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Case Study: Proven Technology in a New Market: The Data Harmony Suite of Products a Game Changer in the Medical Claims Compliance Space
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Case Study: Proven Technology in a New Market: The Data Harmony Suite of Products a Game Changer in the Medical Claims Compliance Space

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Presented at the 10th annual Data Harmony Users Group meeting on Wednesday, February 12, 2014 by John Kuranz of Access Integrity. The approaching tsunami in the medical compliance industry has …

Presented at the 10th annual Data Harmony Users Group meeting on Wednesday, February 12, 2014 by John Kuranz of Access Integrity. The approaching tsunami in the medical compliance industry has resulted in a perfect fit for Data Harmony's semantically enriched, rule-based concept extractor software solution. This presentation describes the impact of Access Integrity's use of Data Harmony technology on medical claims processing and analysis.

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  • 1. Medical Claims Compliance® Access Integrity® 4725 Indian School NE Suite 100 Albuquerque, NM 87110 505-998-0800 accessintegrity.com Data Harmony Users Group February 12, 2014
  • 2. John Kuranz CEO Access Integrity Proven Technology in a New Market Data Harmony Suite of Products a Game Changer in the Medical Claims Compliance Space A Perfect Fit
  • 3. What’s Coming in 2014 • ICD-10 mandatory use • Dual code mapping of ICD-9 to ICD-10 • Meaningful Use Stage 2 requirements • Revised CMS 1500 form submission • 2014 CPT changes and PCS use with ICD-10 • NPP billing changes and authorization • New NCCI & MUE edits
  • 4. • Compliance audits by Recovery Audit Contractor • Delayed claim submissions • Reduced cash flow • Decrease coder productivity due to rework • Dual coding and ICD-10 learning cycle • Loss of “Meaningful Use” CMS payment And the bad stuff that can happen if Providers are not compliant
  • 5. Practice Management Process
  • 6. Powered By Comprehensive Analysis of Medical Transactions Medical Claims Compliance Code-A-Note Instantly Encode Provider Notes IntegraCoder Enterprise Solution to Medical Coding & Billing Professional EHR, TouchWorks EHR, Sunrise EHR Technology solutions for the healthcare community
  • 7. “Gets Better with Age”
  • 8. Access Integrity 4725 Indian School NE Suite 100 Albuquerque, NM 87110-3980 accessintegrity.com Thank You

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