Dolbey Fusion CAC is a leading, award-winning computer-assisted coding (CAC) solution designed to empower hospital and professional coding and auditing teams to improve accuracy, efficiency, and collaboration across the revenue cycle. The platform has been consistently rated as Best in KLAS for Computer-Assisted Coding for nine consecutive years (2017-2025).
At its core, Fusion CAC leverages advanced Artificial Intelligence (AI) and Machine Learning (ML), specifically Natural Language Processing (NLP), to analyze clinical documentation and suggest ICD-10-CM/PCS and CPT codes for all patient types (inpatient, outpatient, and professional services). This unified approach supports Single-Path Coding, streamlining the process across various settings.
Key Features and Capabilities:
- AI/ML-Powered Code Suggestions: Suggests ICD-10, CPT, and PCS codes with enhanced validation to boost coding precision.
- Autonomous Coding (AutoClose): Automatically codes simple outpatient visits and submits them directly to billing, allowing coders to focus on more complex cases.
- Automated Chart Prioritization: Prioritizes charts based on complexity and urgency to reduce Discharge Not Final Billed (DNFB) rates and accelerate time-to-cash.
- Integrated Modules: Seamlessly integrates CAC, Clinical Documentation Improvement (CDI), Auditing, and Denial Management Tracking into a single, collaborative workflow.
- Integrated Provider Query Module: Facilitates seamless communication with providers to create and track queries, monitor response times, and analyze impact on quality and financial outcomes.
- Detection of Quality Initiatives: Helps identify key quality measures such as Patient Safety Indicators (PSI) and Hospital-Acquired Conditions (HAC).
- Comprehensive Reporting: Provides sophisticated, real-time reporting on nearly every event in the coding process for smarter managerial decisions.
Target Users and Use Cases:
Fusion CAC is primarily targeted at medium to large-sized healthcare organizations, including community hospitals and multi-site health systems. Its primary users are HIM/Coding Managers, Coders, CDI Specialists, and Auditors looking to optimize their revenue cycle and ensure regulatory compliance.