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Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
QCode AI
QCode AI

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Categories

Solutions

Description

Product Description:

AQuity's QCode Autonomous Coding Engine uses sophisticated, next generation computer algorithms to code charts within seconds, with selective human intervention and proven accuracy. This integrated coding solution allows for rapid response to changes in volumes and delivers superior quality and turnaround time to healthcare organizations.

We've incorporated our acclaimed coding solutions into a one-stop platform that enhances workflow and improves overall revenue cycle performance, coding quality, and productivity, thereby offering consistently accurate, high quality medical coding at a fraction of the cost.

About AQuity Solutions:

Solutions for Smaster Healthcare. Improve clinical and financial outcomes with AQuity's best in KLAS documentation, coding and revenue cycle solutions.

Product Description:

There is a different way to work. If you were to reimagine the way you run your business, what would you do differently? What if you could save up to 80% of your operational costs by reimagining the way business outcomes are delivered?

Through the power of automation emerging technologies, we challenge you to think differently about how you work and how you use your people to full effective.

We can help you across the automation journey from thinking through your strategy to implementing and executing robotic process automation, machine learning and other emerging technologies across the enterprise.  

Revenue Cycle Management:

Prior Authorization ​

Insurance Claims - Posting

Patient Payment - Posting

Coordination of Benefits: Primary, Secondary, & Tertiary

Revenue Integrity - Payment Audits (Under & Over)

Provider: Insurance Enrollment

Revenue Integrity - Charge Description Master (CDM) Management

Revenue Integrity - IME or IMR Audits (CMS & Medicare Advantage)

Insurance Claims - Denied & Rejected Follow-Up

About TQA Healthcare - Formerly Element Blue:

TQA Healthcare enables healthcare and life sciences organizations to transform the patient experience and reduce costs through increased personalization, intelligent automation, and AI. 

The practice’s solutions impact patient access, the revenue cycle, order processing, and clinical needs at the most critical stages of the patient journey, resulting in a seamless encounter.

By empowering individuals to actively manage their unique experiences, TQA Healthcare increases the satisfaction of every healthcare consumer: patients, staff, and clinicians.

Houston-based, TQA Healthcare is formerly Element Blue. 

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

Autonomous coding is human-assisted coding.

QCodeAI's autonomous coding optimizes the recent advancements in machine learning, deep learning, natural language processing (NLP), and clinical language understanding to propel clinical coding beyond the traditional capabilities of a coding department. This fully secure, integrated coding solution allows for rapid response to changes in volumes and delivers superior quality and turnaround time.

Here's what organizations like yours are achieving with QCodeAI: 

  • Coding accuracy over 97%
  • 70% increase in coding productivity 
  • 90% reduction in turnaround time
  • Denial rates under 2%
  • 50% decrease in staffing needs
Pediatric use cases:

None provided

Users:

Health Systems, Hospitals, Physician Groups, Payers, HIM Departments, Revenue Cycle Departments, Finance 

Description:
  • Prior Authorization
  • Claims Status
  • Coding
  • Scheduling
  • HIM
  • Remittance Posting
  • Provider Credentialling
  • Accounts Payable
  • Human Resources
  • Clinical Services
  • Patient Access
  • Revenue Cysle Management 
  • Supply Chain
  • Finance
  • HR
  • Referrals
  • Faxes
  • PDFs
  • Emails
  • Scans
  • Invoices
  • Patient Charts
  • Patient Records
  • Lab Orders
  • Mail
  • Paper Documents
  • Resumes
Pediatric use cases:

Same as for any health system, but additional applications related to newborn insurance and patient proxy for infants and children.

Users:

Revenue Cycle Leaders

Finance Leaders

IT Leaders

HR Leaders

HIM Leaders

Operations Leaders

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, eClinicalWorks, McKesson, GE, CPSI

Hardware Compatibility:

Not applicable

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Not applicable

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

Not applicable

Client Types

None provided

Awards

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Differentiators

Differentiators vs EHR Functionality:

Autonomous coding is human-assisted coding.

QCodeAI is not computer-assisted coding, nor does it rely on the often overly simplified and outdated code assignment logic used by EMR shortcuts like Simple Visit Coding. QCode's AI is first calibrated with historical data to be acutely aware of your organization's specific coding workflows and needs. Credentialed AQuity coders and auditors are available to monitor and intervene when complex cases or requests for review are detected. 

Differentiators vs Competitors:

QCodeAI transforms AQuity's acclaimed coding solutions into a one-stop AI platform that enhances the coding workflow and improves overall revenue cycle performance, coding quality, and productivity, thereby offering consistently accurate, high quality medical coding at a fraction of the cost.

Differentiators vs EHR Functionality:

While EHRs offers integration tools, achieving seamless data exchange, particularly with non-EHR systems, can be challenging due to their limited interoperability.

This can create communication hurdles between providers using different EHRs, healthcare facilities not on a particular EHR, and providers who need to integrate with other advanced technology platforms outside of the EHR ecosystem.

Element Blue's solutions can integrate with any platform and are independent of particular products or technologies. This affords our teams unlimited creativity when ideating custom solutions for each healthcare organization.

Differentiators vs Competitors:

Element Blue's practice is dedicated exclusively to healthcare and life sciences. This is unique among our UiPath competitors, who serve multiple industry verticals.

A UiPath Platinum partner, Element Blue is recognized as a leading systems integrator with more than 20 years' experience in working with some of the world's best known providers, payers, diagnostics, and life sciences organizations.

Keywords

Images

No images provided

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Videos

No videos provided

1 of 3

Epic Claim Denial Resubmission with BCBS.mp4

Downloads

Press Release: AQuity Unveils QCode AI
media thumbnail
66329_EB RPA Case Study REVISED.pdf

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Company Details

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