Jan 28, 2023

How Technology Influences Medical Billing and Coding

  • By Eva Johnson,

Today, the rapidly changing technological advancements have instigated an inordinate enhancement in the medical billing and coding procedures. The wide-ranging medical billing software will automatically track and integrate accounting functions, including accounts payable and accounts receivable.

Similarly, the coders, earlier known for manually transcribing each data related to a patient’s visit into an electronic code, has now evolved radically in the last few years. With software called encoders, the everyday task of medical coders is significantly simplified as a lot of the coding process is now streamlined, and precision in the patient’s record is enhanced.

Usage of Encoders to Assist the Tool

Medical billing and coding utilizes encoders. It is software or a type of electronic codebook that assists the medical staff in allocating numeric and alphanumeric codes. Computer-assisted coding (CAC) element are present in some encoders, which perhaps proposes codes that are directly linked to diagnoses and are often disregarded in the medical documents.

Undoubtedly, the encoder is essential for the efficient functioning of medical billing and coding tools, and the use of encoder assists in speeding up the coding process. Some of the conventional medical coding software available includes –

  • Lytec: It maintains all the encrypted database for medical evidence.
  • Medisoft: It lets you take reporting and payment accounts that are past due.
  • Ingenix: It aids you in managing facility claims, decreasing the medical expenses, and improving the savings opportunities.

Usage of Artificial Intelligence in Medical Coding

Some hospitals rely on cliff notes, which is a computer-generated document delivered after the completion of processing the patient’s medical record. These cliff notes speed up the coding process; however, it generates some amount of mistakes that a coder has to rectify in the later stage. As per studies, nearly 90 percent of medical bills have such errors in them, and these errors are estimated to cost $750 billion a year.

A large number of hospitals are now experimenting with artificial intelligence, and machine learning backed computer-assisted coding (CAC) models to lower these issues. These solutions are known to support the coders by recognizing errors, fixing them with real-time feedback to enhance their performance. Frost & Sullivan report estimates that the market for medical AI tools to be worth $6 billion by next year.

Usage of Technology to Bring Down the Cost

AI and Machine learning tools will play an increasingly important role in reducing healthcare costs. If you did not know, the U.S spends double the amount on healthcare when compared to other regions such as France, Canada, and Scotland. And, nearly a third of their investment is spent on medical billing and organizational tasks.

The medical tools developed using machine learning is capable of interpreting a patient’s record vigilantly, and thereby helping the hospital in avoiding duplicate bills, upcoding, and unbundling similar mistakes.

Overall Benefits of Technology on Medical Billing and Coding

The AI and machine learning backed medical billing and coding tool lessens the manual error, enhances the exactitude of coding, and guarantees suitable documentation. Furthermore, it speeds up the research and coding process, allowing for more accurate medical transaction reporting. With a robust medical software suite and well-trained staff, the hospitals can cut down on billing and coding mistakes.

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