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Medical Guidelines Digitizer (MG Digitizer)

Medical Guidelines Digitizer Solution

ZeOmega’s Scalable Digitization Service for Converting Medical Guidelines to Clinical Assessment

Health plans depend on complex medical policies to guide utilization management decisions, but converting these lengthy documents into usable, structured formats for prior authorization can be time-consuming, labor-intensive, and prone to error. ZeOmega’s Medical Guidelines Digitizer alleviates this challenge by using AI to interpret clinical policies, extract decision points, and convert content into decision trees and machine-readable formats to power faster, more consistent clinical reviews.

AI: The Smarter Way to Operationalize Medical Policy Documents

Medical Guidelines Digitizer ZeOmega’s healthcare expertise with advanced AI to reduce the manual workload of converting guidelines by as much as 60-80%. This solution supports health plan medical policy authors and editors, UM review staff (nurses and physicians), and provider clinicians and office staff with:

  • Automated Policy Conversion: Converts PDF, Word, and HTML medical policies into simple clinical questions
  • Increased Efficiency: Reduces review time, cost, and delays in decision-making for automation of medical policies
  • Interoperability: Leverages FHIR-based APIs to ingest clinical guideline assessments to utilization management review platforms
  • Clinical Oversight: Every assessment and guideline recommendation generated by AI is manually reviewed and approved by expert clinicians before use, ensuring safe and accurate decision support
  • Improved Accuracy and Compliance: Standardizes decision-making across different clinicians and ensures adherence to clinical medical standards and protocols
  • Empowered Time Management: Allows nurses and specialist physicians to focus time on complex case reviews

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

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