Physician Computer Assisted Coding for Professionals: Development Market Shares, Strategies, and Forecasts, Worldwide, 2017 to 2023
"Physician
Computer Assisted Coding for Professionals: Market Shares,
Strategies, and Forecasts, Worldwide, 2017 to 2023"
The Report covers current Industries Trends, Worldwide Analysis,
Global Forecast, Review, Share, Size, Growth, Effect.
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Description-
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– Next
generation Computer Assisted Coding of medical information is able to
leverage natural language software technology to support some
automation of the billing process and use of analytics to achieve
higher quality patient outcomes. The study has 301 pages and 110
tables and figures.
– Computer assisted coding of
medical information uses natural language solutions to link the
physician notes in an electronic patient record to the codes used for
billing Medicare, Medicaid, and private insurance companies.
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– Natural
language processing is used determine the links to codes. 88% of the
coding can occur automatically without human review. Computer
assisted coding is used in all parts of the healthcare delivery
system. The coding systems work well to implement automated coding
process.
– Physicians think about
patient conditions in terms of words. Software is configured to
achieve working with physicians who are more comfortable describing a
patient treatment in words than codes. The electronic patient record,
created using physician dictation, is used to form the base for the
coding. Natural language solutions implement computer coding to
identify key words and patterns of language. The physician dictation
can be done using regular language that the software recognizes and
translates into billing codes.
– Properly designed natural
language processing (NLP) solutions do not require physicians to
change the way they work. They can dictate in a free-flowing fashion,
consistent with the way they think, and are not limited to structured
inputs that may or may not fully capture the unique circumstances of
each patient encounter.
– Matching codes generated
from physician notes to standard treatment protocols promises to
improve health care delivery. Accompanying that type of physician
patient management against best practice promises to revolutionize
health care delivery. The ability to further check as to whether the
recommendations for follow up made by radiologists and matching the
commendations with the actual follow up heralds’ significant
promise of vastly improved health care delivery.
– Computer assisted coding
applications depend on the development of production quality natural
language processing (NLP)-based computer assisted coding
applications. This requires a process-driven approach to software
development and quality assurance.
– A well-defined software
engineering process consists of requirements analysis, preliminary
design, detailed design, implementation, unit testing, system testing
and deployment. NLP complex technology defines the key features of a
computer assisted coding (CAC) application.
– Automation of process will
revolutionize health care delivery. In addition to automating the
insurance, billing, and transaction systems, streamlined care
delivery is an added benefit. The ability to look at workflow and
compare actual care to best practice is fundamental to automated
business process.
– The ability to link
diagnostic patient information to treatment regimes and drug
prescriptions is central to improving medical care delivery. Once a
physician can see what conditions need to be followed, and see that
appropriate care has been prescribed 100% of the time, care delivery
improves dramatically. Diagnosis of conditions using radiology
frequently results in detection of events that need follow-up.
– “Growing acceptance of
computer assisted coding for physician offices represents a shift to
cloud computing and billing by the procedure coded. Because SaaS
based CAC provides an improvement over current coding techniques the
value is being recognized. Administrators are realizing the benefits
to quality of care. Patients feel better after robotic surgery and
the surgeries are more likely to be successful.”
– The worldwide market for
Computer Assisted Coding is $898 million in 2016, anticipated to
reach $2.5 billion by 2023. The complete report provides a
comprehensive analysis of Computer Assisted Coding in different
categories, illustrating the diversity of software market segments. A
complete procedure analysis is done, looking at numbers of procedures
and doing penetration analysis.
– Major health plans report a
smooth transition to ICD-10. This is due to rigorous testing for six
years. ICD-10 has had a positive impact on reimbursement. ICD-10
coding system requires use of 72,000 procedure codes and 68,000 CM
codes, as opposed to the 4,000 and 14,000 in the ICD-9 system.
Managing high volume of codes requires automation. Healthcare
providers and payers use complex coding systems, which drives demand
for technologically advanced CAC systems.
– The market for
computer-assisted coding grows because it provides management of
workflow process value by encouraging increasing efficiency in care
delivery for large Professional Physician Practice and Ambulatory
Clinical Facility. By making more granular demarcation of diagnoses
and care provided for each diagnosis, greater visibility into the
care delivery system is provided. Greater visibility brings more
ability to adapt the system to successful treatments.
– – Companies
Profiled
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– Market Leaders
- 3M
- Optum
- Dolbey
– Selected Market
Participants
- Artificial Medical Intelligence
- Cerner
- Craneware
- EPICGroup One / CodeCorrect
- M*Modal
- nThrive / Precyse
- Nuance
- Quest Diagnostics
- TruCode
- UnitedHealth Group / Optum
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