VIaante's Healthcare RCM Solutions vs Codametrix Autonomous Medical Coding Platform

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VIaante's Healthcare RCM Solutions

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Codametrix Autonomous Medical Coding Platform

5.0

4 reviews

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Product Description:

Viaante's comprehensive RCM solutions cover the full spectrum of the revenue cycle, while its RPM services enable proactive patient management through technology-driven monitoring tools. RCM Solutions: Patient Registration & Insurance Verification: Ensures accurate patient data collection and insurance verification to minimize payment delays. Medical Coding: Accurate CPT, ICD-10, and HCPCS coding ensure compliance, reducing claim rejection risks. Charge Capture & Claims Submission: Efficient charge capture and claims submission ensure timely payments, reducing turnaround time. Denial Management: Addresses and resolves claim denials, improving revenue recovery. Payment Posting & Reconciliation: Precise payment posting and reconciliation ensure accurate financial records. AR Follow-up & Collections: Systematic follow-up and collections ensure timely payments for outstanding balances. RPM Solutions: Viaante's RPM services enable healthcare providers to remotely monitor patient health data, such as vital signs, from wearable devices and other health monitoring tools. These solutions offer: Real-time Patient Monitoring: Continuous monitoring of patient vitals like blood pressure, glucose levels, and heart rate, allowing for timely interventions. Data Collection & Analysis: Automated health data collection from patients at home, with real-time analysis to detect anomalies. Improved Patient Engagement: Enables better engagement with patients by offering insights and notifications for timely care interventions. Chronic Disease Management: Efficient remote monitoring of chronic conditions such as diabetes and hypertension, helping reduce hospital visits and readmissions. Integration with EHR Systems: Seamless integration of patient data into Electronic Health Records (EHR), improving the quality of care through accessible and accurate patient information. By combining RCM with advanced RPM services, Viaante helps healthcare providers achieve financial stability while delivering higher quality care through continuous monitoring and proactive patient management. This dual focus ensures healthcare practices are not only more profitable but also more effective in managing long-term patient health.

About Viaante Business Solutions:

None provided

Product Description:

CodaMetrix is a SaaS platform, hosted in the AWS Cloud environment, that uses AI and ML to interpret clinical data from the Electronic Health Record (EHR) to reduce time and cost of coding while increasing the quality of coding data sets. It works in parallel with existing coding processes, automatically billing codes and providing medical coding teams with context and suggestions for low-confidence codes.

CodaMetrix currently supports Epic, GE, Meditech, and Cerner and can be expanded to other EHRs. It is available in Radiology, Pathology, Endoscopy, Surgery, and Evaluation & Management service lines with planned expansion into Emergency Department (ED) and other specialties. CMX Insights includes a dashboard with analytics on automation rate and accuracy, as well as Coding Decision Support tools.

About CodaMetrix, Inc.:

CodaMetrix is an AI-powered SaaS platform dedicated to transforming medical coding, serving health systems that use Epic in more than 220 hospitals, performing over 50 million patient visits with 60,000 physicians across 25 states. The CodaMetrix platform leverages the latest in AI technology to deliver automation in a growing number of specialty and sub-specialty areas. Providers using CodaMetrix experience a 60% reduction in coding costs, a 70% reduction in claims denials, a 5-week acceleration in time to cash, and an average successful automation rate above 96%.

Compatibility level

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Clients

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Product Capabilities

Intelligent Automation

CodaMetrix leverages AI technologies in our platform to learn relationships between clinical documentation and billing codes, as well as to adapt to each customer's unique documentation styles and coding standards. We develop and maintain our own proprietary AI algorithms in-house, including machine learning, deep learning, and natural language processing capabilities. We do not rely on or partner with any third-party AI/machine learning vendors.

Advanced Analytics and Reporting

The CMX Insights™ Platform displays information about charge related data received from the Customer’s EHR system, including cases which have been automated and those that have been passed along to the Customer’s existing manual solution or processed manually. The analytics can be accessed to understand why a charge was automatically coded and provides evidence of all coding decisions and predictions. Finally, CMX Insights™ are used to analyze volumes processed by date range, and case-specific information. Dashboards include but are not limited to: - Real-time performance - Financial impact analytics - Productivity monitoring - Denial management tracking

Compliance and Security

CodaMetrix has implemented both the technical and procedural safeguards to operate with HIPAA compliance at the forefront. CMX has achieved ISO 27001 certifications and SOC 2 Type 2 compliance in addition to implementing the necessary controls (encryption in motion and at rest, full audit trail, ISMS, 3rd party penetration testing, static and dynamic code vulnerability scanning, role-based security, least privileged security model, etc).

Denial Management and Prevention

CodaMetrix is committed to reducing denials through our autonomous coding solution. We have proven to reduce denials by more than 50-60% compared to manual coding. For example, a study of radiology claims at Mass General Brigham showed that denials-for-coding dropped by more than 58.7% after implementing CodaMetrix. We also analyze denials information shared by customers to improve our artificial intelligence and autonomous coding capabilities.

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:

CodaMetrix provides autonomous coding services for the following specialties for both inpatient and outpatient scenarios:

Diagnostic Radiology
Interventional Radiology
Anatomic Pathology
GI and Special Procedures
Surgery
Bedside Professional Visits
ED expected in 2025
Ambulatory expected in 2025

Pediatric use cases:

Yes, CodaMetrix is currently contracted with Children's Health Systems.

Users:

The primary users of the CodaMetrix platform are designated Medical Coders. A goal of our system is to alleviate doctors of the task of medical coding and other administrative burdens.

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Pop health platform, ADT, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, Other, Meditech, athena, Athenahealth, GE

Hardware Compatibility:

Mobile / Tablet (web optimized), Desktop

In Epic Showroom

https://showroom.epic.com/Listing?id=1175

Client Types

None provided

Pediatric Hospitals

Academic Medical Centers

Accountable Care Organizations

Large Medical Facilities

Diagnostics and Imaging Centers

Extra Large Medical Facilities

Awards

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

Codametrix offers fully autonomous coding vs. computer assisted coding (suggested code sets)
Professional coder productivity reporting
Ease of performing QA and auditing with Coding Manager tools for self service coding QA (including building in custom rules and sampling)

Differentiators vs Competitors:

Automation Accuracy: CodaMetrix exceeds 96% in this metric, setting a new standard for the industry.

Coding quality: CodaMetrix is built on clinically validated data to ensure superior accuracy and provides the adaptability necessary to serve your specific needs.

CodaMetrix offers CMX Amplify™—our coding decision support tool that measures coder productivity, accuracy, and proficiency, while helping generate high-quality data.

Performance analytics: The CodaMetrix platform's advanced analytics capabilities position users to make data-driven decisions more effectively.

Provider-owned: CodaMetrix is a provider-owned company that is organizationally designed to deliver proven solutions to our fellow healthcare industry providers.

As the Epic Toolbox member that has been live with numerous Epic healthcare organizations for years, we bring unmatched experience to the market, consistently meeting Epic’s integration requirements.

Health Equity

Keywords

intelligent automation,advanced analytics,medical coding,autonomous medical coding,AI medical coding,automated medical coding,coding guidance,coding gap closure

Images

No images provided

Videos

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Downloads

No content provided

CodaMetrix Differentiators 1-Pager - August 2024 (2).pdf

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Company Details

By Viaante Business Solutions

By CodaMetrix, Inc.

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