Each time healthcare providers administer care services or medications, they have to manually encode it into a dedicated software that will then bill patients. However, it happens that medical acts are occasionally forgotten: for instance, when a blood work is performed on a patient, the blood pouch equipment should also always be encoded as well. In practice, it is not always the case. These omissions, while individually arm less for hospital finances, can result in a big loss of revenue for the hospital at the end of the months.
Saint-Luc, the largest hospital in Brussels, asked Sagacify for a solution to detect these revenue leakages.
To solve the problem of spotting invoicing anomalies, we split the anomalies detection into two different models:
Since the integration of the models is of crucial importance in this project, we also co-created a web application with the client, to facilitate the investigation of detected anomalies by the invoicing team.
In production, around 70% of the anomalies pointed out in the top 50 turned out to be real errors, which greatly facilitates the work of the financial team, and helps them spot errors that would have gone unnoticed otherwise.
Thanks to our collaboration, Saint-Luc is now able to detect anomalies in invoices and can rectify the problems with a significantly reduced effort.