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This paper describes successful implementation of a rule based system at MTBC, for applying billing compliance rules on medical claims. Rule engine has been developed in structured query language as stored procedures, which is one of the unique features of this rule based system. Implementing rule engine in SQL has provided two major benefits. Firstly, as operational data of the organization is in...
Apriori algorithm has been successfully used for finding the frequent item sets in retail data. This research is about finding associations between diagnosis and treatments. It has shown that the algorithm is equally beneficent for finding the large item sets and thus generating the association rules in medical billing data. Resemblance between medical bill and purchase bill is the motivation of using...
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