An easy‑to‑understand encoder that empowers coding staff with critical clinical, financial, and regulatory information essential for complete and accurate reimbursement. This solution uses an efficient, unified platform to ensure data and coding consistency between physician and facility encounters, even with separate billing systems.
Using an intuitive, web‑native workflow, Nuance Clintegrity Facility Coding dramatically improves Health Information Management (HIM) efficiency by allowing users to code, group, and apply targeted edits in a single interface from anywhere, at any time.
Enables consistent coding assignment and application of coding rules and guidelines for ICD‑10, CPT and HCPCS codes to help identify non‑compliant coding encounters.
Allows simultaneous encoding and grouping, dual grouping capability at the encounter level, and quick and easy access to industry‑accepted coding references for Diagnosis Related Groups (DRGs) and Ambulatory Payment Classifications (APC) reimbursement.
Provides automated tools for fast and accurate code assignment from either ICD‑9 or ICD‑10 in the same application to ensure data integrity and reduce errors that can lead to costly Recovery Audit Contractor (RAC) and other audits.
Using detailed reporting capabilities to identify coding trends and outcomes to identify improvement opportunities.
This single, unified platform offers transparent, centralized encounter management across your facilities, promoting enterprise‑wide data integrity for better consistency and accuracy.
Offers a customizable single screen with easily accessible and searchable code books, references and edits. Users can efficiently assign and group an encounter with multiple groupers and instantly model how these factors impact reimbursement.
Provides quick and easy access to multiple fully integrated and searchable references built into the coding workflow. Nuance’s expert Smartips offer thousands of standard coding guidelines that can be customized to include notes and tips viewable to a coder during the coding process.
Immediately identifies potentially incomplete and non‑compliant coded records with extensive and customizable code edits and rules to ensure your Office of Statewide Health Planning and Development (OSHPD) code meets Error and Tolerance Level (ETL) requirements.
Monitors and manages key coding metrics and performance indicators with standard and customizable report options.
Nuance Clintegrity Coding Compliance reduces or eliminates reimbursement delays and audit risks by monitoring and updating records to meet regulatory and payor standards before being billed.
Nuance Clintegrity Physician Coding is a comprehensive encoder that provides staff with the critical information necessary to improve professional fee coding productivity and ensure accurate reimbursements.
