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Medical Guidelines Assist (MG Assist)

Medical Guidelines Assist Solution

ZeOmega’s AI-Enabled Solution that Streamlines the Medical Necessity Review Process

Health plans and providers face growing complexity in utilization management. Reviewing large volumes of unstructured clinical documents like PDFs, scanned files, and physician notes to determine medical necessity is a time-consuming, error-prone, and inconsistent process. ZeOmega’s Medical Guidelines Assist (MG Assist) simplifies medical necessity review with AI-powered data extraction and intelligent automation. It automatically extracts and structures clinical data from unstructured documents, identifies matches and highlights key evidence, and presents insights within healthcare utilization management workflows.

Simplifying Medical Necessity Reviews

Medical Guidelines Assist combines AI-driven efficiency with essential human oversight to reduce healthcare providers’ manual workload and support faster, evidence-based care decisions. This solution supports clinicians, medical directors, providers, and office staff with:

  • AI-Powered Data Extraction: Reads and structures clinical information from PDFs, scanned files, and physician notes
  • Compliance Support: Helps organizations stay compliant with payer policies and regulatory standards, reducing audit risks
  • Improved Productivity: Increases efficiency and reduces turnaround time in the decision-making process
  • FHIR® Compatibility: Stores clinical data in FHIR® format for seamless interoperability within modern healthcare systems
  • Reviewer Efficiency: Features like contextual data highlighting and auto-suggested responses reduce time spent searching documents
  • Scalability and Lower Costs: Enables organizations to scale utilization management without proportional increases in staffing
  • Consistency and Traceability: Ensures consistent, rules-driven decisions, eliminating variability from manual policy interpretation
  • Strategic Value: Supports value-based care goals by enhancing care quality, audit readiness, and financial sustainability

Download the Medical Guidelines Assist product overview to explore features and use cases, or contact us to request a demo.

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