| CPC G16H 10/60 (2018.01) [G06F 16/313 (2019.01); G06F 40/134 (2020.01); G06F 40/169 (2020.01); G16H 70/00 (2018.01)] | 14 Claims |
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1. A health information computer system comprising:
at least one memory with instructions stored thereon; and
at least one processor in communication with the at least one memory, wherein the instructions, when executed by the at least one processor, cause the at least one processor to:
receive a plurality of medical record documents;
select a model and model weights based on an annotation activity and a user, wherein the selecting includes modifying a dynamic confidence threshold based at least in part on the annotation activity, wherein the dynamic confidence threshold is applied to at least some documents of the plurality of medical record documents;
identify a finding using the model;
transform the plurality of medical record documents into a structured data set;
select a number of the plurality of medical record documents associated with the finding;
embed links into the structured data set that reference at least one medical record source document of the number of medical record documents;
identify a set of proficient coders by filtering a plurality of coders for proficiency, wherein proficiency is a metric including accuracy in an area associated with the finding and time taken to perform coding in the area:
measure a number of risk adjustment factors each proficient coder of the set of proficient coders completes per hour on average, a rate of false positive coding measured as a rate of annotation disagreement with a supervisor, and an accuracy measure comprising a degree that a given coder agrees with other coders when presented the same task;
route the structured dataset to a coder of the set of proficient coders based at least in part upon the number of risk adjustment factors; and
submit the finding for reimbursement.
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