Clinical Coding Automation for a Hospital Group

Clinical Coding Automation for a Hospital Group

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A smart clinical coding automation engine designed to assign accurate ICD-10 and CPT codes from clinical notes, reduce claim rejections, and maximize revenue cycle efficiency.

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Case detail

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Case detail

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Case detail

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Project challenges

Clinical coding requires real-time understanding of clinical notes and predicting correct codes while maintaining data privacy and audit performance.

  • Aligning code assignments with clinical intent on-the-fly.

  • Ensuring accurate code delivery with zero claim delays.

  • Managing PHI security across multi-department workflows.

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The solution

We developed a lightweight, privacy-first coding automation engine that adapts to clinical note structure and suggests accurate ICD-10 and CPT codes instantly, optimized for both inpatient and outpatient workflows.

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The result

Hospital billing teams experienced major improvements in coding accuracy, claim speed, and revenue cycle performance.

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Faster claim submission speed

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Faster claim submission speed

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Faster claim submission speed

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Growth in first-pass claim acceptance

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Growth in first-pass claim acceptance

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Growth in first-pass claim acceptance

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Fully HIPAA compliant

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Fully HIPAA compliant

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Fully HIPAA compliant

Project information

Date:

Oct 8, 2024

Date:

Oct 8, 2024

Date:

Oct 8, 2024

Client:

A Multi-Specialty Hospital Group

Client:

A Multi-Specialty Hospital Group

Client:

A Multi-Specialty Hospital Group

Industry:

Hospital & revenue cycle management

Industry:

Hospital & revenue cycle management

Industry:

Hospital & revenue cycle management

Services:

ClaimOps, DataForge Annotation, MedExpert Network

Services:

ClaimOps, DataForge Annotation, MedExpert Network

Services:

ClaimOps, DataForge Annotation, MedExpert Network

Technology stack:

Next.js, Python, FastAPI, ElasticSearch

Technology stack:

Next.js, Python, FastAPI, ElasticSearch

Technology stack:

Next.js, Python, FastAPI, ElasticSearch

"Our claim acceptance rates have skyrocketed. Clinical coding now feels effortless."

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Kavitha Reddy

Revenue Cycle

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We’re here to help

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Let's talk about your next clinical AI project

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Clinical AI infrastructure experts

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We’re here to help

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Let's talk about your next clinical AI project

How do we connect?

Icon

Clinical AI infrastructure experts

Icon

Direct access to us - no bots.

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We ask smart clinical questions fast.

Start your clinical AI journey

BG Image
Vector

We’re here to help

Vector

Let's talk about your next clinical AI project

How do we connect?

Icon

Clinical AI infrastructure experts

Icon

Direct access to us - no bots.

Icon

We ask smart clinical questions fast.

Start your clinical AI journey

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