New models of care have changed the way healthcare professionals work; even with the pressure of new rules and regulations, healthcare facilities are now bound to provide the best care possible to their patients.
They are investing heavily in People, Process, and Technology. The costs of recruiting experienced and certified healthcare professionals have increased tremendously. True, certified and experienced coders and CDI specialists can best deal with frequently changing guidelines, but with a small investment in technology, hospitals can generate more revenue while lowering their costs.
With the implementation of ICD-10, revenue cycle management has become more complex for hospitals.
However, Artificial Intelligence (AI) and Natural Language Processing (NLP) based software can help simplify the mid-revenue cycle management processes and workflows for your hospital. Tools, such as advanced Computer-assisted Coding (CAC) software are revolutionary and can help your hospital streamline coding workflows radically – optimizing your revenue inflow, and strengthening your mission of providing value-based care.
Health Information Management (HIM) professionals and departments are the biggest beneficiaries of computer-aided coding applications. Listed below are some of the most important benefits when using computer-assisted coding software at your hospital :
CAC software allows coders to review and accept auto-suggested codes. Moreover, the use of computer-assisted coding software can increase coder productivity by reducing their dependency on time-consuming, time-wasting manual coding methods.
CAC software can increase the transparency of your processes by validating the documentation and coding guidelines that went into assigning specific medical codes.
Improves coding accuracy & consistency
Machine Learning is one of the key components of AI-based coding software; the system improves coding accuracy which, in turn, decreases the rate of claim denials and results in reduction in auditing discrepancies. This also improves consistency and ensures that guidelines are met and followed when documentation is not clear, or risk discrepancies.
This application helps improve compliance by providing healthcare professionals with a clear line of sight to evidence with the chart with tracking-based coding system that increases the opportunity to get it right the very first time.
CAC software reads the entire chart and suggests codes or physician queries that result in improved documentation, hence correct DRG/MS DRG assignments. A good computer-assisted coding software typically provides five (5) to ten (10) times the return on investment. Case Study
Security of information
Safeguarding PHI data is critical. A CAC software system can help healthcare organizations make sure that their patients’ personal information remain secure and confidential. HIPAA compliant cloud-based deployment and security processes such as two-factor authentication and PHI data encryption make the patient health information far more secure.
Computer-assisted coding software links codes to the clinical indicators and evidence within the patient chart; this helps coders reduce the flow of misinformation and makes sure that only the correct codes are assigned to the case. Read more here.
Eliminates unnecessary paperwork
An electronic query mechanism is one of the core functionalities of an advanced CAC application. Provided this functionality, coders can collaborate with the CDI team and Physicians effortlessly. Modern CAC applications provide important observations, such as DNFB outliers, missing documents, pending queries, and so on. With an electronically/manually signed query workflow, responses can become a part of the complete chart.
CAC systems provide the function of document traceability (should required documents not be present in the chart.)
Designed with the right technical architecture, such systems give healthcare organizations the capability to stream industry compliant documentation, in real-time. Natural Language Processing converts unstructured data into a structured data format that can be utilized to create real-time reports and documents.
A CAC applications should allow you to take advantage of users coding anytime, anywhere. Devoid of VPNs and Citrix where coders must remote into EHRs, a hosted CAC application provides users the ability to initiate a shared services model, regardless of where coders are located geographically. It’s user interface enables coding supervisors to optimize their processes for a most efficient coding workflow.