Computer Assisted Coding Research Papers

In the health care system, there are a lot of codes that help diagnose, treat, and discharge patients daily. Codes help nurses

One of the most important characteristics of an EHR while storing the clinical information is its ability to be interoperable: to share that information among other authorized users. If different information systems cannot communicate or interact with each other, then sharing is not possible. In order to achieve the objective to exchange clinical

In the daily changes of healthcare, health information technology is evolving rapidly. The generation of coding is making significant developments along the years as well. The 3M-encoder system provides number of essential options to coders in just one click. It provides sophisticated, easy-to-learn solution for accurate, complete, and compliant coding and grouping. Coders need to be acquainted with these references because they provide back up through the articles in each one of them. 3M Coding and Reimbursement System, 3M Coding Reference, and 3M Coding Reference plus have articles for coders to read and get answers to use the appropriate codes. (Prophet). Due

"Medical coding professionals provide a key step in the medical billing process. Every time a patient receives professional health care in a physician’s office, hospital outpatient facility or ambulatory surgical center (ASC), the provider must document the services provided. The medical coder will abstract the information from the documentation, assign the appropriate codes, and create a claim to be paid, whether by a commercial payer, the patient, or CMS." (Aapccom, 2015) It is very important that billing coders have a full understanding of how to properly use medical codes to prevent denial of claims submitted.

-Inpatient coders have certifications allowing them to work exclusively for hospitals or facilities. An expertise in medical record review is a must, along with an up to date status with coding rule changes, regulations and issues for medical coding, reimbursements and compliance under MS-DRG and Inpatient Prospective Payment Systems (IPPS). Coders should have experience as well as expert knowledge in abstracting information from medical records for ICD-9CM vol. 1-3, specialized payment in MS-DRG and IPPS.

Computer assisted coding has been adopted by most healthcare organizations in order for their overall applications to have enhanced production. This would improve the coding accuracy, Consistency, Transparency, and Compliance to create a smoother transition towards using CAC technology on a regular basis. Computer assisted coding provides a natural-language processing (NLP) that is used as a software scan towards medical documentation in the electronic health record (EHR) system. This can become an identifying key terminology that suggests certain codes for that particular treatment or service. The natural-language processing focuses on interpreting unstructured records by using special algorithms to support the codes. These unstructured applications

“Individuals who would like to become a certified medical coder must pass examinations offered by the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC) (Medical Coding Specialist, 2002-2004).”

Due to the growing inpatient/outpatient requirements, as well as the impending update to the ICD-10 codes; the spearfish regional hospital is in dire need of a new Computer assisted coding system (CACS) with ICD-10 code language. This technologies will assist the coding department with their day to day processes, as well as allow the hospital to continue with its growth to meet the higher demands of our growing community. Included in this report will be a detailed report of the technologies being requested, as well as information on these vendors 3M, Nuance, and Optum who can supply these

TruCode Encoder Essential is a very complex coding system, and the capacity to evaluate quality coding practices allows you to change your practice of care. Also, it can give coding professionals access to sophisticated code searches. The possible implementation issues are the cost, and making sure your interface and the system is compatible. The managerial challenges and training needs are engaging the staff, making sure everyone is on board, and getting your staff trained in a timely manner. (TruCode,2017).

The E/M code's is a big important part in this process. Being a health care professional, using the medical code's. like medicare, medicaid, other private insurance to be reimbursement. If not using the right code, the doctor office, hospital, and urgent care. Will lose a lot of money. So using the right cpt code's insurance companies, office, hospital, and urgent care can be reimbursement correct. Cause CPT code's are formed with 5 digits.

Uninformative codes can create confusion to what the code details. This language needs to be clear and detailed so that the health care organizations can provide the best health care as possible. When codes are

One of the greatest milestones in the United States health system is the use of electronic health records codes to ensure consistency in diagnosis and treatment procedures provided by physicians (Romano & Stafford 2011). The purpose of the case scenario of the sixteen year old female who visits the emergency department is to show how electronic health record coding is done and its impact on health reimbursement. The International Classification of Diseases (ICD) and the Current Procedural Terminology (CPT) codes are brought out well in the case study showing how they help in ensuring physician consistency in coding diagnosis and treatment procedures for the purpose of health reimbursement.

The majority of the time the use of HIM coders are involved in billing and reimbursements. However, coding specialists are important players within the healthcare industry.(Davis, 2014,2007,2002) They certify that providers maintain accuracy with coding procedures and government rules. (Davis, 2014,2007,2002) HIM functions and complex of regulatory requirements where coding can be very challenging. (AHIMA, 2016) The coders follow guidelines of the American Health Information Management Association AHIMA) Code of Ethics. (AHIMA, 2016) On the patient level, it is vitally important for the coder to code accurately because this information will trail the patient success throughout their course of treatment and beyond.

The trends one can find when reading through the articles found under the AHIMA Body of Knowledge pertaining to the coding function is relative to the use of computer-assisted coding, implementation of Electronic Health Record (HER), and the transition to ICD-10-CM.

Besides pleasantries, any task you assign them needs to be conveyed with precise, yet non-prescriptive language.