Medical Coding and Billing Tool-AI-powered medical coding tool

Example

When a healthcare provider enters 'acute bronchitis' into the patient’s record, the tool automatically suggests the corresponding ICD-10 code J20.9.

Scenario

A medical coder is reviewing patient records and comes across a case of acute bronchitis. By using the tool, they can quickly confirm the appropriate code, reducing the likelihood of errors and speeding up the documentation process.

Example

If a procedure code is entered that doesn't align with the patient’s diagnosis, such as coding for a coronary artery bypass graft without a related cardiac condition, the tool flags this as a compliance issue.

Scenario

During the coding process, a biller inputs a procedure code for a coronary artery bypass. The tool cross-references this with the documented diagnosis and alerts the user that the diagnosis does not support the procedure code, prompting a review to ensure compliance.

Example

The tool assists in generating clean claims by ensuring that all necessary codes are included and properly formatted before submission to the payer.

Scenario

A healthcare facility is preparing to submit claims for a batch of patient visits. The tool reviews each claim to ensure it includes all required diagnostic and procedural codes, minimizing the chance of claim denials or delays.