Computer-Assisted Coding

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.

CAC Overview

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.

Code Auditing and Compliance

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

  • Intelligent audit worklists automatically queue and prioritize charts for auditing and allow your team to concentrate on the audits that matter most.
  • Advanced case-search and selection features enable case sampling across a variety of parameters.
  • Conduct pre-bill and retrospective audits designed to ensure quality without billing delays.
  • Automated audit suggestions with the ability to assess predicted coding against final coding, spot missing documentation, and perform targeted audits based on a given specialty, provider, or coder.
  • Actionable audit reporting allows users to view and compare chart data, track audit results, and identify education opportunities quickly and easily.

Benefits

  • Enhance medical coding accuracy by automatically detecting errors and inconsistencies.
  • Significantly reduce the amount of time and resources required for audits.
  • Ensure adherence to coding guidelines and regulations to avoid penalties and maintain compliance.
  • Avoid claim denials and rework resulting from coding errors.
  • Gain valuable insights and analytics on coding trends.
  • Improve teamwork and alignment through collaborative features, including chat, change tracking, and feedback comparisons.

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.

25% – 45%
Coder productivity Increase
1 – 3 Days
Discharged Not Finally Coded (DNFC) Decrease
5-10X
Return on Investment (ROI)
Encoders and Groupers

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)

Computer-Assisted Coding (CAC) Software Case studies
Case Study on St. Joseph’s Health Drops In Coding Denials With CAPC Services
Case Study
St. Joseph’s Health Realizes Double-Digit Drop in Coding Denials with CAPC Services
CAC Implementation improves hospital revenue by $1.03MM
Case Study
CAC Implementation improves hospital revenue by $1.03MM

Resources

Dig deeper into Computer-Assisted Coding

University Medical Center of El Paso Selects EZDI, an AGS Health Company
University Medical Center of El Paso Selects EZDI, an AGS Health Company

Integrations

Connects with any system

More Technology

AGS Background

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.

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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.

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