Intelligent Computer-Assisted and Autonomous Coding Solutions
Medical Coding is, perhaps, the most complex task in revenue cycle management, requiring skilled and certified resources. The industry has seen a rapid increase in revenue leakage due to coding errors. Medical Coding has become increasingly complex over the years with the switchover to ICD-10, changes in the regulatory environment, and clinical documentation requirements. Needless to say, frequent changes in the medical coding guidelines have slowed down the coder's productivity. The tough environment leads to higher denial rates, shortage of skilled and certified coders and puts constant pressure to stay updated with changing payer and industry regulations while improving productivity and quality.
With increasing focus on getting the right reimbursement, improving coding efficiency, and being compliant, healthcare providers are looking at automation solutions that can read medical charts, understand medical terminology, and determine the right codes for processing. Even though many autonomous coding solutions are available in the market, they offer limited coverage to address multiple specialties and inpatient, outpatient, and emergency departments' unique needs. Further, the success is often dependent on the input formats.
A Suite of Autonomous coding Solutions
Access Healthcare offers multiple autonomous coding solutions that extract clinical data from medical records and recommend and/or apply medical codes. While these solutions are specific to specialty and inpatient/outpatient/ED settings, in general, the features include:
A strong OCR engine or HL7 based API to extract clinical data from medical records
A robust natural language processing engine to determine the correct medical condition from the available clinical documentation and look up the valid medical code
Machine learning to improve alignment with NCCI edits and LCD guidelines.
One platform to integrate clinical documentation review, code identification, medical language processing, and edits as per guidelines
Integration with workflow to facilitate audits and improve coding accuracy
Typical Results experienced
Depending on the type of feed, we deliver over 30% improvement in coding productivity and, in some cases, eliminate manual Coding.
Typical implementations see a 3% improvement in the quality of Coding
Cost reduction by 30%
Contact us to learn more about Access Healthcare’s echocode.
