Change Healthcare Artificial Intelligence Decreases Administrative Burden of Case Management
10 September 2020 - 1:00PM
Business Wire
AI automatically extracts diagnostic data from
clinical notes to increase efficiency of automated medical
necessity reviews by over 20%
Today Change Healthcare (Nasdaq: CHNG) announced innovative new
Artificial Intelligence 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 of not only
retrieving and reviewing information, but also interpreting
narratives, enabling them to focus on more complex cases.
“This is an extremely helpful application of AI for case
managers,” said Nilo Mehrabian, VP of Client Strategy, Decision
Support, at Change Healthcare. “InterQual AutoReview already
reduces the amount of time case managers spend completing medical
necessity reviews, and now it can automatically eliminate one of
the most time-consuming and subjective aspects of a
review—deciphering a radiologist’s report.”
The new Change Healthcare AI models are trained using clinical
data and are honed by expert physicians. As a result, the InterQual
AutoReview™ solution can identify diagnostic information, such as
the presence of pneumonia from unstructured clinical narratives,
enabling an additional 20% of pneumonia reviews to be automatically
completed on top of reviews already completed through structured
EHR data. This is just one of several Change Healthcare-developed
AI models with ultra-high prediction accuracy that can be used to
improve processes across the Change Healthcare portfolio and
healthcare industry.
Providers interested in learning more about this new AI
technology within the InterQual AutoReview™ solution can visit the
InterQual AutoReview AI resource page.
For more information on Change Healthcare, please visit our
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About Change Healthcare
Change Healthcare (Nasdaq: CHNG) is a leading independent
healthcare technology company, focused on insights, innovation, and
accelerating the transformation of the U.S. healthcare system
through the power of the Change Healthcare Platform. We provide
data and analytics-driven solutions to improve clinical, financial,
administrative, and patient engagement outcomes in the U.S.
healthcare system. Learn more at changehealthcare.com.
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Amy Valli Media Relations Change Healthcare 215-962-5531
amy.valli@changehealthcare.com
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