Does the prospect of an audit keep you and your peers awake at night? Are you certain that your hospital is correctly coding for every emergency care procedure, service and diagnosis? There’s no need for sleepless nights. An emergency department coding and charge capture solution can help you maintain the rules, avoid double-dipping, missed charges and coding deficiencies. Horizon Intelligent Coding™ for ED helps optimize revenue and reduce compliance risk for emergency department coding and charge capture. It takes the guess-work out of coding by:

• Analyzing and determining appropriate coding using a rules engine and extensive algorithms
• Consistently applying APC coding rules and procedures
• Automatically determining the appropriate level of service (E&M level) through a weighted point system that  measures the departmental workload and resources spent on treating the patient
• Calculating correct codes for drugs administered using advanced coding algorithms
• Providing extensive reporting to improve quality and performance

Benefits

• Ensures compliance: applies CPT coding rules consistently and utilizes a built-in tool to calculate the emergency department visit level
• Keeps current with regulatory changes: new regulatory changes, especially coding requirements for Center for Medicare and Medicaid Services (CMS) and CPT rules as published by the American Medical Association, are automatically updated in the software and effective the day the rules take effect
• Enhances documentation: prompts complete and compliant information for risk management, coding and data capture for deficiencies
• Expedites billing: maps the appropriate codes and charges to the hospital charge master—after final review, the charges can be sent electronically to the hospital billing system
• Optimizes revenue: ensures compliant charge capture which leads to an optimal revenue stream
• Saves time:
  • Patient information from admit, transfer and discharge (ADT) is interfaced to the coding software, saving data entry
  • Documentation from Horizon Emergency Care™ can also be integrated to avoid additional data entry
• Extends performance and quality management: coding reports validate performance, identify training and staffing needs and opportunities for improvement
• Improves audit outcomes:
  • Adheres to the CMS Eleven Guiding Principles for E&M calculation
  • Provides evidence of consistent rule application for audit purposes
  • Allows for retrieval of the coding report on demand
  • Provides and up-to-date policy as required by CMS
  • Provides tracking reports and a compliant policy manual that can be shared with auditors

Horizon Intelligent Coding for ED was developed by EN-Chart Scanning LLC, which was acquired by McKesson on July 16, 2008.