The debut of AI-Bill has been announced by AMS, a healthcare affordability software firm that provides clinical insights and financial analyses of the most expensive and complex medical claims. A user-friendly implant review worksheet is compiled from benchmarked line item prices using Natural Language Processing (NLP), Artificial Intelligence (AI), and Machine Learning (ML).
AMS’ Implant Review Worksheet covers FDA classifications as well as implant and supply expenses. Implants that are not FDA authorized and unsupported implant billings are included in the compiled data. It also contains unanticipated unit numbers for the charged process, billed fee markup, and variation from the real cost.
In under 2 minutes, AMS’ AI-Bill can scan over 75 distinct I-Bill formats and provide a user-friendly Implant Review Worksheet. The file uses artificial intelligence to reconcile recognized line items with data from AMS’ PredictIx module, which includes provider-paid cost data on over 2 million implants.
The AI-powered Predict Platform from AMS is the first cloud-based corporate software in the market that includes bespoke modules for pricing transparency, clinical insights, and financial benchmarking. AMS’ enterprise benefits enable health plans, MGUs, TPAs, and stop-loss carriers to manage medical expenditure and favorably affect healthcare affordability by focusing primarily on assessing the most expensive and complex claims and their financial implications. We believe “Knowledge is Power.”
“AI-Bill is a game-changer for claim auditors. The amount of ever-growing implant data housed in the AMS Predict Platform is the perfect resource to benchmark billed implant charges and provide the supporting data that reviewers need to quickly and effectively complete an audit, “said Peter Borans, CEO, AMS. “It’s cutting-edge technology that will forever change the way implant billing audits are performed.”
