Manual processes supporting this journey can be complicated, laborious and tiring. With different people accessing, analysing and reporting patient’s records, the primary challenge has always been to overcome accuracy issues – accuracy of organising and distributing data.
On these lines, to protect and secure healthcare information, the Workgroup for Electronic Data Interchange (WEDI) was formed in 1991 by Secretary of HHS, Dr. Louis Sullivan in an effort to identify opportunities to improve the efficiency of health data exchange and was also listed in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulation. The introduction on WEDI was a huge success in streamlining 400+ paper-based medical forms and eliminating multiple formats.
Apart from HIPAA regulations, there are multiple manual steps that data/claim must go through before it reaches the payer accurately. And manual steps can leave room for error. However, there are ways such as automation, artificial intelligence, machine learning, etc., to ensure accuracy. Let’s take a deeper look at this.