4/26/2016

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Top Ten Things You Need to Know about Computer Assisted Coding

Presenter

Jeff Young, MPH

VP, Product Development

Agenda

•Introduction

•Healthicity

•Top Ten CAC Things….

•Questions

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Founded by AAPC, training and technology define our DNA. We are engineers, coders,

auditors and trusted experts with a shared goal.

Healthicity creates solutions designed

to help organizations find simplicity

and elevate performance.

5

1. Acceleration of Technology

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2. What is Computer Assisted Coding?

Vs.

Computer Assisted Coding Computer Coding

2. What is Computer Assisted Coding?

• Elements of CAC:• Natural Language Processing (NLP)

• Understanding of Medical Terms/language (Terms/Concepts)

• Code Mapping

• Output

Group Exercise

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3. Impact on Coding

4. Pros of Computer Assisted Coding

• Accuracy

• Consistency

• Efficiency

• Analysis

• Coder Satisfaction

• Audit trail

4. Cons of Computer Assisted Coding

• Semantics

• Increased Errors if Coder Eliminated

• Negation

• Quality of Documentation

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5. Example Term/Concept Capture

6. What are the uses of CAC?

• Assisted Coding

• Auditing

• Risk Adjustment

• ICD-10

• Identify gaps in documentation

7. ICD-10 and CAC

• Increased codes and complexity

• 7th Character Codes

• Accurate documentation

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8. What role does CAC play today?

• New technology

• Hospital Coding

• Outpatient Professional

9. CAC Vendor Questions to Consider

• Integration with encoder tool

• Integration with EHR

• ROI

• NLP technology/Ontologies

• Updates

10. Future

Integration with other systems/ processes• Whole process:

• Encounter• Coding• Workflow• Payer• Reimbursement

• Hospital Processes• Code assignment• Pricing

Shift to a value based system • Identifying conditions accurately• Identifying outcomes• Quality measures• Importance of identifying correct condition• Evidence based medicine

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Thank You

Questions?

CEU Code

DIS134