Advanced Revenue Cycle Analytics: An Overview

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For medical practices to get ahead in 2019, automating the coding process is a necessity. But just using automation tools is not enough. There are those who get the full ROI out of their coding automation, and those who lag behind.

Exception Only Workflow

When it comes to automating your medical coding process, the first step and foundation is to implement an exception only workflow. An exception only workflow means that coders only review encounters that require their attention. They only need to touch those encounters that include an error, or that are missing charges.

Even when you automate for an exception only workflow, that may not be enough. It is equally as important that your coding team changes their mindset about the process. Old school coders are used to handling every single encounter to check that no mistakes slip through the cracks, and they may continue this practice even with automation. A mindset shift is critical in order to achieve the time savings that automation can provide.

Beyond Exception Only: Automate Routine Coding Processes

The automation pros have moved beyond implementing exception only coding into their automation. These top performing practices use the power of analytics to observe which coding changes are made the most often by their revenue cycle team.

Using advanced revenue cycle analytics, practices can look for opportunities to automate those coding routines that the coding staff does on a regular basis. 50% or more of the coding changes that coders make can be automated. That is a huge opportunity for time savings. Add third-party software like AccelaSMART on top of your EHR that allows you to build rules based on those coding changes that your coding staff makes most often.

In 2019, if you don’t learn how to use tools like automation to your advantage, you may fall behind. Learn more about how to get ahead in our webinar, Revenue Cycle Trends of 2019.