System and method for data quality assurance cycle
AssigneeRady Children's Hospital - San Diego
InventorsBrenna Duncan, Hui-Wen Harrison, Bruce Russell, Vani Bobba
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AssigneeRady Children's Hospital - San Diego
InventorsBrenna Duncan, Hui-Wen Harrison, Bruce Russell, Vani Bobba
Estimating the term…
A system and method for automated quality assurance including a quality assurance application server for managing quality assurance. The quality assurance application server includes an application configuration module which has a data configuration module configured to define configurable reference fields to be captured and reviewed during the processing of the records. The application configuration module also has a rules configuration module to receive, create or modify a set of rules where the configurable reference fields are selectable when the rules are defined. The system also includes a portal module for processing the received records and applying the set of rules to the record. The portal module includes a quality assurance records review module configured to evaluate and validate the received records and to generate an output utilized to validate the record to ensure compliance with a data recipient, for example payer billing, standards.
A system, comprising:
A method comprising, by at least one hardware processor:
A non-transitory computer readable medium having stored thereon one or more sequences of instructions for causing one or more processors to perform steps comprising:
Dependencies are inferred from the claim text.