DELPHI METHOD FOR MEDICAL CODING

摘要

Systems and methods provide confirmation of accuracy of determining medical codes for medical records. The technology may include processor control instructions or steps for establishing a collection of medical documents as a test sample and for determining a convergence of assigned medical codes for the sample that have been assigned by a plurality of coders to establish a standard of one or more accepted medical codes for the sample. The technology may include instructions for applying the sample to a coding system to obtain a determined medical code for the sample; and for comparing the determined code to the accepted medical codes to rate the coding system's accuracy. In some embodiments, the determined medical codes may be obtained by a software coding algorithm that automatically assigns medical codes to medical records. Moreover, the comparing step may be performed by an algorithm that automatically calculates a rate of the coding system.