7 minute read

Posted by The MediMobile Team on Jun 14, 2024 7:49:44 AM

Automated MIPS Measure Generation - Automated Medical Coding

In 2024, clinicians face increasing pressure to meet regulatory requirements while maintaining high standards of patient care. On top of patient care, there’s also necessary administrative tasks. One crucial aspect of this is the Merit-based Incentive Payment System (MIPS), which evaluates clinicians based on four performance categories: Quality, Improvement Activities, Promoting Interoperability, and Cost. The MIPS score determines whether clinicians receive a positive, negative, or neutral payment adjustment on their Medicare Part B claims. This can seriously impact a physician or hospital system’s revenue. 


The Challenge of MIPS Reporting

MIPS reporting can be a hard and strenuous task. Doctors and administrative staff need to collect, analyze, and report data accurately, which requires significant time and effort, often detracting from patient care. Traditional manual methods are prone to errors and inefficiencies, leading to potential penalties or missed opportunities for positive payment adjustments.

Enter Automated MIPS Measure Generation

MediMobile has developed an integrated solution to revolutionize MIPS reporting through automated MIPS measure generation within our Automated Medical Coding solution. This advanced technology streamlines the entire process, ensuring seamless and accurate data collection, analysis, and reporting.

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What is Automated Medical Coding?

Automated medical coding is the use of advanced software powered by artificial intelligence (AI) and sophisticated algorithms to automatically generate medical codes from clinical documentation. These codes, such as CPT (Current Procedural Terminology) and ICD-10 (International Classification of Diseases), are essential for billing, reimbursement, and record-keeping. Automated coding eliminates the need for manual entry, reduces errors, and ensures that all relevant charges are captured efficiently.

How Does Automated Medical Coding Work?

Automated medical coding solutions like MediMobile's leverage AI trained on real clinical documentation. Here’s how it works:

Clinical Documentation Analysis: The system reviews all aspects of the clinical documentation, including notes, lab results, diagnostic reports, medications, and more.

Code Recommendation: Based on the analysis, the system recommends appropriate CPT and ICD-10 codes in real-time.

Autonomous Charge Creation: The AI-driven system creates charges automatically, complete with all relevant information.

Feedback Loop: Clinicians or coders can accept or update the recommendations. The system learns from this input, continually improving its accuracy.

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What Will Automated Medical Coding Automate for Me?

Automated medical coding goes beyond simply generating codes from clinical documentation. Here's a closer look at what MediMobile's Autonomous Medical Coding can automate for you:

Charge Creation: Streamline your workflow with our system, effortlessly generating charges from clinical documentation. Say goodbye to manual entry and hello to efficiency.

CPT Code Selection: Let our AI-driven system handle the selection of CPT codes for you. With precision and accuracy, it ensures that the most appropriate codes are chosen, minimizing errors and optimizing your billing process.

ICD-10 Diagnosis Code Selection: Navigate the complexities of diagnosis code selection with ease. Our system takes the guesswork out of ICD-10 coding, ensuring that your documentation aligns with accurate diagnosis codes.

MIPS Measure Generation with Precision: Stay compliant with MIPS measures effortlessly. Our system not only automates the generation of MIPS measures but does so with precision, helping you meet reporting requirements without added manual effort.

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MediMobile MIPS Reporting Chart for Physicians and Clinicians

MediMobile integrates MIPS measures into the clinician’s workflow, creating a seamless interaction and ensuring all MIPS questions are answered. The system employs a “Hard Stop” to ensure clinicians complete triggered MIPS measure questions. Robust analytics, reporting, and auditing capabilities ensure successful compliance.We generate the measures and you approve or edit them, it’s that easy.

MIPS & Clinical Management Tools

MediMobile uses advanced technology to offer quality initiative support and clinical management tools focused on improving clinical quality outcomes for patients. The software rules engine can be tailored for selected MIPS measure capture, site-specific quality measure customization, and organizational performance tracking. Consulting and MIPS submission services are also available to ensure compliance and optimize performance.

Benefits of Automated Medical Coding

Automated medical coding brings several key benefits:

Cut Operational Costs by 50%: By removing the need for manual processes, significant cost savings are achieved.

Enhance Coding Accuracy: AI-driven recommendations ensure high precision in coding, minimizing claim denials.

Reduce Coder Workload by 75%: Coders can shift their focus to more complex tasks, boosting productivity and job satisfaction.

Facilitate Quick Audits: Easy-to-use audit features ensure compliance and highlight areas needing improvement.

Improve Clinical Documentation: Enhances overall documentation quality, ensuring records are thorough and accurate.

Why Automated Medical Coding is Essential

Manual coding is time-consuming, prone to errors, and inefficient. Automated medical coding tackles these issues by:

Saving Time: Reclaim 10-20 hours per workweek by automating administrative tasks, allowing clinicians to concentrate on patient care.

Increasing Revenue: Precise coding and fewer claim denials lead to quicker reimbursements and better cash flow.

Enhancing Patient Care: With reduced administrative burdens, clinicians can attend to more patients and deliver higher quality care.

Ensuring Compliance: Automated coding keeps up with the latest guidelines, minimizing the risk of penalties and audits.

MediMobile’s automated MIPS measure generation and Autonomous Medical Coding solutions provide a comprehensive approach to streamline MIPS reporting, reduce operational costs, and enhance overall efficiency. By integrating these advanced technologies, healthcare providers can focus more on patient care while ensuring compliance and optimizing financial performance. Embrace the future of healthcare reporting with MediMobile and transform the way you handle MIPS measures and medical coding.

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