Clintegrity 360 | CAC Solutions

Transforming medical coding

Automatically read and translate electronic clinical documentation into the appropriate medical codes

The transition to ICD-10 medical coding standards will improve patient care in the long-term. However, with eight times the codes of ICD-9 and increased specificity, the standards will require a totally new way of coding in order for your health system to overcome productivity and financial challenges. Clintegrity 360 | CAC - Computer-Assisted Coding solutions, in combination with Nuance Healthcare’s market-leading Clintegrity 360 | Coding and Clintegrity 360 | Compliance solutions, harnesses the power of Nuance’s Clinical Understanding (CLU) engine by automatically reading and translating electronic clinical documentation provided by healthcare practitioners into the appropriate medical codes. Clintegrity 360 | CAC solutions automatically generate suggested ICD-9-CM, CPT, ICD-10-CM, and PCS medical codes for review and validation, which accelerates code submission to patient billing systems and leads to a better result. This next-generation coding solution completely automates what was previously a resource-intensive process requiring manual interpretation of clinical documentation and coding input prior to billing. Hospitals have reported that CAC solutions have increased coder productivity by more than 20 percent, while decreasing coder overtime by as much as 80 percent and decreasing external audit fees by as much as 50 percent.


The impact of the transition to ICD-10

With eight times the codes of ICD-9 and increased specificity, the standards will require a totally new way of coding in order for your health system to overcome productivity and financial challenges. Harness the power of Nuance’s Clinical Understanding (CLU) engine with Computer Assisted Coding by automatically reading and translating electronic clinical documentation provided by healthcare practitioners into the appropriate codes. Clintegrity 360 | CAC automatically generates suggested ICD-9-CM, CPT, ICD-10-CM, and PCS medical codes for review and validation.


Greater specificity and clinical detail

ICD-10-CM and PCS code sets incorporate greater specificity and clinical detail to provide information for clinical decision-making and outcomes research. This will impact virtually all providers of healthcare, including:

  • Physicians, clinicians, and nurses
  • Data managers, information systems, security, and technology personnel
  • Quality and utilization management personnel
  • Researchers and ancillary department personnel
  • Billing/accounting personnel
  • Compliance officers, auditors, and fraud investigators

Both ICD-10-CM and PCS code sets are more complex than the predecessor. From retraining the entire coding workforce to increased Accounts Receivable (AR) days, this update can drastically affect the productivity and day-to-day operations of any compliant U.S. healthcare organization.

Other critical business concerns include:

  • Productivity losses expected to range from 10% to 50%
  • Increased coding backlog and greater time requirements to assign codes
  • Increased Discharged Not Final Billed (DNFB) and AR days
  • Decreased ability to assign codes from memory
  • Increased anatomy, physiology, and medical terminology requirements
  • Coder shortages

Clintegrity 360 | CAC can help your organization mitigate anticipated productivity challenges due to the transition to ICD-10, while increasing accuracy and accelerating billing processes. Nuance Healthcare’s integrated coding solution, coupled with automated workflow and compliance editing, can ensure maximum productivity throughout all Health Information Management processes.


Features

This next-generation coding solution completely automates what was previously a resource-intensive process requiring manual interpretation of clinical documentation and coding input prior to billing. Hospitals have reported that CAC has increased coder productivity by more than 20 percent, while decreasing coder overtime by as much as 80 percent and decreasing external audit fees by as much as 50 percent.

Key Features
  • Leads to increased efficiency and data integrity by integrating seamlessly with the rest of the single-platform Clintegrity 360 suite, which includes Coding and Compliance solutions.
  • Nuance’s patented CLU technology uses SNOMED CT, the most comprehensive, multilingual clinical healthcare terminology in the world. Nuance Healthcare is one of the first vendors to offer this.
  • Leverages existing Clintegrity 360 hardware, software, and interface investments.

Contact us today

Clintegrity 360 will help your organization quickly generate substantial revenue and operating savings by ensuring your clinical documentation chain is accurate, sound and fully adopted by physicians.

Engage us

Call 1-877-805-5902 to speak to a clinical documentation specialist today.
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