review is a time-consuming process consisting of retrieving and reviewing clinical data from a patient’s record and manually completing the review. This task can take anywhere from 10-30 minutes for a typical review and places a significant administrative burden on highly skilled clinical staff.
The InterQual AutoReview solution already reduces this burden by extracting structured data, such as labs, medications, and vital signs, directly from the EHR — representing up to a 75% reduction in the administrative burden of conducting reviews. Now Change Healthcare AI Natural Language Processing models, created and trained by Change Healthcare’s AI data scientists and expert clinicians and radiologists, can identify diagnostic information, such as the presence of pneumonia, bowel obstruction, pancreatitis, and other conditions, from unstructured radiology reports.
With hundreds of medical reviews conducted in many hospitals each day, the impact of this enhanced technology is significant. Case managers are freed from the administrative burden …
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