xPatterns Clinical Auto-Coding Case Study: Proliance Orthopaedics & Sports Medicine Improving the Speed & Accuracy of Medical Coding Using Atigeo’s xPatterns Clinical Auto-Coding (C.A.C.), Proliance Orthopaedics and Sports Medicine was able to increase their coder productivity as well as decrease their lag time between dates of service to dates billed without increasing coding staff. xPatterns C.A.C. also ensured coding accuracy and highlighted supporting documentation to justify level of service. "By using xPatterns C.A.C. we streamlined our date-of-service to billing process down to 2 days...This means we can process more of our patient encounters at a lower cost and recoup appropriate revenue faster than ever before." - Dr. Greg Komenda of Proliance Orthopaedics and Sports Medicine. © 2015 Atigeo. All rights reserved. Version #11 Proliance Orthopaedics and Sports Medicine is a part of the Proliance Surgeons network, one of the largest surgical practices in the country, with 200 physicians specializing in Orthopaedics, Ear Nose & Throat, Ophthalmology, General Surgery and Plastic and Reconstructive Surgery. Proliance is committed to providing the highest quality of care available at over 60 offices throughout Washington State. “Using xPatterns C.A.C. significantly increased our coder productivity without increasing coding staff. We loved that the system automatically tuned itself based on our data and user-feedback. We are very pleased with the accuracy and quality of the results. In almost all cases, the code recommendations are spot on, including the E/M codes,” said Jessica Weathers, Proliance Orthopaedics and Sports Medicine Business Office Manager. “It has been wonderful to work with the Atigeo team. I am excited to advance our coding processes and capabilities utilizing xPatterns C.A.C.” xPatterns C.A.C. is a complete coding solution for healthcare, improving the efficiency, accuracy as well as revenue capture of the medical coding activity within healthcare organizations. Using advanced hybrid analytics, xPatterns C.A.C. automatically generates clinical codes, including ICD-10, directly from clinical encounter notes such as physician notes, lab results, and discharge records. C.A.C. is built atop Atigeo’s cloud-based hybrid analytics platform, xPatterns, designed for building enterprise-grade, intelligent big data applications. This allows xPatterns C.A.C. to achieve state-ofthe-art EHR analysis, accurately generate clinical codes, and lower overhead to improve appropriate revenue capture. 425.635.3900 | atigeo.com xPatterns Clinical Auto-Coding Case Study: Proliance Orthopaedics & Sports Medicine “By using xPatterns C.A.C. we streamlined our date of service to billing process down to 2 days, which is the best we have ever done on fully reviewed notes. This means that we can process more of our patient encounters at a lower cost and recoup appropriate revenue faster than ever before,” said Dr. Greg Komenda of Proliance Orthopaedics and Sports Medicine. “Our staff has also commented on how user friendly xPatterns C.A.C. is. And most importantly, the solution has allowed us to have our fastest, cleanest year-end closure ever.” Overcoming Coding Challenges • Faced higher coding demands due to growing number of physicians in the organization, preparation for ICD-10 transition, and increase in patient volume. • Desired to reduce charge lag without losing accuracy or adding additional staff in order to accelerate their process of finding the relevant content required to properly infer a medical code for billing purposes. • Prior to xPatterns C.A.C., the coding staff logged into multiple systems for completing the coding task. • All Charge Entry was manually entered by the coding staff, creating additional staffing needs as the practice grew. Benefitting from xPatterns C.A.C. ! Coder productivity increased, enabling Proliance Orthopaedics and Sports Medicine to grow its practice without adding additional coding staff. ! Improved billing, faster coding turnaround time, and reduced A/R (Accounts Receivable) outstanding days. ! Coders quickly examined system recommendations and confirmed or adjusted codes as required; this resulted in greater efficiency, while enabling coders to focus primarily on review and validation. ! The coding manager was able to track coding productivity and accuracy by coder and by specialty. ! Automated Charge Entry process. ! Utilized data to train providers which resulted in more accurate documentation. Contact Atigeo to learn how xPatterns Clinical Auto-Coding can help your practice improve productivity with increased speed and accuracy! Email [email protected] or give us a call at 425-635-3900 © 2015 Atigeo. All rights reserved. Version #11 425.635.3900 | atigeo.com