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www.6pmsolutions.com
Javali
According to the UK Audit Commission’s report ‘Right Data, Right Payment’ nationally in the UK coding errors
continue to result in both under and overpayments balance. It is estimated that the national average error rate of
incorrect HRGs is 7.5%, and that in the period of 2011-2012 ten acute trusts undercharged PCTs by approximately
£60 million for PbR activity.
Javali is the technology that:
•	 Utilises advanced text searching and data aggregation to improve comorbidity coding
•	 Ensures all inpatient procedures are recorded correctly
•	 Significantly increases inpatient hospital revenues
•	 Accurately identifies CCs and MCCs leading to improved overall hospital ratings, including the mortality index
•	 Provides a complete audit trail for coding.
Javali is a solution that significantly increases
inpatient revenues through improved complication
and comorbidity coding.
A technology that increases the accuracy
and efficiency of clinical coding
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000101110110011000010110110001101001010010100110000101110110
011000010110110001101001010010100110000101110110011000010110
110001101001010010100110000101110110011000010110110001101001
010010100110000101110110011000010110110001101001010010100110
000101110110011000010110110001101001010010100110000101110110
011000010110110001101001010010100110000101110110011000010110
110001101001010010100110000101110110011000010110110001101001
www.6pmsolutions.com
Solution
Javali automatically scans and aggregates all data
associated with an individual inpatient encounter and, via
text based searches, assists coders in identifying missed
and under-coded CCs and MCCs.
A patient being treated for a neurological procedure may
also have suddenly undergone shock and been treated for it.
While the neurological procedure may have been correctly
identified and coded, the shock may have only been
mentioned in notes about the patient visit.
Javali automatically scans all available patient documents
for each individual inpatient encounter and looks for key
words. If key words are found it checks whether the coding is
correct, either through HRG Code or via ICD10/OPCS codes.
If none are correct, an ‘inference’ is raised and assigned to
the Coder. This all takes place automatically overnight.
The Coder then has to manually check the medical records
to see whether the ‘inference’ is correct, and if necessary,
the Coder sends a query to the physician to clarify the
situation. Based on the response they will either leave it as
is or update the coding.
Accurate Costing
In 2012 25% of trusts in the UK had a gross financial error rate between 4.6% and 11.7%. Continuing to reduce the
HRG assignment errors by improving coding accuracy will reduce the gross financial errors.
By utilizing advanced text searching, natural language processing (NLP), and data aggregation to improve comorbidity
coding, Javali has enabled the University of Utah Hospital to enhance coding capabilities and increase compensation
due for health interventions made on patients by approximately £9 million in one year alone, or £750,000 per month
even after employing state of the art EMR and coding technology and optimizing existing processes.
www.6pmsolutions.com
Sustainable and Unique
This level of technology, combined with clinical and billing expertise, is not currently available elsewhere in the marketplace
using any other software.
•	 Pulling more data sources
•	 Applying deeper and broader searches
across entire patient populations
•	 Taking advantage of specialized coding
knowledge and clinical expertise
•	 Encouraging enhanced, facilitated
collaboration between Coders and
clinicians
Despite other best-in-class medical coding software implementations, Javali continues to provide results even after other
processes and technologies have been applied.
It does this by:
Measured Coder productivity taken from Javali’s dashboard. The table shows the
progress made on checking incoming inferences discovered by the software
Key words in notes are highlighted in order to ensure correct coding
Best-in-class technology
		Built to handle all comorbidity
conditions in both ICD-9 and ICD-10
		More accurate and simplified coding
		More accurate medical records
		 Increased query rate
		A partner to help you improve your
annual claims
		Increases cost recovery significantly to
hospital bottom line
		Better analysis of the mortality rate
index
		More accurate coding impacts the
consultant quality rating and the overall
hospital rating
		Helps hospitals determine their actual
coding accuracy - not just compared to
peers
		Built to integrate with and enhance
current hospital systems from EMRs
to coding to billing; it does not replace
them
		Multi-lingual support, including variation
of country specific terms
Key Features and Benefits
How do I get started?
•	 Based on a contingency model
•	 Based on a fixed fee
•	 Based on a blended model
•	 Decide which commercial model suits your hospital
•	 Agree data feeds
•	 Schedule training to start the process
Pricing Options
PLEASE CONTACT US TO DISCUSS YOUR REQUIREMENTS
e: info@6pmsolutions.com visit: www.6pmsolutions.com
Malta:	 +356 2258 4500
UK: 	 +44 (0)207 164 2123
Ireland:	 +353 6140 0033
Macedonia:	 +389 2 3246 328
Australia: 	 +617 3041 1321
@6pmSolutions 6pmSolutions 6PM Solutions

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Javali

  • 1. www.6pmsolutions.com Javali According to the UK Audit Commission’s report ‘Right Data, Right Payment’ nationally in the UK coding errors continue to result in both under and overpayments balance. It is estimated that the national average error rate of incorrect HRGs is 7.5%, and that in the period of 2011-2012 ten acute trusts undercharged PCTs by approximately £60 million for PbR activity. Javali is the technology that: • Utilises advanced text searching and data aggregation to improve comorbidity coding • Ensures all inpatient procedures are recorded correctly • Significantly increases inpatient hospital revenues • Accurately identifies CCs and MCCs leading to improved overall hospital ratings, including the mortality index • Provides a complete audit trail for coding. Javali is a solution that significantly increases inpatient revenues through improved complication and comorbidity coding. A technology that increases the accuracy and efficiency of clinical coding 010010100110000101110110011000010110110001101001010010100110 000101110110011000010110110001101001010010100110000101110110 011000010110110001101001010010100110000101110110011000010110 110001101001010010100110000101110110011000010110110001101001 010010100110000101110110011000010110110001101001010010100110 000101110110011000010110110001101001010010100110000101110110 011000010110110001101001010010100110000101110110011000010110 110001101001010010100110000101110110011000010110110001101001
  • 2. www.6pmsolutions.com Solution Javali automatically scans and aggregates all data associated with an individual inpatient encounter and, via text based searches, assists coders in identifying missed and under-coded CCs and MCCs. A patient being treated for a neurological procedure may also have suddenly undergone shock and been treated for it. While the neurological procedure may have been correctly identified and coded, the shock may have only been mentioned in notes about the patient visit. Javali automatically scans all available patient documents for each individual inpatient encounter and looks for key words. If key words are found it checks whether the coding is correct, either through HRG Code or via ICD10/OPCS codes. If none are correct, an ‘inference’ is raised and assigned to the Coder. This all takes place automatically overnight. The Coder then has to manually check the medical records to see whether the ‘inference’ is correct, and if necessary, the Coder sends a query to the physician to clarify the situation. Based on the response they will either leave it as is or update the coding. Accurate Costing In 2012 25% of trusts in the UK had a gross financial error rate between 4.6% and 11.7%. Continuing to reduce the HRG assignment errors by improving coding accuracy will reduce the gross financial errors. By utilizing advanced text searching, natural language processing (NLP), and data aggregation to improve comorbidity coding, Javali has enabled the University of Utah Hospital to enhance coding capabilities and increase compensation due for health interventions made on patients by approximately £9 million in one year alone, or £750,000 per month even after employing state of the art EMR and coding technology and optimizing existing processes.
  • 3. www.6pmsolutions.com Sustainable and Unique This level of technology, combined with clinical and billing expertise, is not currently available elsewhere in the marketplace using any other software. • Pulling more data sources • Applying deeper and broader searches across entire patient populations • Taking advantage of specialized coding knowledge and clinical expertise • Encouraging enhanced, facilitated collaboration between Coders and clinicians Despite other best-in-class medical coding software implementations, Javali continues to provide results even after other processes and technologies have been applied. It does this by: Measured Coder productivity taken from Javali’s dashboard. The table shows the progress made on checking incoming inferences discovered by the software Key words in notes are highlighted in order to ensure correct coding
  • 4. Best-in-class technology Built to handle all comorbidity conditions in both ICD-9 and ICD-10 More accurate and simplified coding More accurate medical records Increased query rate A partner to help you improve your annual claims Increases cost recovery significantly to hospital bottom line Better analysis of the mortality rate index More accurate coding impacts the consultant quality rating and the overall hospital rating Helps hospitals determine their actual coding accuracy - not just compared to peers Built to integrate with and enhance current hospital systems from EMRs to coding to billing; it does not replace them Multi-lingual support, including variation of country specific terms Key Features and Benefits How do I get started? • Based on a contingency model • Based on a fixed fee • Based on a blended model • Decide which commercial model suits your hospital • Agree data feeds • Schedule training to start the process Pricing Options PLEASE CONTACT US TO DISCUSS YOUR REQUIREMENTS e: info@6pmsolutions.com visit: www.6pmsolutions.com Malta: +356 2258 4500 UK: +44 (0)207 164 2123 Ireland: +353 6140 0033 Macedonia: +389 2 3246 328 Australia: +617 3041 1321 @6pmSolutions 6pmSolutions 6PM Solutions