Automating Your Business

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  • 1.  Using IBM Automation Tools for Medical Billing

    Posted Thu November 14, 2024 04:05 PM

    Hi, my name is Tom Letham. I want your suggestions, guys. I have a client for whom I manage the backend of the website, and I'm looking into how IBM automation tools can help improve medical billing processes.

    Has anyone used IBM solutions for tasks like claims processing or workflow optimization? Would love to hear your experiences and tips.

    For reference, you can see the site imedclaims.com.



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    Tom Lehtam
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  • 2.  RE: Using IBM Automation Tools for Medical Billing

    Posted Sun November 17, 2024 10:56 AM

    Hi Tom, I'm not sure if this is 100% relevant, but our case study Simplifying Complex Claims Management with AI-Powered Solutions might be a good place to start. The tech used in the case study was/is BAW, Watsonx.ai, and watsonx. Please send me a message if you'd like to discuss this at some point. You can reach me at: bafrench@salientprocess.com.



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    Brian French
    Managing Partner
    Salient Process, Inc
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    Original Message


  • 3.  RE: Using IBM Automation Tools for Medical Billing

    Posted Mon December 23, 2024 05:26 PM

    Tom

    One of the best ways to improve medical billing is to automate decision-making using IBM's decisioning products (IBM ODM, IBM ADS and IBM DMOE). We've helped several organizations on either side of the medical billing divide (providers, payers and aggregators) automate bill submission and payment decisions. The trick is modeling the decision-making before you implement it so you can easily manage the rules you write and effectively integrate predictive analytics, machine learning and AI. You should also look into using AI to extract information from your documents and at Business Automation Workflow to manage whatever manual review is left. Drop me a note if you'd like to discuss.

    James



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    James Taylor
    Founder and Executive Partner
    Blue Polaris
    Palo Alto CA
    16504003029
    james@decisionmanagementsolutions.com
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    Original Message