Medical encoding is an “absolutely must” in any healthcare IT transformation. At Calmove we have designed our strategies revolving the following pillars:
- Standardized Documentation: Align data to internationally accepted and followed standards, such as ICD-10-CM and CPT coding systems, ensuring standardized documentation of medical diagnoses, procedures and services, for consistent and structured data collection, interoperability and information exchange among healthcare systems and providers.
- Accurate Data Analysis: Properly coded medical data allows for accurate analysis, which is crucial for health management, clinical research, and healthcare analytics. Coded data enables the identification of disease patterns, treatment outcomes, and quality metrics, supporting evidence-based medicine and improving patient care.
- Improved Revenue Cycle: Accurate medical coding facilitates revenue cycle management, such as insurance claims with faster reimbursements, reduced claim denials, and improved revenue capture. Calmove ensures total compliance with payer-specific coding requirements, for optimized billing processes and increased revenue for our clients.
- Compliance with Regulations: At Calmove, we ensure all medical encoding align to regulatory requirements and coding standards, such as HIPAA, ICD-10, and CPT, ensuring accurate reporting, data privacy, and compliance with government regulations, preventing penalties and legal issues. Such adherence has resulted in a faster process of approval for accreditation to our clients.
- Streamlined Interoperability: Our conclusive medical coding process enables seamless interoperability and health information exchange among different healthcare systems for communicating and sharing patient data effectively, facilitating care coordination, continuity of care, and patient engagement initiatives.
- Case Mix Index and Reimbursement Optimization: Medical coding impacts case mix index (CMI), a measure of the complexity and resources needed for patient care. Our coding practices and strict adherence to standards ensure accurate coding to capture cases such as the severity of illnesses, resulting in appropriate reimbursement levels and improved financial performance for healthcare organizations.
- Research and Public Health: Our coding policies are totally adherent to open standards intended for supporting clinical research, public health surveillance, and epidemiological studies, allowing researchers to analyze disease patterns, monitor public health trends, and assess the effectiveness of interventions, contributing to evidence-based policies and healthcare decision-making.