1. Spotting potential fraud
With an estimated $68 billion in yearly healthcare spending in the United States, healthcare fraud (HCF) is a multibillion-dollar drain on healthcare spending. HCF may result from dishonest professionals, sophisticated criminal plots, or sincere providers who unintentionally create errors in billing procedures. Analytics can identify and anticipate fraud through the:
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Examining the claims trends of several insurance policies or insurers
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The upcoding detection (e.g., services that are unnecessary in light of the diagnosis)
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Finding phantom and duplication billing
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Phantom billing is revealed by matching patient claims with the prior medical history.
2. Review electronic medical records (EHRs)
One of the most prevalent applications of big data analytics in healthcare is the usage of electronic health records. EHRs keep track of and record your patient’s medical information, such as existing conditions and allergies, which helps to cut down on the number of pointless tests and their associated expenses. As patients are being treated, sharing patient data among healthcare professionals can eliminate unnecessary testing and enhance patient care. However, big data and analytics for EHR data can improve the quality of care while lowering costs. Medical data is typically segregated for security concerns.
3. Estimating patient volumes
Analytics technologies are being used to forecast the number of patients visiting each department at particular times, much like they are used to forecast the number of people utilizing transportation at a particular time of day. This strategy aids healthcare facilities in the following ways:
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Allocating and managing resources (physicians and supporting staff)
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Lowering irrational labor costs
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A suitable workforce should be assigned as per the workload
4. Reduce Re-admissions
High patient readmission rates within a month of discharge result in higher hospital expenses. Healthcare providers can use big data to identify at-risk patients based on patient trends, medical histories, diagnostic data, and real-time information from medical equipment. So that patients can concentrate on their care rather than their medical bills, hospitals can offer these patients a lower readmission rate.
5. Real-Time Remote Patient Monitoring
To improve patient care, doctors must have access to real-time patient data, such as information on ER visits, length of hospital stays, new diagnoses, treatment outcomes, etc. These real-time insights are obtained from data gathered by IoT sensors and other technologies, which can improve the hospital’s clinical, commercial, and administrative workflows. Real-time data can be analyzed to enable proactive patient care, ensure data-driven decision-making, improve treatment quality, and cut costs using big data and advanced analytics.