Case Study
St. Joseph’s Health Realizes Double-Digit Drop in Coding Denials with CAPC Services
Overview
Dramatically increase coder productivity and code capture.
When it comes to achieving revenue goals and complying with regulatory requirements, coding speed and accuracy are essential. Built with an industry-leading clinical NLP engine, the AGS AI Platform’s Computer-Assisted Coding (CAC) module enables flexible and scalable coding of facility operations to increase accuracy, efficiency, productivity, and flexibility.
NLP-Based ICD-10-CM and PCS Automation
Leverages NLP and patented AI to automatically suggest billable ICD-10 CM, PCS and CPT codes from different types of clinical documents.
One-Click Coder Validation and Acceptance
Automatically identifies charts that have potential queries for seamless validation and acceptance.
Always Up to Date
Our clinical content team ensures that all coding guidelines are maintained whenever new codes or rules are released. Additionally, our Clinical NLP engine is always learning and improving based on coder actions.
Features
Computer-Assisted Coding Software Features and Capabilities
Intelligent Worklists
Prioritize and group work
Charts are added to coder work queues when they are ready, placed on hold while awaiting additional information, and automatically re-added to the queue when the chart is ready for final coding.
Match coder skills with chart types
Automatically route charts from a given specialty or containing a specific diagnosis group with a designated coder or team.
Shuffle work based on availability
Easily move work from one coder to another based on coder availability and workloads across the organization.
Automated and Accurate Coding Suggestions
Never miss diagnosis codes
Clinical NLP with deep knowledge graphs are able to identify every potential ICD code whether it is explicitly mentioned or implied based on other treatments, lab results, or medications.
Capture every PCS code
Every PCS or other code is captured across all components of documentation, including attachments.
Actionable, Real-Time Analytics
Measure coder productivity
Coder activity from chart viewing to editing is tracked down to the second. Use this data to measure hourly and daily productivity and compare to baselines and accuracy rates.
Understand coding patterns
See what codes are being used by each physician, facility, and coder to understand what services are being utilized and what segments of your patient population your organization is serving.
Identify areas needing attention
Focus your attention on the coders who need help improving productivity or physicians who are coding outside of normal patterns.
ADDITIONAL FEATURES
Enhance your experience with Computer-Assisted Coding through these advanced features.
Protect your reputation and hard-earned revenue with thorough and accurate auditing led by advanced AI and automation.
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 CAPC users.
Features
Benefits
BENEFITS
Experience the impact of Computer-Assisted Coding Software.
From group practices to multi-facility health systems, our Computer-Assisted Coding helps maximize the performance of your coding operations with improved throughput and quality.
Integrated Encoder
CAC comes with a built-in ‘book-based’ encoder, helping you select the right code with full supporting guideline information and coding clinics
Integrated References
An integrated reference guide provides detailed visuals and anatomical information for coders to reference during the coding process
Integrated and 3M Grouper
DRG and MSDRG grouping is built-in, but for those who need the 3M APR Grouper, that is easily activated through an existing integration with 3M (separate 3M fees apply)
Resources
Dig deeper into Computer-Assisted Coding
Integrations
Connects with any system
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 Professional Coding
Streamline your professional coding process with improved charge capture while reducing denials and improving quality and compliance.
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.
Intelligent RCM Engine
AGS Health’s Intelligent RCM Engine is a proprietary suite of workflow orchestration tools that integrate artificial intelligence, machine learning, analytics, and digital workers to optimize work allocation, automate tasks, and support informed decision-making to enhance our patient financial services.
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
