AGS AI PLATFORM
DISCLAIMER: The AGS AI Platform Audit module requires prior implementation of CAC, CAPC, or CDI modules.
Overview
Ensure Compliance. Perform Comprehensive CDI and Coding Audits with Ease.
With increased regulatory scrutiny and the continuously shifting landscape of rules and regulations, healthcare organizations and their revenue cycles face mounting pressures. Profit margins are being squeezed while valued reputations face increased risk. To help ease these burdens and ensure compliance, AGS Health offers a fully integrated auditing solution to support CAC, CAPC, and CDI users.
Audit Case Selection
Advanced case-search and selection features enable case sampling across a variety of parameters.
Detailed Audit Reports
Generates an automated Audit Report for audited cases with a code-by-code comparison of the coder and auditor versions.
Coder Feedback Center
A collaborative platform for reviewing where coders can chat, review changes, and compare feedback on claims.
Features
Code Auditing Features and Capabilities
Intelligent Audit Worklists
Focus your attention
Charts are queued for auditing automatically and prioritized based on the likelihood of finding a discrepancy in the audit.
Conduct concurrent auditing
Audit your charts and coding before they are sent to billing without holding up the process.
Concentrate on audits that matter most
Create separate lists for ongoing audit programs and share access with more coders for distributed audit support.
Automatic Audit Suggestions
Assess predicted coding versus actual
Compare our suggested coding to final coding to automatically audit charts with significant variance.
Spot missing documentation
Identify charts that are missing typical documentation to audit before final coding or billing.
Perform targeted specialty audits
Automatically trigger an audit based on a given specialty, provider, or coder. Perform this before billing or retrospectively.
Actionable Audit Reporting
View and compare chart data with ease
Gain a visual display of diagnosis and charge code changes between the original coder and auditor with an opportunity for dispute.
Track audit results quickly
Easily identify providers that are not responding to queries in a timely fashion, and see what queries are not needed based on provider feedback.
Highlight educational opportunities
Review the variance you see between CDI coding assumptions and actual coding going out on claims.
Resources
Dig deeper into Code Auditing
Integrations
Seamlessly integrate your legacy systems with ease.
More Technology
Intelligent Authorization
Automate your financial clearance processes through to improve efficiency, lower costs, avoid authorization-related denials, and enhance the patient financial experience by expediting access to necessary services.
Autonomous Coding
Achieve true coding autonomy through advanced artificial intelligence and award-winning services in one seamless, effortless solution.
Computer-Assisted Coding
Increase the productivity of your facility and professional fee coding while cutting denials, missed charges, and low risk scores by making critical decisions faster.
Computer-Assisted CDI
Automate the review of clinical documentation and queries without using a single spreadsheet.
Revenue Cycle Automation Analytics
Manage and forecast your automated revenue cycle management workflows for peak performance.
Analytics & Reporting
See your data like never before without the constraints of your EHR reporting capabilities.
Clinical NLP APIs
Natural Language Processing APIs that enable you to extract meaningful clinical entities from bundles of unstructured data, seamlessly.
connect with us
Let’s transform your revenue cycle today
When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.
AGS Health LLC.
1015 18th St NW, #1101
Washington DC, 20036
