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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) and Computer-Assisted Professional Coding (CAPC) module enables flexible and scalable coding of professional and facility operations to increase accuracy, efficiency, productivity, and flexibility.

NLP-Based ICD-10-CM, PCS, CPT, and E&M Code Automation

Leverages NLP to automatically suggest billable 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 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.

Prioritize and group work

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 charge
Every CPT, HCPCS or other charge code is captured across all components of documentation, including attachments.
Automatically select E&M codes
Evaluation and management codes are automatically selected based on the latest 2021 (or 95, or 97) criteria using either a total time or relevant factors to maximize the documented level.
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.
Measure coder productivity
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.

BENEFITS

Experience the impact of Computer-Assisted Coding.

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)

Case studies
Case Study
El Paso Children’s Hospital Improves CDI Productivity by 50% with AGS Health