E/Code
ED CPT & ICD-9 Code Assignment & Documentation Feedback
Emergency department code assignment is traditionally accomplished by a time-consuming manual process. Such processes typically leave multiple opportunities for human error as data entry of patient information, codes and other information must be performed more than once. More automated processes and less data entry would serve to protect appropriate revenues while reducing errors and compliance risk.
Product Overview
- Comprehensive ED coding/auditing software for assignment of professional and facility CPT and ICD-9 codes
- Streamlines workflow with simultaneous online record viewing and coding
- Automatic audit trail tracks the coding process, promoting coding compliance
- Thorough management reporting capabilities, including clinical, financial and productivity reports
Benefit Summary
- Appropriately aligns coding distribution with acuity based on available documentation
- Provides valuable management data to evaluate physician productivity and documentation quality and to assess financial performance
- Minimizes compliance risk by promoting accurate code assignment and establishing a coding audit trail
- Promotes an objective approach to code assignment
- Improves the efficiency of the coding process by pre-reconciling scanned documentation and allowing simultaneous viewing of documentation and coding screens
- Ensures efficient coding turnaround and balanced coder workloads through central management of coding work queues
Process
E/Code allows coders to code encounters while simultaneously viewing/scrolling through encounter documentation on screen. Users can easily navigate through each piece of encounter documentation, each different aspect of coding - professional or facility visit level, CPT or ICD-9 codes, encounter comments and coding summaries, all within the main user interface.
Select encounters to code: In the encounter log, coding managers review the list of encounters available to code and assign them to a specific coder. Alternately, coders may select and "check out" a set of encounters to code.
Assign codes: E/M visit level code (at summary or audit level), procedure codes as appropriate and ICD-9 codes that can be associated with the corresponding CPT codes and assigned to the appropriate provider for each service.
Provide feedback: Coders can comment on the overall encounter documentation for physician review and report on procedures not documented adequately to allow appropriate code assignment.
Review code assignment: Coding management can review code assignment retrospectively, with an audit trail showing how the coder determined appropriate codes.
Data analysis: E/Code offers a set of standard reports that includes a charge log, as well as a dynamic report generating tool. Practice management and administrative data can be reviewed, reported or exported. E/Code can also report codes to the billing system, with appropriate interfaces.