Healthcare AI Automation Platform

August 1, 2024
5 min read

Problem: The Vendor created a medical coding automation tool, designed to predict both Procedure (CPT) and ICD-10 codes from unstructured surgical documents. As a startup vendor in a heavily regulated industry, the vendor needed third party validation that it could effectively reduce claim denials while maintaining high accuracy.

Armilla AI’s Solution:

  • Evaluated 2500 surgical reports from 35 different facilities along with their corresponding ground-truth medical codes for the assessment
  • Assessed the platform’s ability to reduce claim denials by 60%
  • Verified the platform operated with a combined accuracy of over 95%
  • Issued a warranty on the platform’s performance and reliability

Outcome: Armilla’s validation and warranty provided the client with a crucial safeguard against risks associated with AI-driven automation in healthcare, such as bad clinical data, data bias, and misinterpretation of clinical context. This assurance helped the company reduce sales cycles by 30% with hospitals by offering customers comfort and confidence in their platform's performance.

“Working with Armilla has been a defining moment in our journey because AI-driven automation in the healthcare industry is riddled with risks stemming from bad clinical data, data bias, and misinterpretation of clinical context and reimbursement guideline variances. We’ve been missing a shield to protect us from this inherent risk and give our customers comfort for those ‘what if’ scenarios. This warranty offering is what the AI industry has been waiting for and has helped us greatly in cutting the sales cycles with hospitals.”

  • CEO
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