EncoderPro.com from Optum360 is the industry front runner in coding information and compliance.
This online application service includes everything you need to streamline coding, including ICD-9-CM, ICD-10-CM and PCS, CPT, HCPCS Level 2 code set searches, Medicare policy information, the Medicare physician fee schedule, and the full library of Optum360 publications.
With the power of EncoderPro.com, you'll accurately research coding and compliance rules, easily find elusive codes, and quickly access supportive documentation.
Additionally, EncoderPro.com tools now allow you to efficiently review claims for coding errors and make necessary changes to streamline the claim submission process.
EncoderPro.com is a highly functional Internet browser-based solution that puts all the coding tools you need right at your fingertips.
For easy navigation throughout the application, use the convenient single click buttons to access code compliance editing capabilities, add user notes to any code that can be viewed by a single user or across your entire organization, create custom lists of your commonly used codes, read online help, and more, or take advantage of the quick links to code book indexes that mimic the books and other coding resources that take you straight to the features designed specifically for fast and accurate code research and review. Every aspect of EncoderPro.com is designed to drive you to the appropriate code, keep you updated on code revisions, and alert you to upcoming application changes. Users that are accustomed to the book formats of traditional code books will appreciate how the EncoderPro.com menus are arranged in sections identical to the books.
Here's how the code searching functionality works. EncoderPro.com lets you search up to four lay terms, abbreviations, acronyms, and even misspelled words across CPT, HCPCS, ICD-10-CM and PCS, and ICD-9 code sets to achieve clinically accurate results all within a second. EncoderPro.com clearly displays results in the corresponding hierarchy and allows you to consolidate adjunct code information with user notes or a notepad for handy reference. At a glance, coding instructions, lay descriptions, and multiple crosswalks are also readily available. Hard to navigate coding guidelines are a thing of the past. You can see ICD-10 chapter, section, range, and code notes from a single page, making time-consuming code book page flipping a thing of the past. Convenient color-coded edits identify whether a code carries an age or a sex edit requires additional digits, is covered by Medicare, or contains quantity alerts. We've briefly seen EncoderPro.com's comprehensive search capabilities in action with ICD-10 codes, but it doesn't stop there. EncoderPro.com's dynamic search engine extends across CPT, HCPCS, and ICD-10 as well. You can even search multiple code types all at once. Additionally, users can view code details such as Medicare reference information, code-specific information, or Optum360 code content, as well as customizable print code detail across all code sets so users can choose what they want to see in print.
Print detail includes helpful code information such as lay descriptions, modifiers, CCI, and multiple crosswalks.
When it comes time to check your work and review codes, the expert version of EncoderPro.com includes a compliance editor. Users can enter coding information directly in the compliance edit screen. Simply enter criteria as it appears on a claim. When the Run checkbox is clicked, compliance editor performs a scrub of your claim, automatically checking your code selections against hundreds of industry standard edits, including local and national coverage determinations to determine medical necessity, CCI on bundles, age, gender, modifiers, and can even review state-specific Medicaid guidelines for compliance. Additionally, users can now access edits for claim denials and claim appeal support. Users can optimize time by performing compliance checking on an entire batch of claims using EncoderPro.com expert's claim batch editor.
This tool allows users to load practice management system generated claim files, scrub claims, and review error reports for claim repair prior to submittal to a claims payer.
EncoderPro.com takes it even a step further by providing additional tools to repair and document changes to claims for easy repair in your practice management system. EncoderPro.com users can further their capabilities to enhance coding guideline knowledge across their organization with its unique code note capability. EncoderPro.com lets you attach user notes to any code that can be viewed by a single user or a global note that can be viewed by your entire organization just as you did with traditional books, but without the messy margin notes. Users also have the capability to search notes on keywords to make user note organization and look-up a snap. If you need to reference a code that is new, has been revised, or has been deleted, EncoderPro.com provides a quick and easy look-up. Reference all codes the AMA has deleted since 1998, and if that code has a recommended replacement, EncoderPro.com provides a hyperlinked cross reference to the new code. Users can even see codes that are not yet effective with the future code section. Additionally, users can access new coding information such as HCC and MIPS quality measure content.
Want to search for active and retired local coverage determination and national coverage determination policies from CMS? EncoderPro.com expert users can quickly query this information across carriers or for individual carriers for part A or part B policies and to make searching easier offers many ways to do so by procedure or diagnosis code, keyword, or policy ID. EncoderPro.com provides access to content of over two dozen code and reference books plus the option of supplementing with numerous add-on modules. To review these available add-ons and all their valuable content and functionality, review the add-on video that provides detailed information about each one.
Step up to precision coding.
With EncoderPro.com, you'll not only streamline your claims payment cycles, but you'll also improve coding accuracy and dramatically reduce denials.
To learn more about EncoderPro.com from Optum360, please contact us today.
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