Publication Type: Edited Book
STREAMLINING UTILIZATION MANAGEMENT IN HEALTHCARE: AN AI-POWERED APPROACH FOR CASE SUMMARIZATION AND DECISION SUPPORT
Book Name: Unlocking Potential: AI and Data Architecture in Management, Science, and Education
Authors: Lohith Kumar Deshpande
Keywords: Natural Language Processing, Artificial intelligence, Case Summarisation
Area/Stream: ARTIFICIAL INTELLIGENCE / Robotics / Others
Published in: IIP Series
Volume: 4, Month:July ,Year:2025
Page No.: 119-132
e-ISBN: 978-93-7020-908-4
DOI/Link: https://www.doi.org/10.58532/nbennurAPSFSW12
Abstract:
Medical charts have grown in volume and detail, leaving even seasoned utilizationmanagement staff feeling outpaced—a bottleneck that, in turn, delays preauthorizations and clogs the administrative pipeline. Recent investigations suggest that Natural Language Processing (NLP) can help stem this tide, automatically extracting key insights, summarizing cases, and even refining internal review notes by the end of the workday. The promise, quite simply, is shorter backlogs, sharper consistency in yes or no answers, and more mental bandwidth for the humans involved. A testbed framework, warts-and-all technical playbook, plus a handful of side-by-side cases tell the reluctant reader that the code runs, the paper trail tightens, and patient care edges ahead when computers shoulder the grunt work.
Cite this: Lohith Kumar Deshpande,"STREAMLINING UTILIZATION MANAGEMENT IN HEALTHCARE: AN AI-POWERED APPROACH FOR CASE SUMMARIZATION AND DECISION SUPPORT ", Unlocking Potential: AI and Data Architecture in Management, Science, and Education,IIP Series, Volume 4, July , 2025, Page no.119-132, e-ISBN: 978-93-7020-908-4, DOI/Link: https://www.doi.org/10.58532/nbennurAPSFSW12
