Computer Assisted Coding (CAC) Advancement

Axea’s computer assisted coding system implementation advancement service can substantially enhance coder productivity. If the integration, testing, and timing of CAC are not approached with careful execution, efficiencies are not recognized and coder productivity may decrease. Axea’s advancement service will augment the CAC implementation and ensure a successful transition to computer assisted coding. CAC Advancement is conducted utilizing ICD-9 and ICD-10 domain knowledge with an understanding of the factors that affect accurate code assignment. 

The project provides focus on the following items that can be problematic during a CAC system implementation:

  • Validate coder workflow for efficiency utilizing CAC product
     
  • Review an organization’s productivity standards. The adoption of CAC may affect future staffing decisions. Obtain a baseline measurement of coding productivity in order to reach post CAC productivity goals.
     
  • Validate document availability and legibility to the CAC user
     
  • Ensure the documents identified to interface with CAC are available to the end user in a structured format
     
  • Validate selected document hierarchy is displaying in CAC as designed
     
  • Validate the accuracy of keyword identification used for code assignment
     
  • Validate ICD-9 and/or ICD-10 code assignment on a sample of records; identify the accuracy of natural language processing
     
  • Validate ICD-9 and/or ICD-10 code through the EHR and compare to CAC code assignment to identify any documents that should be utilized for coding and were not included in the original document selection for CAC
     
  • Validate that the coding in the CAC system transmits appropriately to the billing system by bill type and by payer. Ensure that demographic information transmits correctly.
     
  • Establish procedures and processes surrounding new releases and subsequent testing
     
  • Develop Key Performance Indicators three, six, and 12 months post implementation. Validate the performance indicators submitted by the CAC Vendor.
     
  • Analyze data and reporting from CAC to determine parts of the medical record that are not being utilized appropriately
     
  • Provide ongoing communication with the coding staff regarding concerns related to CAC filters and Natural Language Processing and facilitate prompt remediation

  • Recognize documentation improvement opportunities via the CAC system and provide ongoing feedback to the medical staff
     
  • Utilize CAC as an education tool for coding staff by providing code by code feedback within the CAC system. Coders can immediately identify the location of the supporting documentation of the codes.
     
  • Validate coder workflow for efficiency utilizing CAC product
     
  • Review an organization’s productivity standards. The adoption of CAC may affect future staffing decisions. Obtain a baseline measurement of coding productivity in order to reach post CAC productivity goals.
     
  • Validate document availability and legibility to the CAC user
     
  • Ensure the documents identified to interface with CAC are available to the end user in a structured format
     
  • Validate selected document hierarchy is displaying in CAC as designed
     
  • Validate the accuracy of keyword identification used for code assignment
     
  • Validate ICD-9 and/or ICD-10 code assignment on a sample of records; identify the accuracy of natural language processing
     
  • Validate ICD-9 and/or ICD-10 code through the EHR and compare to CAC code assignment to identify any documents that should be utilized for coding and were not included in the original document selection for CAC
     
  • Validate that the coding in the CAC system transmits appropriately to the billing system by bill type and by payer. Ensure that demographic information transmits correctly.
     
  • Establish procedures and processes surrounding new releases and subsequent testing
     
  • Develop Key Performance Indicators three, six, and twelve months post implementation. Validate the performance indicators submitted by the CAC Vendor.
     
  • Analyze data and reporting from CAC to determine parts of the medical record that are not being utilized appropriately
     
  • Provide ongoing communication with the coding staff regarding concerns related to CAC filters and Natural Language Processing and facilitate prompt remediation
     
  • Recognize documentation improvement opportunities via the CAC system and provide ongoing feedback to the medical staff
     
  • Utilize CAC as an education tool for coding staff by providing code by code feedback within the CAC system. Coders can immediately identify the location of the supporting documentation of the codes.


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