Optimize Your HCC Coding with CodingGuide
The era of artificial intelligence (AI)-enabled coding is here, and we are here to help you harness its power.
Why Advanced HCC Coding Solutions Matter
Accurate Hierarchical Condition Category (HCC) coding is essential for providers operating in value-based care models. HCC coding is used to capture the severity and complexity of a patient’s health conditions, which directly impacts risk adjustment and reimbursement under Medicare and other payers.
However, traditional coding processes can be time-consuming and error-prone, leading to missed or inaccurate codes that affect reimbursement and patient care. Advanced coding solutions streamline the process, reducing administrative burden, improving coding accuracy and ultimately leading to better patient outcomes. By leveraging real-time AI-powered insights, providers can ensure complete documentation, optimize reimbursement and focus more on patient care rather than manual coding tasks.
CodingGuide: The Comprehensive HCC Coding Solution
CodingGuide is an AI-powered, real-time solution designed to help healthcare providers accurately capture and document HCC codes at the point of care. It enhances HCC coding by offering real-time alerts for providers and leverages next-generation technology with revalidation to suggest more accurate HCC codes based on the current patient data in the electronic health record (EHR).
Designed to reduce administrative burden and ensure accurate reimbursement, CodingGuide optimizes patient care while streamlining documentation and coding processes.
Key Features
Real-Time Coding Suggestions
Advanced technology scans patient notes for evidence of MEAT (Monitored, Evaluated, Assessed/Addressed, Treated) and suggest the most appropriate and accurate codes for each patient.
Revalidation, Not Recapture
Instead of simply recapturing past codes, revalidation works to ensure that coding reflects the patient’s current clinical status, improving accuracy as conditions evolve.
Enhanced Coding Accuracy
Reduces manual errors, ensures consistency in applying HCC codes and provides suggestions based on clinical context and patient data.
Automated Risk Adjustment
Automates the risk adjustment process, helping to apply the correct HCC codes, optimizing reimbursement while minimizing errors.
Integration with Clinical Workflows
CodingGuide integrates seamlessly with existing EHR systems, allowing clinicians to capture accurate codes without disrupting workflows.
Complete Content Coverage
The solution offers complete coverage of HCC categories including help navigating V28 coding changes, enhanced risk score accuracy and optimized reimbursement.
Created for Healthcare Providers
CodingGuide is designed with providers in mind, offering a user-friendly, customizable solution that integrates seamlessly with existing systems and supports clinicians in their everyday workflows.
Real-Time Coding Suggestions
Helps ensure complete documentation of patient conditions while maintaining compliance with coding regulations.
Optimized Reimbursement and Financial Sustainability
Accurate HCC coding improves reimbursement rates under value-based care models, ensuring appropriate compensation for complex care.
Enhanced Decision-Making and Risk Adjustment
Provides clinicians with better insights into a patient’s health status, leading to improved care coordination and treatment planning.
"Community Health Network has really observed tremendous improvements since implementing CodingGuide. So we've seen higher follow rates, reduced clinician fatigue and improved accuracy, which leads to better coding outcomes and results."
Patrick McGill
Chief Transformation, Officer Community Health Network
"The biggest hurdle for us has been the provider mindset. So, not just finding the tools, not just finding an implementation strategy that worked, but really to continue to shift their mindset to value-based care in a compensation model that is still relatively productivity-based here in our health system."
Deanna Bachman
Manager of Program Development, Sparrow Health
"Community Health Network has really observed tremendous improvements since implementing CodingGuide. So we've seen higher follow rates, reduced clinician fatigue and improved accuracy, which leads to better coding outcomes and results."
Patrick McGill
Chief Transformation, Officer Community Health Network
"The biggest hurdle for us has been the provider mindset. So, not just finding the tools, not just finding an implementation strategy that worked, but really to continue to shift their mindset to value-based care in a compensation model that is still relatively productivity-based here in our health system."
Deanna Bachman
Manager of Program Development, Sparrow Health
"Community Health Network has really observed tremendous improvements since implementing CodingGuide. So we've seen higher follow rates, reduced clinician fatigue and improved accuracy, which leads to better coding outcomes and results."
Patrick McGill
Chief Transformation, Officer Community Health Network
"The biggest hurdle for us has been the provider mindset. So, not just finding the tools, not just finding an implementation strategy that worked, but really to continue to shift their mindset to value-based care in a compensation model that is still relatively productivity-based here in our health system."
Deanna Bachman
Manager of Program Development, Sparrow Health
Customer Stories
Our customers have found tremendous success in Premier's Stanson Health's HCC Alerts.
Get Started Today
Contact us to learn how CodingGuide can improve your HCC coding accuracy and help your healthcare organization succeed in value-based care.