Which of the following types of review does NOT require human intervention in the initial assessment?

The correct answer is a type of review that employs technology to evaluate data without requiring initial input or decision-making from human auditors. An automated review typically utilizes predefined algorithms, artificial intelligence, or machine learning technologies to swiftly analyze claims, medical records, or other relevant documentation. This allows for quick identification of patterns or discrepancies based solely on preset criteria.

In contrast, semi-automated reviews blend technology with some level of human oversight. This means that while automation may handle significant portions of the review, the final assessment involves human judgment.

Complex reviews necessitate detailed analysis that often requires a human touch to interpret nuanced clinical information, billing practices, or compliance standards.

Interactive reviews demand real-time interaction between the auditor and the data or stakeholders involved, making them reliant on human engagement in the assessment process.

Understanding the differences among these types is essential for auditors, as it helps establish the most efficient processes for reviewing submissions while determining when human intervention is needed.