The intellectual information system of medical aid control in the scope of Russian medical insurance
| Parent link: | Journal of Physics: Conference Series Vol. 803 : Information Technologies in Business and Industry (ITBI2016).— 2017.— [012162, 5 p.] |
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| Main Author: | |
| Corporate Authors: | , |
| Other Authors: | , |
| Summary: | Title screen The article presents the developed intellectual information system, oriented for healthcare providers. The system solves a problem of medical aid quality control in the Russian medical insurance sphere. The main components are ISO13606, fuzzy logic and a case-based reasoning concept. The system provides medical insurance payments forecasting by the analysis of medical records and generates two evaluations based on medical standards and a set of precedents. The result of the system implementation allowed up to a 10% increase in insurance payments for the healthcare provider. |
| Language: | English |
| Published: |
2017
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| Subjects: | |
| Online Access: | http://dx.doi.org/10.1088/1742-6596/803/1/012162 http://earchive.tpu.ru/handle/11683/38204 |
| Format: | Electronic Book Chapter |
| KOHA link: | https://koha.lib.tpu.ru/cgi-bin/koha/opac-detail.pl?biblionumber=654458 |