Rapid Coding & Charge Capture

MedcomSoft's innovative approach to encounter procedural and diagnostic coding allows practitioners to rapidly and effectively create, code and scrub items before passing the responsibility to a back-office resource or an external billing system, thereby reducing error and improving accuracy, compliance and income. Since the documentation engine automatically generates the appropriate procedure and diagnosis codes, including appropriate E&M codes according to guidelines, correct charge capture begins at the documentation level.

Additionally, from a virtual superbill, users may select from commonly used procedure and diagnosis codes, or have the option of selecting from the full procedural and diagnosis lists, codes generated from the current documentation or previous encounters or other clinical activities, thereby replacing the old paper superbill. All the while, codes are verified and scrubbed by the MedcomSoft code validation engine. Claims are automatically created when encounters are completed and made available for administrative staff for final adjustments, batching and transmission.

Never has it been easier to accurately and optimally code for clinical encounters.

Automatic E&M Coding

Starting at the encounter, the MedcomSoft automated E&M Coder calculates, with a single mouse click, the optimal visit codes based on the encounter clinical notes. MedcomSoft Record stores detailed justification of coding levels to protect against possible audits. Manual coding overrides can be accommodated to provide optimum flexibility. Record provides automatic prompts for required procedural bullets to ensure that optimized reimbursement levels are met.

Code Scrubbing & Compliance Checking

MedcomSoft Record users take advantage of the code scrubbing and compliance checking engine included in the application powered by MDESolutions PrecisionCode, which includes code scrubbing edits for procedure codes, diagnosis codes, modifiers matching rules and is approved by the American Academy of Professional Coders.  Compliance and code edits are performed in real-time with automatic suggestions for error correction saving hours of costly staff time.

Ensure proper, accurate coding and compliance with local and national rules and the National Correct Coding Initiative (NCCI) with MedcomSoft Record.

Intelligent Fee Schedules

MedcomSoft Record allows user to powerfully set up fee schedules and insurance contracts with ease. Practices can create fee and allowed amounts based on a variety of calculation methods, including flat rates, relative value units (RVUs) or Medicare RVUs, as the entire Medicare Part B fee schedule is included in the system, standard, is updated regularly. This allows users to simply select their geographic location and have appropriate fee amounts automatically calculated.

Additionally, MedcomSoft Record endows users with robust calculation tools to update entire fee schedules by markup percentages, fee recalculations and entire fee schedule copy and update functionality. In addition, allowed amounts can be setup to update dynamically based on received actual allowed amounts from insurance plans.  Such tools can save enormous amounts of time and effort for back-office staff.

Features & Functionalities