Countdown to ICD-10
The Coming ICD-10 Crisis
The business of medical coding is facing regulatory changes in ICD-10 that require a major restructuring of systems, policies, job descriptions and workflow. The transition, as experienced elsewhere, poses the potential for massive productivity losses and an increase in denials which will negatively impact revenue. The American Health Information Management Association (AHIMA) has identified computer-assisted coding as one of the most important technologies to help with the challenges of ICD-10.
A Coding Solution: Computer-Assisted Coding
Fusion CAC can play a major role in a thoughtful plan toward preparing for this change. Computer-Assisted Coding is defined as software that suggests codes to human coders for validation. The process increases productivity while sponsoring better revenue capture through more thorough coding. Fusion CAC accomplishes this and much more. By utilizing natural language processing (NLP) technology, Fusion presents NLP coded charts to human coders to validate the results before processing the codes to billing. Fusion CAC can increase productivity, decrease variability, identify problem documentation for a quick return on investment.
Experience and Superior NLP
Fusion CAC is powered by the most experienced NLP coding engine in the industry. Developed by Artificial Medical Intelligence, Inc. (AMI), this NLP engine has been coding both inpatient and outpatient charts in hospitals since 2005. Developed from the beginning to code both ICD-9 diagnosis and procedure codes and CPT procedure codes, Fusion CAC with the AMI NLP coding engine leads the industry as the fastest and most accurate in coding results. Click here to read more about Fusion’s NLP technology.
More Than Coding Productivity
For years, Fusion CAC has been a tool for increasing coder productivity. Today, it now provides many more innovative features. Fusion CAC is a workflow tool that can provide you the missing tool to expertly manage when and whom receives accounts for coding. Fusion CAC is a clinical documentation improvement application that empowers your case managers and CDI staff with a concurrent DRG, estimated reimbursement and helps to identify problem documentation while the patient is still in-house. Fusion CAC is an automation instrument that can provide automated coding of simpler outpatient reports to free-up time in coding for more complex charts. Fusion CAC is an audit tool to provide an easy-to-use replay of the ‘how and why’ a patient chart was coded for both internal coding audits and Recovery Audit Contractor (RAC) response development.
Administration and Analytics
Few coding and revenue operations have the advantage of a single-view administration module to report on coding effort and revenue results. Fusion CAC includes the Fusion Administration and Analytics application that provides a one-stop management solution for workflow to coders, quality assurance staff and case management (CDI). In addition, Fusion provides management reporting about individual productivity and facility based revenue data analytics for dashboard reporting. Click here to learn more about Fusion’s Administration and Analytics module