Computer-assisted Coding Overview

OptumInsight and A-Life Medical bring together their leading coding technologies to provide you with a sophisticated computer-assisted coding (CAC) solution that can help your hospital realize revenue gains by completing coding processes faster and more accurately, and accelerating reimbursement payments while reducing administrative costs.

A collaboration between technology leaders

Two industry leaders combine complimentary technologies and strengths to connect OptumInsight Web.Strat, a powerful, web-based encoder, with A-Life Medical's Actus^® Inpatient and Outpatient CAC Technology. Combined, these tools provide a comprehensive CAC solution.

This CAC solution can help hospitals:

• Decrease coding time, resulting in fewer A/R days and a faster revenue cycle
• Improve accuracy to reduce denials and increase Case Mix Index (CMI)
• Address issues of regulatory compliance and appropriate reimbursement

Maximize coder efficiency

Reduce the time it takes to complete a case and submit bills faster. Actus streamlines coder workflow to ease coding backlog, reducing or eliminating coder overtime or the need to contract additional coders. Actus’ CAC software and patented LifeCode^® Natural Language Processing (NLP) engine identifies and generates the codes for the coders to review and approve, freeing coders to focus on the more complex aspects of coding. This can help increase coder productivity by more than 20 percent, which translates into significant cost savings, improvements in the revenue cycle, and timely reimbursements. Web.Strat’s clinical resources, editing, and grouping/pricing tools are easily accessible in the workflow to help coders work more effectively.

Improve coding quality

Automatically generated ICD-9 and CPT^® codes result in increased consistency among coders which improves accuracy and quality. The LifeCode engine reads electronic documents and highlights all pertinent medical terminology to capture diagnosis and procedures that may have been overlooked in the traditional coding process—a focus that is particularly beneficial within complicated inpatient cases that have extensive records. And, because it correctly captures CCs and MCCs, it can help you improve your CMI. Coders use Web.Strat to easily assign codes for scanned or handwritten documentation which can then be linked to the code assigned and saved as an electronic audit trail.

CPT is a registered trademark of the American Medical Association.