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Merged in bugfix/conversion-factor (pull request #841)

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Bugfix/conversion factor

* fixed default value

* fixed conversion_factor prompt

* post processing error fixed

* fixed missing reimb primaries

* Merged main into bugfix/conversion-factor


Approved-by: Katon Minhas
This commit is contained in:
Mayank Aamseek
2026-01-21 16:07:28 +00:00
committed by Katon Minhas
parent 7b05d6bfe2
commit c62dafb7c1
3 changed files with 4 additions and 3 deletions
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fieldExtraction/src/investment/postprocessing_funcs.py
+3 -1
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@@ -580,8 +580,10 @@ def fill_empty_reimb_pct_rate(df):
pct_empty = string_utils.is_empty(df["REIMB_PCT_RATE"])
fee_empty = string_utils.is_empty(df["REIMB_FEE_RATE"])
conversion_empty = string_utils.is_empty(df["REIMB_CONVERSION_FACTOR"])
applicable_methods = ["Billed Charges", "Fee Schedule", "Case Rate", "Cost"]
method_applicable = df["AARETE_DERIVED_REIMB_METHOD"].isin(applicable_methods)
fill_mask = pct_empty & fee_empty & conversion_empty
fill_mask = pct_empty & fee_empty & conversion_empty & method_applicable
df.loc[fill_mask, "REIMB_PCT_RATE"] = "100"
# Set to N/A for specific reimbursement methods
fieldExtraction/src/prompts/investment_prompts.json
+1 -1
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@@ -40,7 +40,7 @@
"field_name": "REIMB_CONVERSION_FACTOR",
"relationship": "one_to_n",
"field_type": "methodology_breakout",
"prompt": "What is the conversion factor (a specific dollar amount) mentioned in the text? A conversion factor is a dollar amount used to determine payment for healthcare services, typically under a fee-for-service or Diagnosis-Related Group (DRG) reimbursement model. It serves as a multiplier that converts a relative value (such as a DRG weight or Relative Value Unit — RVU) into an actual payment amount. In the case of 'RBRVS', 'RVU', or American Society of Anesthesiology ('ASA'), any dollar amount mentioned refers to a conversion factor, and not to a flat fee rate. If no conversion factor is mentioned, return 'N/A'. If it is mentioned as a dollar amount, return it as a numeric value only (e.g., 1.25 for $1.25)."
"prompt": "What is the conversion factor mentioned in the text? A conversion factor is a dollar amount or multiplier value used to determine payment for healthcare services, typically under a fee-for-service or Diagnosis-Related Group (DRG) reimbursement model. It serves as a multiplier that converts a relative value (such as a DRG weight or Relative Value Unit — RVU) into an actual payment amount. In the case of 'RBRVS', 'RVU', or American Society of Anesthesiology ('ASA'), any dollar amount mentioned refers to a conversion factor, and not to a flat fee rate. If no conversion factor is mentioned, return 'N/A'. If it is mentioned as a dollar amount, return it as a numeric value only (e.g., 1.25 for $1.25)."
},
{
"field_name": "UNIT_OF_MEASURE",
fieldExtraction/src/prompts/prompt_templates.py
-1
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@@ -392,7 +392,6 @@ REIMB_TERM: Describes the method by which the price of the Service is calculated
[EXCLUSIONS]
- NEVER return reimbursement terms that are labeled as Examples or appear in an EXAMPLE section. These are not actual reimbursements and should not be included in the output.
- NEVER return reimbursements from the Reciprocity Agreements section of the contract. These are not actual reimbursements and should not be included in the output.
- NEVER return Payment methodology metrics or reference-only tables (e.g., DRG weights, relative weights, LOS, thresholds). These are not actual reimbursements and should not be included in the output.
[SPECIAL CASES]
Some types of Reimbursements are special and require additional thought.