Patient encounter notes are automatically reviewed in seconds regardless of how many pages are in the record, relevant diagnosis and procedure are identified and highlighted, and codes are recommended for approval. This helps our skilled coding team increase clean claim submission, reduce coding-related denials and get reimbursed faster. 

Identifying the right procedure and diagnosis information in a voluminous patient record quickly augments our coding team’s productivity by 20%. With Coding Accelerator, we are able to handle more claims that then get submitted for payment.

We optimize the performance of our coding team by using our intelligent workflow management module.

Empowers revenue cycle managers

• View associated data, such as the patient name, age, payer and how many pages are in their chart
• Launch the viewer to see the actual patient encounter record
• Track status by unassigned, assigned, in progress, completed and in audit
• View list of coders working on the cases

Manage workloads with lists

We work with you to create work lists for our coders, or create rules to automatically assign patient records to specific coders to code. For example, if you want to assign patient cases with encounter notes over 50 pages and covered by a specific payer, those can automatically be assigned to a specific coder.

Quality scores help reduce coding-related denials

Quality scores of individual coders helps us stay on top of how accurate their coding capability is and take any corrective action to avoid denials downstream. Coding audits are regularly conducted and quality score gets impacted if the audit reveals mistake in their work. Audit records stay available to help coding-related denial management research.

Industry publications frequently report that the ongoing shortage of skilled coding and billing professionals is contributing to increased coding backlogs and coding-related denials, as well as lower reimbursements for patient care delivered.

Current coding technology falls short

Despite advances in computer-assisted coding technology, providers are continuing to struggle with:

• Staying updated with new codes, coding rule changes and clinical guidelines updates.
• Staying updated with specific commercial payer clinical guidelines requirements that differ from Medicare guidelines.
• Lengthy clinically intensive manual reviews that take time and are prone to coding errors.
• Manually reviewing and coding, paging through large ICD, CPT and other coding books to identify the right codes.
• Knowing that the identified code is a billable code for a particular payer.
• Determining the right codes when different procedure codes or diagnosis codes could be used for the same condition.
• Manually typing in keywords or phrases in online coding tool does not match the terms that the physician may use in their notes.
• Recruiting skilled coding team members and effectively train their current coders, especially for their specialty.
• Incomplete patient records or documentation errors from the ordering physician causing additional review and coding delays.

Outcome-driven approach provides complete coverage

For those in complex specialty practices, like cardiovascular and orthopedic surgery, staffing challenges are even more difficult to overcome. We believe we should tackle the coding workflow in the same manner we have been managing patient access and A/R recovery workflows for years – provide complete coverage for our clients with the latest technology leveraged by our team of revenue cycle, compliance and clinical experts.