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Description
Amy, developed by CombineHealth, is an innovative AI solution designed for automating medical coding processes, specifically tailored for mid-sized hospitals and multi-specialty physician practices, enabling them to streamline intricate coding workflows with assurance. It encompasses a comprehensive range of coding systems, including CPT, ICD-10, HCPCS, E/M, modifiers, and various specialty-specific requirements.
By scrutinizing clinical documentation alongside coding guidelines, payer rules, and specialty standards, Amy produces precise and understandable coding recommendations. The system effectively uncovers missed services, identifies gaps in documentation, highlights opportunities for undercoding, and points out coding exceptions, providing supporting evidence for each proposed code.
One of Amy's standout features is its continuous feedback mechanism; as it codes each chart, it analyzes the outcomes related to claims, such as denials and payer responses, to enhance its future coding accuracy and minimize recurring mistakes. In practical application, Amy boasts an impressive coding accuracy rate exceeding 98%, achieves up to 85% automation in the coding process, and facilitates a significant 75% decrease in denials related to coding. This combination of automation and precision makes Amy a vital tool for healthcare providers aiming to optimize their coding efficiency and accuracy.
Description
Optum360 provides expert physician advisory services, incorporates evidence-based medical research, and utilizes advanced artificial intelligence (AI) technology to enhance proper reimbursement and ensure precise documentation. We collaborate with your medical professionals to identify areas for improvement. You can select from our array of services or technology, or even combine both, to best meet your specific requirements. Our offerings include both on-site and remote services that leverage AI for timely assessments of patient statuses. We strive to enhance the efficiency, accuracy, and integrity of your utilization review process and its results. Through our Physician Advisor Services and the Case Advisor™ technology, we assist in lowering denial rates, enhancing suitable reimbursement, and reducing the risk of audits. Furthermore, our technology empowers your in-house physician advisors, making them more productive and effective in their roles. By integrating these resources, we aim to create a seamless experience that ultimately benefits patient care and administrative workflows.
API Access
Has API
API Access
Has API
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Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
CombineHealth
Founded
2022
Country
United States
Website
www.combinehealth.ai/
Vendor Details
Company Name
Optum
Country
United States
Website
www.optum360.com/solutions/coding-and-documentation/physician-advisor-solutions.html
Product Features
Product Features
Electronic Medical Records (EMR)
Appointment Management
Charting
Compliance Tracking
E-Prescribing
E/M Coding
HIPAA Compliant
Handwriting Recognition
Integrated Telehealth
MIPS Certified
Meaningful Use Certified
ONC-ATCB Certified
Patient Portal
Self Service Portal
Voice Recognition