August 24, 2016
Michael Damrich

It’s 2016. There has been a great deal of innovation, resistance to change, and progress in Healthcare IT over the past few years. We have replaced handwritten documentation and paper charts with virtual assistants for physicians, computer-assisted coding solutions, and electronic medical record systems. The industry has and will continue to naturally gravitate toward the most successful, most accurate, and most efficient solutions.

Computer-Assisted Coding (CAC)

Computer-Assisted Coding Software (CACs) will increase medical coding productivity and efficiency, increase the consistency of the coders, provide an audit trail, increase coding accuracy, and decrease medical coding costs.

With the CMS Grace Period coming to an end this October, Computer-Assisted Coding Software will not be enough to be accurately reimbursed in ICD-10. It is more than possible that the same “Garbage in/Garbage Out” scenario will continue: If physicians do not provide ICD-10 specific details from the front end, backend CAC solutions will not be able to provide the appropriate codes. Queries to the physicians and estimates are sure to stay.

Idea of a Single Pass: Open. Close. Done.

Physicians can limit their queries by utilizing programs that provide the information needed to code and bill correctly on the front end. Some CAC programs are designed to search for key words in the body of the notes conducted by physicians, but what happens if these key words are missing? Specifics, especially with ICD-10, are going to be invaluable as we continue to see more codes implemented and query rates rise with the end of the grace period. Programs that prompt physicians to hit certain levels of ICD-10 specificity and compliance can help. If a physician’s documentation contains the proper “key words” needed to code and bill, think about the amount of time and money saved in both the short run and the long run. 

Single Pass + CACs = An Efficient and Accurate Combination

A back-end CAC software paired with a front-end solution for physicians (like Vincari’s virtual assistant), will ensure an efficient and accurate solution for all of our ICD-10 reimbursement concerns. Physicians are bound to miss certain phrases and words that ensure proper billing and reimbursement without an immediate prompt to provide additional specificity. Why take the chance? Prevent problems by fixing the documentation on the front end, removing the emphasis on back end reactive/retrospective fixes.

Open. Close. Done.