#USA #AI Solution #Chesterfield #Healthcare Fraud Shield #RecordPlus

Healthcare Fraud Shield Launches RecordPlus™

Introduction

In a groundbreaking development for the healthcare industry, Healthcare Fraud Shield (HCFS) has unveiled RecordPlus™, a state-of-the-art system designed to tackle the inherent challenges faced during medical record review processes. By leveraging artificial intelligence and advanced automation, RecordPlus™ promises to enhance the efficiency and accuracy of audit and investigative determinations in healthcare claims.

Addressing the Issue of Improper Payments

Recent reports highlight the staggering rate of improper payments within the healthcare system, often attributed to insufficient documentation. Lack of evidence, cloned records, and inadequate support for services rendered are among the primary culprits contributing to these financial discrepancies. RecordPlus™ specifically targets these challenges, automating the time-consuming tasks associated with record analysis to mitigate losses linked to improper billing.

Transformation of Medical Documentation

RecordPlus™ fundamentally changes the way healthcare professionals manage medical records. By converting complex, unstructured documents into actionable intelligence, the system accelerates the auditing process. Utilizing sophisticated Natural Language Generation (NLG), the platform swiftly performs in-depth analyses of records, allowing for the extraction of critical health information, such as:

• - Protected Health Information (PHI)
• - Provider details, including signatures and timestamps
• - Anesthesia and clinical records
• - Evaluation and Management (E/M) data
• - Detection of cloned or duplicate entries
• - Specific medications and procedures

This automation arm enables healthcare reviewers to reach faster and more accurate decisions, essential for maintaining the integrity and reliability of healthcare data.

Seamless Integration with HCFSPlatform™

Another notable feature of RecordPlus™ is its seamless integration within the HCFSPlatform™ ecosystem. This comprehensive platform includes other critical tools like AuditPlus®, PreShield®, PostShield®, RxShield®, and CaseShield®, allowing RecordPlus™ to effectively synthesize and share extracted insights throughout the entire workflow. This holistic approach is designed to enhance consistency, compliance, and ultimately the effectiveness of healthcare audits.

Key Features and Benefits

RecordPlus™ boasts a range of functionalities aimed at maximizing operational efficiency and ensuring regulatory adherence:

• - Advanced Model Analytics: Utilizes sophisticated clinical models for extracting vital audit insights from complex documents.
• - Intelligent Search: Employs advanced indexing and filtering capabilities for rapid access to needed information.
• - Data Security: Ensures the protection of sensitive information—particularly PHI—throughout the reviewing process.
• - Validation Process: Connects claims directly to their corresponding records, facilitating efficient reviews and validations.
• - Compliance Support: Pinpoints relevant policies to support audit accuracy and compliance efforts.
• - Visibility in Operations: Provides real-time tracking of the status of requests and documentation readiness.
• - Integration: Works harmoniously with AuditPlus®, CaseShield®, and additional HCFSPlatform™ tools for comprehensive review procedures.

Conclusion

Healthcare Fraud Shield's RecordPlus™ is more than just a documentation review tool; it's a transformative solution that addresses critical inefficiencies in healthcare audits. By automating and streamlining the record review process, it empowers healthcare professionals to make informed decisions swiftly while maintaining rigorous compliance standards. As HCFS continues to innovate, tools like RecordPlus™ will undoubtedly play a pivotal role in reshaping the landscape of healthcare auditing and fraud prevention.

For inquiries about RecordPlus™, you may contact HCFS at 888-333-8140 or visit their website at hcfraudshield.com.