With today’s complex and evolving compliance requirements, your coding professionals need an easy-to-understand physician coding application that provides critical clinical, financial, and regulatory information essential for accurate reimbursement. Clintegrity 360 | Physician Coding, the professional fee coding solution component of Clintegrity 360 | Coding, combines an intuitive web-native workflow with reference materials to provide a world-class, single-platform solution. Clintegrity 360 | Physician Coding offers the knowledge base of clinical, financial, and regulatory information that coders need to meet today’s complex coding requirements for professional fee coding. The single platform solution allows your organization to store both facility and service encounters in one database even if you are using separate billing applications. This helps ensure coding consistency between facility and physician coding. It also increases efficiency and streamlines the physician coding process for your HIM staff, as does the ability to code, group, and edit in a single interface, from anywhere, at any time.
Clintegrity 360 | Physician Coding equips you to meet today’s OIG coding challenges, including the assignment of evaluation and management (E/M) codes and ensuring consistency between physician and hospital service codes. Clintegrity 360 |Physician Coding provides an E/M calculator to correctly identify the assignment of these codes. It also includes Medical Necessity Edits that utilize Medicare’s Local and National Medical Review Policies in determining any problems with diagnosis and procedure linkages. Lastly, Nuance Healthcare’s Resource-Based Relative Value Scale (RBRVS) reimbursement calculation provides the estimated reimbursement for the physician service provided. Additionally, your HIM staff will access the same official ICD-9 and ICD-10 codebooks and work from the same coding guidelines. This helps ensure data integrity and reduces errors that can lead to costly audits.
Clintegrity 360 will help your organization quickly generate substantial revenue and operating savings by ensuring your clinical documentation chain is accurate, sound and fully adopted by physicians.