Expert systems for third-party reimbursement: planting seeds for accuracy.

Abstract

Predictably, the genesis of most business expert systems development is not related to one particular issue, but to a series of business issues that converge to form the basis for system design as either enhancements or overhauls. Rarely, if ever, is there a conclusion to the system's enhancement process, but rather, an ongoing evolution of the system as dictated by a multitude of both internal and external forces. The focal point of these processes must be to benefit our customers and the markets we serve.