A medical billing system is only as strong as its coding system, but as the number of medicare advantage enrollees rises, so does the complexity of claims and code modifications. Inferscience provides the HCC Coding Software designed to give real-time HCC coding guidance to providers and coders in their workflow within the EHR, HCC Assistant. We have 12 years of experience working with electronic health records. For more information, visit our website.
Start Optimal HCC Coding With HCC Assistant in Newton, MAInferscience
Inferscience offers the best HCC coding services in Newton, MA. Your team can analyze patients’ charts and capture HCC codes at the point of care. The HCC Medical Coding Assistant also provides a real-time risk adjustment factor (RAF) score to give you an idea of how the codes selected will impact the RAF score for a patient thereby predicting future funding and expenditures. The HCC Assistant Coder Workflow is a coder-focused version of the HCC Assistant, perfect for provider organizations that have coder assistance. It allows the coder team to pre-select HCC codes for the provider to approve at the point of care. For more information about our HCC coding services, please visit our website or contact us at 617 848 9502.
Using an HCC Coding Tool in your EHR: Instructions with HCC AssistantInferscience
Technology is crucial for your healthcare organization in the new Covid-19 era, as we stated in our earlier blog post. Keeping up with the complex policies and regulations of the CMS is one of the main reasons. For HCC coding to be successful, physicians must report all diagnoses that influence the patient's evaluation, care, and treatment, including coexisting diseases, chronic conditions, and treatments provided, according to an article in ICD Monitoring that was referenced by CMS. For many practices, it might be difficult to provide accurate documentation of all diagnoses on an annual basis; this is where an HCC coding tool can be useful.
Greater Interoperability in Healthcare 2022: Data & TechnologyInferscience
Inferscience offers the best HCC medicare risk adjustment services in Newton, MA. Inferscience has taken advantage of these new wider rules to expand functionality. Inferscience’s proprietary technology can extract clinical data from any web-based EHR and standardize it. The data can be made available to any application via API. It is the expectation that expanding functionality with these types of features will at the end of the day benefit providers and patients as well. The most important consideration, therefore, for the continuing success of this road map is for all interest groups to participate with attentiveness and intentionality. Because in the end, collaboration is the key to greater interoperability in healthcare.
Benefits of Reporting Tools for Risk Adjustment WorkflowsInferscience
Inferscience offers the best medicare risk adjustment coding technology in Newton, MA. The risk adjustment (RA) workflow process in healthcare is here to stay, and even if organizations are slowly catching up, there are a lot of gaps that need to be closed for it to become more efficient. There are several ways to help providers catch up and improve their workflows that will help their health outcome management and, by and large, improve their RAF scores.
Inferscience offers the best HCC Coding Technology in Newton, MA. This PPT post, the third of its series, will focus on an important topic for those providing services to Medicare Advantage patients: using technology to optimize the HCC documentation process and increasing RAF scores. We will talk about recent updates to the CMS-HCC program, as well as retrospective and prospective approaches toward risk adjustment analytics and coding. For more information about our HCC Coding Technology, please visit our website now or contact us at 617 848 9502.
Thoughts on Epic & Cerner's Embrace of 3rd-Party CollaborationInferscience
Inferscience offers the best HCC medical coding and Epic & Cerner EHR clinical support services in Newton, MA. When we launched our Infera Clinical Decision Support system seven months ago, we did so with Allscripts and athenahealth EHRs, because their initial set of APIs made it possible for Infera to harness the rich data from the patient charts to deliver patient-specific clinical recommendations.
What You Need To Know About Infera CDSS For Athenahealth's ClinicalsInferscience
Inferscience offers the best clinical decision support application services in Newton, MA. The Infera clinical decision support application from Inferscience is now available in the Athenahealth Marketplace. It reads structured and unstructured patient data from the EHR, then analyzes the unique details of the patient’s condition against its evidence-based clinical rules, delivering specific care recommendations in real-time. Infera is integrated with Athenaclinicals EHR and is certified by the Athenahealth More Disruption Please (MDP) program.
As a provider, you understand the importance of HCC medical coding. You probably spend a good amount of time making sure you add the correct HCC codes to your documentation and staying up to date with adequate supporting documentation for HCC codes all this to decrease your risk of lower payments, audits, and financial penalties.
Inferscience offers an add-on product to work with the HCC Assistant, the HCC Validator. The HCC Validator uses advanced NLP technology to instantly validate HCC codes against MEAT criteria and issues a clear “Pass” or “Fail” grade. Because it’s SaaS-based, it works with leading EHRs or can be used as a standalone solution. The New Year brings new opportunities and New Year's resolutions. This blog post, the third of its series, will focus on an important topic for those providing services to Medicare Advantage patients: using technology to optimize the HCC documentation process and increasing RAF scores. We will talk about recent updates to the CMS-HCC program, as well as retrospective and prospective approaches toward risk adjustment analytics and coding.
Start Optimal HCC Coding With HCC Assistant in Newton, MAInferscience
Inferscience offers the best HCC coding services in Newton, MA. Your team can analyze patients’ charts and capture HCC codes at the point of care. The HCC Medical Coding Assistant also provides a real-time risk adjustment factor (RAF) score to give you an idea of how the codes selected will impact the RAF score for a patient thereby predicting future funding and expenditures. The HCC Assistant Coder Workflow is a coder-focused version of the HCC Assistant, perfect for provider organizations that have coder assistance. It allows the coder team to pre-select HCC codes for the provider to approve at the point of care. For more information about our HCC coding services, please visit our website or contact us at 617 848 9502.
Using an HCC Coding Tool in your EHR: Instructions with HCC AssistantInferscience
Technology is crucial for your healthcare organization in the new Covid-19 era, as we stated in our earlier blog post. Keeping up with the complex policies and regulations of the CMS is one of the main reasons. For HCC coding to be successful, physicians must report all diagnoses that influence the patient's evaluation, care, and treatment, including coexisting diseases, chronic conditions, and treatments provided, according to an article in ICD Monitoring that was referenced by CMS. For many practices, it might be difficult to provide accurate documentation of all diagnoses on an annual basis; this is where an HCC coding tool can be useful.
Greater Interoperability in Healthcare 2022: Data & TechnologyInferscience
Inferscience offers the best HCC medicare risk adjustment services in Newton, MA. Inferscience has taken advantage of these new wider rules to expand functionality. Inferscience’s proprietary technology can extract clinical data from any web-based EHR and standardize it. The data can be made available to any application via API. It is the expectation that expanding functionality with these types of features will at the end of the day benefit providers and patients as well. The most important consideration, therefore, for the continuing success of this road map is for all interest groups to participate with attentiveness and intentionality. Because in the end, collaboration is the key to greater interoperability in healthcare.
Benefits of Reporting Tools for Risk Adjustment WorkflowsInferscience
Inferscience offers the best medicare risk adjustment coding technology in Newton, MA. The risk adjustment (RA) workflow process in healthcare is here to stay, and even if organizations are slowly catching up, there are a lot of gaps that need to be closed for it to become more efficient. There are several ways to help providers catch up and improve their workflows that will help their health outcome management and, by and large, improve their RAF scores.
Inferscience offers the best HCC Coding Technology in Newton, MA. This PPT post, the third of its series, will focus on an important topic for those providing services to Medicare Advantage patients: using technology to optimize the HCC documentation process and increasing RAF scores. We will talk about recent updates to the CMS-HCC program, as well as retrospective and prospective approaches toward risk adjustment analytics and coding. For more information about our HCC Coding Technology, please visit our website now or contact us at 617 848 9502.
Thoughts on Epic & Cerner's Embrace of 3rd-Party CollaborationInferscience
Inferscience offers the best HCC medical coding and Epic & Cerner EHR clinical support services in Newton, MA. When we launched our Infera Clinical Decision Support system seven months ago, we did so with Allscripts and athenahealth EHRs, because their initial set of APIs made it possible for Infera to harness the rich data from the patient charts to deliver patient-specific clinical recommendations.
What You Need To Know About Infera CDSS For Athenahealth's ClinicalsInferscience
Inferscience offers the best clinical decision support application services in Newton, MA. The Infera clinical decision support application from Inferscience is now available in the Athenahealth Marketplace. It reads structured and unstructured patient data from the EHR, then analyzes the unique details of the patient’s condition against its evidence-based clinical rules, delivering specific care recommendations in real-time. Infera is integrated with Athenaclinicals EHR and is certified by the Athenahealth More Disruption Please (MDP) program.
As a provider, you understand the importance of HCC medical coding. You probably spend a good amount of time making sure you add the correct HCC codes to your documentation and staying up to date with adequate supporting documentation for HCC codes all this to decrease your risk of lower payments, audits, and financial penalties.
Inferscience offers an add-on product to work with the HCC Assistant, the HCC Validator. The HCC Validator uses advanced NLP technology to instantly validate HCC codes against MEAT criteria and issues a clear “Pass” or “Fail” grade. Because it’s SaaS-based, it works with leading EHRs or can be used as a standalone solution. The New Year brings new opportunities and New Year's resolutions. This blog post, the third of its series, will focus on an important topic for those providing services to Medicare Advantage patients: using technology to optimize the HCC documentation process and increasing RAF scores. We will talk about recent updates to the CMS-HCC program, as well as retrospective and prospective approaches toward risk adjustment analytics and coding.
Navigating Challenges in HCC Coding and Risk AdjustmentInferscience
HCC coding processes while not designed to be complex, may not be immediately apparent, making them tedious and time-consuming. Despite its inherent difficulty, the main goal is to provide an accurate and complete overview of each member’s risk profile with the goal of better understanding their health state and being able to predict the cost of care. We also suggest looking into smart HCC Coding and risk adjustment technology, this can help your teams achieve more accurate results and save time. Check out Inferscience’s HCC Assistant to learn more about HCC coding technology that is EHR integrated.
CMS Proposed Interoperability Rule: Where is it at?Inferscience
At Inferscience, we provide different tools to facilitate HCC Coding and Clinical Decision Support for provider organizations. We constantly strive to facilitate documentation for healthcare providers while contributing to better patient care. We want to help provider organizations receive proper credit for the value of care provided.
Solving The Challenge of Real-Time HCC Coding for ProvidersInferscience
HCC (Hierarchical Condition Category) codes are a subset of ICD10 codes that Medicare (and increasingly commercial payers as well) uses to determine the risk scores of Medicare Advantage patients. The sicker the patient, the more HCC codes they have, and the higher the risk score. The higher the risk score is for a patient, the higher the predicted expenditure and therefore the higher the payment to the health plan for that patient.
Reducing Audit Risk with M.E.A.T. Criteria: Valuable Insights and Latest Tech...Inferscience
Inferscience offers HCC coding & risk adjustment services in Newton, MA. In this PPT, we will provide you with valuable information about how to take your HCC coding & risk adjustment to the next level with M.E.A.T. criteria auditing. As a provider, you understand the importance of HCC Coding. You probably spend a good amount of time making sure you add the correct HCC codes to your documentation and staying up to date with adequate supporting documentation for HCC codes all this to decrease your risk of lower payments, audits, and financial penalties.
The Changing Role of the Provider in HCC CodingInferscience
Inferscience offers an HCC Coding tool that integrates with leading EHRs and HIT systems to analyze patient records and claims information to help physicians and coders capture and audit HCC codes within their workflows. This PDF will give detailed information about The Changing Role of the Provider in HCC Coding. With Inferscience’s HCC Assistant, Physicians can document HCC codes and plan of care information in real time during the patient encounter. Now, one solution enables both payers and providers to succeed in today’s value-based care market. For more detail about our services, please visit our website now!
Clinical Decision Support Software Guidelines from the CDS CoalitionInferscience
Inferscience offers the best clinical decision support software guidelines from the CDS coalition services in Newton, MA. As CEO of a startup whose main product provides advanced clinical decision support (CDS), I read with interest the draft guidelines for CDS software that The CDS Coalition came out with recently. I was also curious to see how our application, Infera, stacks up against the guidelines.
Driving Provider Engagement in HCC Coding and Risk Adjustment - InferscienceInferscience
Inferscience offers the best HCC Coding and Risk Adjustment services in Newton, MA. In this PDF, we will provide detailed information about how driving provider engagement in HCC coding and risk adjustment. If you provide the right tools and apply the recommended motivation tactics, it is important to maintain provider engagement by measuring results (data & more data!). You will need to provide weekly or monthly reports and feedback to your team to analyze not only what is improving but what needs improvement as well. Following an approach of analysis, planning and execution can help you achieve better goals for your team.
CMS Proposed Interoperability Rule: Where is it at?Inferscience
At Inferscience, we provide different tools to facilitate HCC medical coding and Clinical Decision Support for provider organizations. We constantly strive to facilitate documentation for healthcare providers while contributing to better patient care. We want to help provider organizations receive proper credit for the value of care provided. A common obstacle we have encountered is with EHR software integrations, as frequently EHR software companies are not willing to integrate with other companies.
Covid-19 on HCC Risk Adjustment Coding – A Year LaterInferscience
Inferscience HCC coding application helps providers optimize HCC coding and risk adjustment documentation. In this PDF, we will provide you with valuable information about Covid-19 on HCC Risk Adjustment Coding – A Year Later. The pandemic presented many challenges over the past year, including stay-at-home orders that hindered access to healthcare. During the first half of 2020, many providers’ offices closed to all appointments except emergencies, which delayed routine and preventive care for millions of people. Statistics from the end of 2020 show that prospective risk scores used to pay Medicare Advantage (MA) health plans are trending lower than forecasted. HCC Assistant is a cloud-based intelligent HCC coding and billing platform which is integrated with major EHRs.
What CURES ACT Means for Clinicians and Better Technology AutomationInferscience
Inferscience offers the best HCC medical billing and coding services in Newton, MA. In this PDF, we share What CURES ACT Means for Clinicians and Better Technology Automation. There is a plethora of data and information in the health sector, and it keeps growing every day. There is no doubt that adequate health data management is essential to the optimal provision of healthcare services to patients.
Medicare Advantage and HCC Risk Adjustment - InferscienceInferscience
Inferscience offers the best HCC Coding & HCC Risk Adjustment Services in Newton, MA. In this PDF, we share Medicare Advantage and HCC Risk Adjustment. The Medicare Advantage Program, since its inception in 2003, has grown in popularity and has played a crucial role in the delivery of Medicare and reimbursement services to beneficiaries. While various risk assessment models are available in the health sector for risk adjustment assessment, the Medicare Advantage Program maintains the use of the hierarchical condition categories (HCC) coding-based model for the assessment of risk adjustment factor scores in the prediction of healthcare costs for patients. Visit our website for more information about our HCC coding services in Newton, MA.
3 Reasons Why You Need a Software Tool in your HCC Coding Workflow - Infersci...Inferscience
Inferscience offers the best HCC coding software tool services in Newton, MA. In this PDF, we share 3 Reasons Why You Need a Software Tool in your HCC Coding Workflow. A medical billing system is only as strong as its coding system, but as the number of medicare advantage enrollees rises, so does the complexity of claims and code modifications. Many new codes, code modifications, and inactive code changes are introduced each year, making the medical billing process arduous and onerous for even the most experienced coders. Claims are denied or rejected because coding errors might extend your days in A/R, making it more difficult to recover the entire amount you are entitled to. Visit our website for more information about our HCC coding tool services.
Impact of Covid on Healthcare Providers: HCC Medical Billing & Coding OperationsInferscience
Inferscience offers the best HCC medical billing and coding services in the United States. In this PDF, we share all information about the Impact of Covid on Healthcare Providers: HCC Medical Billing & Coding Operations. The situation in the US with COVID-19 has continued to escalate day by day. Healthcare providers are at the front line of this challenging situation that is impacting the healthcare system in unprecedented ways. In these times of uncertainty, healthcare providers have many moving pieces to worry about, today we will focus on the documentation aspects of the novel coronavirus. For more information about our HCC medical billing and coding services, visit our website now.
Impact of Coronavirus on HCC Billing and Coding.pdfInferscience
The COVID-19 outbreak is key to keeping hospitals and practices running and ready for patients. When it comes to billing, it is Important to consider some Changes that apply to medicare coverage specific to COVID-19. A big concern for the senior population regarding the coronavirus is Medicare coverage. if you’re a healthcare provider looking for an HCC billing and coding Technology, tools you can visit our website
HCC Coding and Risk Adjustment Tool model is specially designed to estimate future health care costs for patients. its main objective is to consider the well-being of the executives alongside exact repayments from medicare Advantage Plans.
Reducing Audit Risk with M.E.A.T. Criteria - InferscienceInferscience
In today’s blog, we will provide you with valuable information about how to take your HCC & risk adjustment coding to the next level with M.E.A.T. criteria auditing Following M.E.A.T. criteria standards ensures healthcare provider organizations, coding companies, practice management consultants, and revenue cycle companies regularly monitor and audit for correct HCC coding. for more information do visit our site: https://bit.ly/39DSUih
Navigating Challenges in HCC Coding and Risk AdjustmentInferscience
HCC coding processes while not designed to be complex, may not be immediately apparent, making them tedious and time-consuming. Despite its inherent difficulty, the main goal is to provide an accurate and complete overview of each member’s risk profile with the goal of better understanding their health state and being able to predict the cost of care. We also suggest looking into smart HCC Coding and risk adjustment technology, this can help your teams achieve more accurate results and save time. Check out Inferscience’s HCC Assistant to learn more about HCC coding technology that is EHR integrated.
CMS Proposed Interoperability Rule: Where is it at?Inferscience
At Inferscience, we provide different tools to facilitate HCC Coding and Clinical Decision Support for provider organizations. We constantly strive to facilitate documentation for healthcare providers while contributing to better patient care. We want to help provider organizations receive proper credit for the value of care provided.
Solving The Challenge of Real-Time HCC Coding for ProvidersInferscience
HCC (Hierarchical Condition Category) codes are a subset of ICD10 codes that Medicare (and increasingly commercial payers as well) uses to determine the risk scores of Medicare Advantage patients. The sicker the patient, the more HCC codes they have, and the higher the risk score. The higher the risk score is for a patient, the higher the predicted expenditure and therefore the higher the payment to the health plan for that patient.
Reducing Audit Risk with M.E.A.T. Criteria: Valuable Insights and Latest Tech...Inferscience
Inferscience offers HCC coding & risk adjustment services in Newton, MA. In this PPT, we will provide you with valuable information about how to take your HCC coding & risk adjustment to the next level with M.E.A.T. criteria auditing. As a provider, you understand the importance of HCC Coding. You probably spend a good amount of time making sure you add the correct HCC codes to your documentation and staying up to date with adequate supporting documentation for HCC codes all this to decrease your risk of lower payments, audits, and financial penalties.
The Changing Role of the Provider in HCC CodingInferscience
Inferscience offers an HCC Coding tool that integrates with leading EHRs and HIT systems to analyze patient records and claims information to help physicians and coders capture and audit HCC codes within their workflows. This PDF will give detailed information about The Changing Role of the Provider in HCC Coding. With Inferscience’s HCC Assistant, Physicians can document HCC codes and plan of care information in real time during the patient encounter. Now, one solution enables both payers and providers to succeed in today’s value-based care market. For more detail about our services, please visit our website now!
Clinical Decision Support Software Guidelines from the CDS CoalitionInferscience
Inferscience offers the best clinical decision support software guidelines from the CDS coalition services in Newton, MA. As CEO of a startup whose main product provides advanced clinical decision support (CDS), I read with interest the draft guidelines for CDS software that The CDS Coalition came out with recently. I was also curious to see how our application, Infera, stacks up against the guidelines.
Driving Provider Engagement in HCC Coding and Risk Adjustment - InferscienceInferscience
Inferscience offers the best HCC Coding and Risk Adjustment services in Newton, MA. In this PDF, we will provide detailed information about how driving provider engagement in HCC coding and risk adjustment. If you provide the right tools and apply the recommended motivation tactics, it is important to maintain provider engagement by measuring results (data & more data!). You will need to provide weekly or monthly reports and feedback to your team to analyze not only what is improving but what needs improvement as well. Following an approach of analysis, planning and execution can help you achieve better goals for your team.
CMS Proposed Interoperability Rule: Where is it at?Inferscience
At Inferscience, we provide different tools to facilitate HCC medical coding and Clinical Decision Support for provider organizations. We constantly strive to facilitate documentation for healthcare providers while contributing to better patient care. We want to help provider organizations receive proper credit for the value of care provided. A common obstacle we have encountered is with EHR software integrations, as frequently EHR software companies are not willing to integrate with other companies.
Covid-19 on HCC Risk Adjustment Coding – A Year LaterInferscience
Inferscience HCC coding application helps providers optimize HCC coding and risk adjustment documentation. In this PDF, we will provide you with valuable information about Covid-19 on HCC Risk Adjustment Coding – A Year Later. The pandemic presented many challenges over the past year, including stay-at-home orders that hindered access to healthcare. During the first half of 2020, many providers’ offices closed to all appointments except emergencies, which delayed routine and preventive care for millions of people. Statistics from the end of 2020 show that prospective risk scores used to pay Medicare Advantage (MA) health plans are trending lower than forecasted. HCC Assistant is a cloud-based intelligent HCC coding and billing platform which is integrated with major EHRs.
What CURES ACT Means for Clinicians and Better Technology AutomationInferscience
Inferscience offers the best HCC medical billing and coding services in Newton, MA. In this PDF, we share What CURES ACT Means for Clinicians and Better Technology Automation. There is a plethora of data and information in the health sector, and it keeps growing every day. There is no doubt that adequate health data management is essential to the optimal provision of healthcare services to patients.
Medicare Advantage and HCC Risk Adjustment - InferscienceInferscience
Inferscience offers the best HCC Coding & HCC Risk Adjustment Services in Newton, MA. In this PDF, we share Medicare Advantage and HCC Risk Adjustment. The Medicare Advantage Program, since its inception in 2003, has grown in popularity and has played a crucial role in the delivery of Medicare and reimbursement services to beneficiaries. While various risk assessment models are available in the health sector for risk adjustment assessment, the Medicare Advantage Program maintains the use of the hierarchical condition categories (HCC) coding-based model for the assessment of risk adjustment factor scores in the prediction of healthcare costs for patients. Visit our website for more information about our HCC coding services in Newton, MA.
3 Reasons Why You Need a Software Tool in your HCC Coding Workflow - Infersci...Inferscience
Inferscience offers the best HCC coding software tool services in Newton, MA. In this PDF, we share 3 Reasons Why You Need a Software Tool in your HCC Coding Workflow. A medical billing system is only as strong as its coding system, but as the number of medicare advantage enrollees rises, so does the complexity of claims and code modifications. Many new codes, code modifications, and inactive code changes are introduced each year, making the medical billing process arduous and onerous for even the most experienced coders. Claims are denied or rejected because coding errors might extend your days in A/R, making it more difficult to recover the entire amount you are entitled to. Visit our website for more information about our HCC coding tool services.
Impact of Covid on Healthcare Providers: HCC Medical Billing & Coding OperationsInferscience
Inferscience offers the best HCC medical billing and coding services in the United States. In this PDF, we share all information about the Impact of Covid on Healthcare Providers: HCC Medical Billing & Coding Operations. The situation in the US with COVID-19 has continued to escalate day by day. Healthcare providers are at the front line of this challenging situation that is impacting the healthcare system in unprecedented ways. In these times of uncertainty, healthcare providers have many moving pieces to worry about, today we will focus on the documentation aspects of the novel coronavirus. For more information about our HCC medical billing and coding services, visit our website now.
Impact of Coronavirus on HCC Billing and Coding.pdfInferscience
The COVID-19 outbreak is key to keeping hospitals and practices running and ready for patients. When it comes to billing, it is Important to consider some Changes that apply to medicare coverage specific to COVID-19. A big concern for the senior population regarding the coronavirus is Medicare coverage. if you’re a healthcare provider looking for an HCC billing and coding Technology, tools you can visit our website
HCC Coding and Risk Adjustment Tool model is specially designed to estimate future health care costs for patients. its main objective is to consider the well-being of the executives alongside exact repayments from medicare Advantage Plans.
Reducing Audit Risk with M.E.A.T. Criteria - InferscienceInferscience
In today’s blog, we will provide you with valuable information about how to take your HCC & risk adjustment coding to the next level with M.E.A.T. criteria auditing Following M.E.A.T. criteria standards ensures healthcare provider organizations, coding companies, practice management consultants, and revenue cycle companies regularly monitor and audit for correct HCC coding. for more information do visit our site: https://bit.ly/39DSUih
Reducing Audit Risk with M.E.A.T. Criteria - Inferscience
Why You Need a Software Tool in your HCC Coding Workflow
1. Why You Need a Software Tool in your
HCC Coding Workflow
A medical billing system is only as strong as its coding system, but as the number of
medicare advantage enrollees rises, so does the complexity of claims and code
modifications. Many new codes, code modifications, and inactive code changes are
introduced each year, making the medical billing process arduous and onerous for even
the most experienced coders. Claims that are denied or rejected because of coding
errors might extend your days in A/R, making it more difficult to recover the entire
amount you are entitled to.
Every year, healthcare providers lose millions of dollars due to HCC coding errors, which
can lead to regulatory penalties. A proven, automated system can be used by healthcare
providers in order to improve risk scores and income while reducing the burden on
clinicians. Automated coding support reduces the burden on doctors by integrating the
EHR and revealing any coding gaps that may exist and continuously improving the
accuracy and optimization of coding across distinct and differentiated network contracts
using machine-learning algorithms. Members are prioritized based on the possibility of
risk-adjustment improvement.
It may be challenging to keep up with the changing volume of coding if HCC coding is
limited to a small in-house staff. To handle medical coding manually requires a
significant amount of time, money, and effort. This is especially true as the number of
clients grows and the need for efficiency and reduced workload grows. Because of the
2. numerous benefits it provides, utilizing HCC Coding risk adjustment software becomes
necessary.
Some of the 3 key reasons why you need to include an HCC Coding Software in your
workflow are:
1. Cost-Effectiveness
The cost of hiring medical coders is high. There is a shortage of medical coders at the
moment. As a result of the ICD-10, coders had to master the new system. Due to ICD
10’s deployment, many medical coders will be forced to retire as their average age
reaches 54 in the near future.
It is far more difficult to find qualified coders for specialty-specific coding. Depending on
where you live, you may not be able to find medical coders that meet your demands.
Even though qualified medical coders are scarce, their earnings are rising because of it.
Programmers today have a plethora of professional paths to choose from, making it
tough to keep them around. According to the AAPC, the average annual salary for a
medical coder is $52,411. A higher salary is expected of certified coders and those with
extensive experience. Outpatient documentation experts and physician practice
managers make an average annual salary of $64,000 as certified coding specialists.
As a result of erroneous procedures and/or code faults, there could be additional fines
and regulatory fees.
2. Improved Quality & Accuracy
With automated ICD-10 coding, both the present visit and pertinent clinical history of a
patient can be taken into account for more precise coding. At the point of care, codes
are correctly detected and input, resulting in prompt and accurate compensation.
Providers and employees save time and money by not having to go back and fix errors
that were made in the first place.
Also, At the point of care, the use of technology enables providers to identify the relevant
codes for a patient’s visit. As a result, physicians don’t have to interrupt the care process
or wait until the end of a long day to finish coding and close the charts. As soon as the
visit is ended, providers are certain that all paperwork and coding are completed.
3. Scalable & Seamless Work Process
Medical coders must keep up with the current standards and coding clinics as they are
revised. When assigning codes, the suggested auto-coding method will take the most
recent coding clinics and guidelines into account, making it easier to stay in compliance.
3. There will be an increased focus on a machine-first delivery paradigm, and coders will
be able to manage flagged or complex coding in both inpatient and outpatient settings
with more proficiency when the confidence score of auto-coding solutions increases
Coders’ abilities and performance will be enhanced as a result of this. Increased facility
revenues, lower denial rates, and less reliance on coders are all benefits of accurate and
precise coding.
CONCLUSION
The revenue cycle management process begins with patient scheduling and ends with
billing and payment collection. There are numerous phases along the way that can have
a negative impact on your ability to code correctly and maximize revenue. Having a fully
integrated set of software solutions that effortlessly transfer data at each phase is
essential for streamlining your revenue cycle management. An integrated system avoids
the need for manual data transmission, eliminates costly errors, and speeds up the
process from the patient’s first visit to the collecting of their medical records.
Inferscience provides the HCC Coding Software designed to give real-time HCC coding
guidance to providers and coders in their workflow within the EHR, HCC Assistant. It
is HCC coding Software tools & Risk Adjustment guidance, as well as helping them
provide high-quality care based on clinical guidelines, evidence-based studies, and
scientific data. We have 12 years of experience working with electronic health records.
For more information contact us at 617 848 95802 or visit our website now.