Manual clinical coding is a resource-intensive process prone to errors, delays, and inconsistencies. Accurate coding is essential for claims reimbursement, regulatory compliance, and performance measurement.
Our partner’s AI-based solution leverages machine learning and natural language processing to automatically convert clinical notes, diagnostic reports, and medical information into ICD codes, CPTs (E/M, anesthesia, surgery, pathology, radiology, medicine, HCPCS), and DRG codes in seconds, with a high degree of accuracy. The solution also evaluates and supports adherence to PQRS standards and HEDIS ratings for physicians and group practices.
Errors in coding can lead to claim rejections, financial losses, and regulatory risks. AI-powered automation eliminates human errors, speeds up the coding process, and ensures that organizations meet reporting and compliance standards consistently.
Converts complex clinical data into standardized codes rapidly.
Supports PQRS, HEDIS, and other reporting standards.
Reduces manual labor, allowing staff to focus on patient care.
Minimizes claim denials and accelerates reimbursement.
Healthcare organizations using AI coding solutions have achieved faster claims processing, improved reimbursement accuracy, and better regulatory compliance, while optimizing workforce productivity and operational performance.
