AGS Health Computer-Assisted Coding (CAC) is a core module of the AGS AI Platform, designed to transform manual medical coding workflows into an efficient AI-coder collaboration. The software leverages an industry-leading clinical Natural Language Processing (NLP) engine and patented AI to automatically suggest billable ICD-10 CM, PCS, and CPT codes from various clinical documents, dramatically increasing coder productivity and code capture.
Key Features and Capabilities
The CAC module is built for flexible and scalable coding operations, offering a comprehensive suite of features to maximize performance, quality, and compliance. It is an over-the-top cloud solution that connects to existing software, blending AI and automation with human-in-the-loop support.
- Automated and Accurate Coding Suggestions: Leverages NLP and AI to identify every potential ICD code, whether explicitly mentioned or implied, and captures all PCS and CPT codes across documentation components.
- Intelligent Worklists: Prioritizes and groups work, automatically routing charts based on specialty or diagnosis to coders with matching skills and shuffling work based on availability and workloads.
- Real-Time Analytics and Reporting: Measures coder activity and productivity, understands coding patterns by physician and facility, and identifies areas needing attention for improvement.
- Compliance and Auditing: Includes a fully integrated auditing solution with intelligent audit worklists, pre-bill and retrospective audits, and an integrated encoder/grouper with coding references to ensure adherence to guidelines and reduce audit risk.
- EHR Integration: Designed to integrate with any EHR system via an HL7 interface, providing a single data platform to facilitate collaboration between coding, HIM, physicians, and CDI teams.
Target Users and Use Cases
The software is designed for a wide range of healthcare organizations, from group practices to multi-facility health systems and Federally Qualified Health Centers (FQHCs). Primary use cases include: Medical Coding Automation, Clinical Documentation Improvement (CDI), Revenue Cycle Management (RCM) Optimization, and Coding Audit and Compliance.
By streamlining processes, AGS Health CAC helps healthcare organizations reduce denials, missed charges, and low-risk scores, leading to a significant return on investment.