Computer Assisted Coding and SOA Healthcare Market Shares, Strategies, and Forecasts, Worldwide, 2010-2016

Table of Contents

 

Computer Assisted Coding Executive Summary 

 

Computer Assisted Coding Executive Summary  ES-1

Computer Assisted Coding Market Driving Forces  ES-1

Natural Language Computer Assisted Coding Market Shares  ES-5

Computer Assisted Coding Market Forecasts  ES-7

Centers for Medicare & Medicaid Services (CMS) CAC to

Ease Transition to ICD-10  ES-9

SOA For Healthcare Market Shares  ES-9

Services Oriented Architecture (SOA) Healthcare Market Forecasts  ES-12

 

Computer Assisted Coding Market Description And Market Dynamics

 

1.    Computer Assisted Coding Market Description and

Market Dynamics  1-1

1.1   Standardized Application Of Coding Guidelines  1-1

1.2   Clinical Modification/Procedure Coding System (ICD-10) 1-2

1.2.1    Adopting an Electronic Query Process in CDI  1-3

1.3   Coding Challenge  1-5

1.3.1    Computer Assisted Coding (CAC) 1-5

1.3.2    Advances In Natural Language Processing And Informatics  1-6

1.4   Computer-Assisted Coding Technology  1-7

1.5   Computer-assisted Coding  1-8

1.5.1    Industry Forces Affecting Development of CAC   1-9

1.5.2    Application of CAC Technology  1-11

1.6   Development of a CAC Tool For Hospital Inpatient Use  1-12

1.6.1    CAC Impact on the Coding Workflow   1-12

1.6.2    Computers Replace Human Coders  1-13

1.7   Healthcare Industry Largest In United States  1-13

1.7.1    Building a Safer Health System   1-14

1.7.2    Facilitating the Use of Technology in the

Healthcare Industry  1-15

1.7.3    Medicare Prescription Drug Improvement and

Modernization Act 1-17

1.8   Medical Necessity and Medical Necessity Errors  1-17

1.9   Electronic Coding Technologies  1-18

1.9.1    Electronic Coding Integrated Database  1-18

1.10     Natural Language Solutions  1-20

1.10.1  State Of Language Technology Evaluation  1-22

1.11     Computerized Workflow System   1-23

1.11.1  Confidence Assessment Module  1-25

1.11.2  Researching Electronic Coding Products: 1-27

 

Computer Assisted Coding and  SOA Market Shares And Market Forecasts

 

2. Computer Assisted Coding Market Shares and Forecasts  2-1

2.1   Computer Assisted Coding Market Driving Forces  2-1

2.1.1    Computer Assisted Coding of Medical Information

Natural Language Market Driving Forces  2-5

2.1.2    Medical Best Practice Linking  2-5

2.1.3    Best Practice Using NLP Computer Assisted Coding  2-11

2.1.4    Natural Language Computer Assisted Coding

Medical Information Solutions  2-12

2.1.5    Natural Language Coding Solutions  2-13

2.2   Natural Language Computer Assisted Coding Market Shares  2-16

2.2.1    Ingenix / A-Life Medical, Inc. 2-19

2.2.2    Ingenix / A-Life Medical Physician

Solutions Computer-Assisted Coding  2-19

2.2.3    CodeRyte  2-20

2.2.4    CodeRyte’s NLP Engine Built For Compliance  2-22

2.2.5    Picis LYNX Pressure On, Observations Up, Admissions Down  2-22

2.2.6    LYNX   2-23

2.2.7    Cerner / LingoLogix  2-23

2.2.8    Med2020  2-24

2.2.9    Craneware's Chargemaster Large Multi-Hospital Systems  2-24

2.2.10  Craneware Bill Analyzer 2-24

2.3   Computer Assisted Coding Market Forecasts  2-25

2.3.1    Centers for Medicare & Medicaid Services (CMS)

CAC to Ease-Transition to ICD-10  2-31

2.4   SOA For Healthcare Market Shares  2-31

2.5   Services Oriented Architecture (SOA) Healthcare

Market Forecasts  2-35

2.6   Computer Assisted Coding Regional Market Segments  2-38

 

Computer Assisted Coding Product Description

 

3. Computer Assisted Coding Product Description   3-1

3.1   Medical Coders Use CAC Software As They Move To ICD-10  3-1

3.2   A-Life Medical Physician Solutions Computer-Assisted Coding  3-1

3.2.1    A-Life MedicalCoding Services  3-3

3.2.2    A-Life MedicalReal-time Coding Integration  3-4

3.2.3    A-Life Medical Auditing  3-5

3.2.4    A-Life Medical Reconciliation  3-7

3.2.5    A-Life Medical Hospital

Computer-Assisted Coding Solutions  3-8

3.3   CodeRyte  3-9

3.3.1    Coderyte Supports Coding In ICD-10  3-10

3.3.2    CodeRyte Computer Assisted Coding  3-11

3.3.3    CodeRyte CodeAssist 3-13

3.3.4    CodeRyte CodeComplete  3-14

3.3.5    CodeRyte DataScout 3-15

3.3.6    CodeRyte Patterns of Care Recognition  3-19

3.3.7    CodeRyte Medical Coding Process Solutions  3-21

3.3.8    CodeRyte Multi-Specialty Clinics  3-23

3.3.9    CodeRyte Supports Single-Specialty Physician Groups  3-24

3.3.10  CodeRyte Support for Billing Companies  3-26

3.3.11  CodeRyte Serves Hospitals With Computer

Assisted Coding  3-27

3.3.12  3M Teams With CodeRyte To Offer Advanced

 Computer-Assisted Coding Software For ICD 10  3-28

3.4   3M Health Information Systems Specializes in

Computer Assisted Coding  3-29

3.4.1    3M Population Based Tools  3-31

3.4.2    3M Health Information Management 3-31

3.4.3    3M Health Information Exchange  3-33

3.4.4    3M Document Management 3-34

3.4.5    3M ChartFact 3-36

3.4.6    3M Health Information Systems  3-36

3.4.7    3M Open System Architecture  3-37

3.4.8    3M Health Information Systems Medical Coding Process  3-37

3.4.9    3M™ Ambulatory Revenue Management Software (ARMS) 3-37

3.4.10  3M™ APC Editing and Compliance Software  3-39

3.4.11  3M™ APC Grouper Plus Software  3-40

3.4.12  3M™ APCfinder™ Software  3-40

3.4.13  3M™ APCfinder™ Software for TRICARE   3-40

3.4.14  3M Grouping Logic  3-41

3.4.15  3M Editing  3-41

3.4.16  3M Reimbursement 3-42

3.4.17  3M™ APCfinder™ Software with Medical

Necessity Validation  3-42

3.4.18  3M™ APR DRG Classification System   3-43

3.4.19  3M™ APR DRG Software  3-44

3.4.20  3M™ Audit Expert System (Inpatient) 3-45

3.4.21  3M™ ChartFact™ Software for Hospitals and Clinics  3-46

3.4.22  3M™ ChartLocator™ Software  3-47

3.4.23  3M™ ChartRelease™ Software  3-48

3.4.24  3M™ ChartScan™ Software for Document Capture  3-50

3.4.25  3M™ ChartScriptMD™ Document

Creation Software for Radiology  3-51

3.4.26  3M™ ChartScript™ Software for

Clinical Documentation  3-53

3.4.27  3M™ Codefinder™    3-54

3.4.28  3M™ Codefinder™ (CAE) Computer-Assisted  3-55

3.4.29  3M™ Coding and Reimbursement System Software  3-56

3.4.30  3M™ Coding Reference Software and

3M™ Coding Reference Plus Software  3-59

3.4.31  3M™ Core Grouping Software  3-60

3.4.32  3M™ ICD-10 Code Translation Tool 3-60

3.4.33  3M™ Medical Necessity Dictionaries  3-62

3.4.34  3M™ Physician Coding and Reimbursement System   3-64

3.5   PlatoCode System   3-64

3.5.1    Platocode Offers Clinical Computer-Assisted Coding (CAC) 3-66

3.5.2    Platocode Output 3-67

3.5.3    Platocode® CAC Benefits  3-67

3.6   IBM Healthcare SOA Framework Foundation Systems  3-68

3.6.1    IBM Healthcare SOA Response to

Complex Electronic Patient Record IT Challenges  3-69

3.6.2    IBM SOA Business Integration Foundation Systems  3-70

3.6.3    IBM WebSphere Healthcare Services

Oriented Architecture  3-72

3.7   Artificial Medical Intelligence, Inc. 3-73

3.7.1    Artificial Medical Intelligence ICD 10  3-75

3.7.2    Artificial Medical Intelligence

Computer Assisted Coding  3-75

3.7.3    Artificial Medical Intelligence E-Path Sensitivity

and Specificity  3-77

3.7.4    Artificial Medical Intelligence E-Path Extensibility  3-77

3.7.5    Artificial Medical Intelligence Modular

Components of E-Path  3-78

3.7.6    Artificial Medical Intelligence The major

E-Path Components  3-79

3.7.7    Artificial Medical Intelligence E-Path Solutions: 3-79

3.7.8    Cancer Care Ontario  3-79

3.7.9    INSCYTE Corporation  3-80

3.7.10  Newfoundland Cancer Treatment and

Research Foundation  3-80

3.7.11  CancerCare Manitoba  3-81

3.7.12  Cancer Care Ontario  3-81

3.7.13  Artificial Medical Intelligence AutoCode

Computer Assisted Coding  3-82

3.7.14  Artificial Medical Intelligence AutoCode

Lexicons  83

3.7.15  Artificial Medical Intelligence Summary of

AutoCode Features  3-84

3.7.16  Artificial Medical Intelligence AutoCode™

Successful Projects: 3-85

3.7.17  Artificial Medical Intelligence TissueMetrix

Successful Projects: 3-86

3.8   Dolbey Fusion CAC™Computer-Assisted Coding

With Natural Language Processing  3-87

3.8.1    Dolbey Inpatient and Outpatient Coding  3-87

3.8.2    Dolbey Digital Coding Solution  3-88

3.9   TruCode  3-88

3.9.1    TruCode Encoder Intuitive Design  3-89

3.9.2    TruCode Encoder Intelligent Research Pane  3-89

3.9.3    TruCode Encoder Customization  3-90

3.9.4    TruCode Encoder Content Updates  3-91

3.10     Lynx Medical Systems CareBridge  3-93

3.10.1  Lynx Medical Systems E/Point 3-95

3.10.2  Lynx C/Point Reducing Risk with Improved

Outpatient Coding Management 3-99

3.10.3  Lynx C/Point Performance Monitoring Services  3-101

3.10.4  Lynx Coding Services  3-103

3.11     CranWare Chargemaster Toolkit®   3-104

3.11.1  Craneware's Chargemaster Large Multi-Hospital Systems  3-105

3.11.2  Craneware Chargemaster Toolkit - CAH   3-107

3.11.3  Craneware Online Reference Toolkit®   3-107

3.11.4  Craneware Bill Analyzer 3-108

3.11.5  Craneware Interface Scripting Module  3-109

3.11.6  Craneware Physician Revenue Toolkit®   3-109

3.12     Language & Computing L&C Technology  3-110

3.12.1  Language & Computing Ontology: A

Conceptual Representation That Computers Can

Understand And Process. 3-111

3.13     QuadraMed Health Information Management

Physician Coding  3-114

3.13.1  QuadraMed's ICD-10  3-116

3.14     Cerner  3-117

3.14.1  Cerner NLP technology Discern nCode  3-120

3.14.2  Radiology Business Management Accounts

Receivable Management and Coding  3-120

3.14.3  Radiology Business Management Coding  3-120

3.15     Med2020  3-121

3.15.1  MED2020 WinRecs  3-121

3.15.2  MED2020 WinRecs Regional Solutions  3-122

3.15.3  MED2020 WinRecs Customization  3-123

3.15.4  MED2020 WinRecs Suite of Modules  3-124

3.15.5  MED2020 Grouper Program  -  Acute care,

Emergency Room, and Ambulatory Surgery  3-128

3.15.6  MED2020 N~Coder Chart Deficiency Chart

Locator Modules  3-131

3.15.7  MED2020 N~Coder Maximizes Efficiencies In

Coding Practices  3-133

3.16     BayScribe  3-137

3.16.1  BayScribe Tools Take Control of Transcription  3-138

3.17     Ingenious Med  3-138

3.17.1  Ingenious Med’s Charge Capture and Coding Suite  3-139

3.17.2  IM Coding and Compliance Tools  3-140

3.17.3  IM MasterCoder 3-140

3.17.4  Ingenious Med IM Quality Measures  3-141

3.17.5  Ingenious Med IM Communication Tools, Chat,

Messaging And Cross-Cover Capabilities  3-141

3.17.6  Ingenious Med IM Business Intelligence Tools  3-142

3.17.7  Ingenious Med IM Business Integration  3-142

3.17.8  Ingenious Med IM HIS/ADT Integration  3-143

3.17.9  Ingenious Med Billing Integration  3-143

3.17.10 Ingenious Med Client Support 3-143

3.18     MDe Solutions ePrecisionCode®   3-144

3.18.1  MDe Solutions PrecisionCode® Enterprise  3-147

3.18.2  MDeSolutions PrecisionCode® Rules Engine  3-147

3.18.3  MDeSolutions PrecisionCode® E&M Identifier 3-149

3.18.4  MDeSolutions PrecisionCode ICD-9 to ICD-10 Reference  3-151

3.18.5  MDeSolutions PrecisionCode eReference ICD-10  3-151

3.18.6  MDeSolutions HCPCS Level II Database  3-154

3.18.7  MedCodePIX   3-155

3.18.8  MedCode icdPIX - ICD Code Lookup  3-155

3.18.9  MedCode icdPIX™ ICD Lookup Using An

Anatomical Image Driven Technology  3-156

3.18.10 MedCode cptPIX™    3-158

3.19     Synoptex Computer Assisted Coding  3-159

3.20     Meta Health Technology HIM Solutions  3-160

3.20.1  Meta Health Technology HIM Digital Physician

Signature Software  3-163

3.20.2  Meta Health Technology PowerAbstract

Streamlines Chart Abstracting & Coding  3-164

3.20.3  Meta Electronic Physician Query  3-165

3.20.4  Meta eCDI  3-166

3.20.5  Meta PowerMonitor 3-168

3.20.6  Meta PowerTrac  3-170

3.20.7  Meta PowerRelease  3-172

3.20.8  Meta PowerImage  3-174

 

Computer Assisted Coding Technology

 

4. Computer Assisted Coding Of Medical Information

Technology  4-1

4.1   CodeRyte Decodes ICD-10  4-1

4.2   Hybrid Technology  4-2

4.2.1    Computer Assisted Coding Engine  4-3

4.3   Preventable Medical Conditions  4-3

4.4   Natural Language Processing (NLP) Medical Coding  4-4

4.4.1    Rules Based Approaches  4-4

4.4.2    Reports Based On Statistics  4-5

4.4.3    Normalize the Data  4-5

4.5   Reports Must Be In Some Kind Of Electronic Format 4-6

4.5.1    NLP Software Statistical Analysis  4-6

4.5.2    Workflow   4-6

4.5.3    Feedback for Machine Learning  4-7

4.5.4    Coding  4-7

4.5.5    Accuracy And Specificity Of Retrieval 4-8

4.5.6    Natural Language Programming (NLP) Vocabulary Processor 4-8

4.5.7    Robust Underlying Terminological Model And A Component Architecture  4-9

4.6   TeSSI® (Terminology Supported Semantic Indexing) 4-10

4.6.1    L&C’s LinkBase® Medical Ontology  4-10

4.6.2    Semantic Indexing With The TeSSI® Indexing Engine  4-11

4.6.3    Semantic Indexing Solution

Automates The Indexing Process  4-12

4.6.4    Information Extraction with TeSSI® Extraction Engine  4-15

4.6.5    Semantic Search with TeSSI® Search Engine  4-18

4.7   Technology Requirements  4-19

 

Computer Assisted Coding Company Profiles

 

5. Computer Assisted Coding Company Profiles  5-1

5.1   Allscripts  5-1

5.1.1    Allscripts-Misys Healthcare Solutions  5-1

5.1.2    Allscripts and Eclipsys Merge  5-2

5.1.3    Allscripts Market Positioning  5-4

5.1.4    Allscripts Is Leader In Driving Full Utilization Of

Electronic Health Records  5-5

5.2   APP RHIOnet 5-6

5.2.1    APP Design Anvil™    5-6

 

 

5.3   Artificial Medical Intelligence, Inc. 5-6

5.3.1    Artificial Medical Intelligence (AMI) Focusing On

Increasing Efficiency Within Health Information Management 5-7

5.4   BayScribe  5-8

5.5   Cerner  5-9

5.5.1    Cerner Second Quarter 2010 Revenue  5-11

5.5.2    Cerner CEO Pages® Enterprise Executive Reporting  5-11

5.5.3    Cerner Implementation Highlights  5-13

5.6   CodeNet Inc. 5-13

5.7   CodeRyte  5-14

5.7.1    CodeRyte Client Base  5-15

5.7.2    CodeRyte Coding Engine Functions  5-16

5.7.3    CodeRyte Web-based. Natural Language

Processing (NLP) Coding Process Engine  5-16

5.7.4    CodeRyte’s NLP Engine Built For Compliance  5-18

5.7.5    CodeRyte’s NLP engine Accommodates Preferences  5-18

5.7.6    CodeRyte’s NLP Engine Thorough Auditing  5-19

5.7.7    CodeRyte’s NLP Engine Client Service  5-19

5.8   CranWare  5-22

5.8.1    Craneware- Focus on Preventing Revenue

Leakage for Chargeable Supplies  5-23

5.8.2    Revenue Leakage Addressed By Craneware

Systems Integration  5-24

5.8.3    Craneware Automates Revenue Integrity Program   5-24

5.8.4    Craneware Revenue  5-25

5.8.5    Craneware Operational Highlights First Half of FY2010  5-26

5.9   Dolbey Fusion CAC(TM) 5-26

5.9.1    Dolbey Dictation, Transcription, Speech

Recognition And Coding  5-27

5.9.2    Dolbey Products For Recording, Documenting,

Information Tracking And Coding  5-28

5.9.3    Dolbey Fusion Suite  5-28

5.9.4    Dolby Fusion Voice® System Centralized

Multi-Source Digital Dictation Management System   5-29

5.9.5    Dolby Dictation Recording Leveraging PC Resources  5-30

5.9.6    Dolby Transcribe With Multi-Media PC   5-31

5.9.7    Dolby Flexible Work Modalities  5-31

5.9.8    Dolby Dictate, Recognize, Store and Edit Documents  5-32

5.9.9    Dolby / Newark Beth Israel Medical

Center now using Fusion CAC   5-33

5.9.10  Dolbey Technologies  5-34

5.9.11  Dolbey / Adventist Health System Fusion CAC

Powered by EMscribe, Computer-Assisted Coding Solution  5-34

5.10     Healthcare Systems Integration Engine HCnet®   5-35

5.10.1  Healthcare Systems Integration Engine HCnet® Services  5-37

5.11     Ingenix / A-Life  5-38

5.11.1  Ingenix Leading Provider Of Health Information  5-40

5.11.2  Ingenix A-Life Medical, Inc. 5-40

5.11.3  A-Life Medical, Inc. Named Finalist in Adaptive

Business Leaders' 12th Annual Innovations in

Healthcare Abby Awards  5-41

5.11.4  A-Life Medical, Inc. 5-43

5.12     IBM Open-Source Endeavor  5-43

5.12.1  IBM    5-44

5.12.2  IBM WebSphere  5-45

5.12.3  IBM Business Partnering Strategy  5-46

5.12.4  IBM Strategic Priorities  5-48

5.12.5  IBM BPM Powered By Smart SOA   5-49

5.12.6  IBM Delivers Integration and Innovation to Clients  5-50

5.12.7  IBM Business Model 5-51

5.12.8  IBM Unified Communications In The Cloud Architecture  5-52

5.12.9  IBM LotusLive Cloud-Based Portfolio Of

Social Networking And Collaboration Services  5-53

5.12.10 IBM Revenue  5-54

5.12.11 IBM Full-Year 2009 Revenue  5-57

IBM Q1 2009 Revenue  5-67

IBM Q2 and H1 2010 Revenue  5-69

IBM Q2 2009 Revenue  5-75

IBM Software Capabilities  5-76

5.12.12 IBM Systems and Technology Capabilities  5-77

5.12.13 IBM Worldwide Organizations  5-79

5.12.14 IBM Integrated Supply Chain  5-79

5.12.15 IBM Security  5-80

5.13     Language & Computing  5-83

5.13.1  Language & Computing Natural Language

Processing to Improve Coding Efficiencies  5-83

5.13.2  Language & Computing Natural Language Processing  5-84

5.13.3  Language And Computing Natural Language

Processing Patent 5-86

5.13.4  Foundation Of Language And Computing L&C’s

Technology  5-87

5.14     MedQuist and Artificial Medical Intelligence Partner  5-88

5.14.1  3M teams with CodeRyte  5-90

5.14.2  3M™ Codefinder™ Computer-Assisted

Edition For Inpatient Coding  5-90

5.14.3  3M Takes Advantage of CodeRyte Technologies  5-91

5.14.4  3M Health Information Systems  5-92

5.14.5  3M Mobile Dictation Software for iPhone Platform   5-93

5.14.6  3M Releases Platform Accelerates

Documentation Improvement 5-95

5.15     MDS Medical Software  5-96

5.16     MDS Medical 5-96

5.17     MedQuist 5-96

5.17.1  Artificial Medical Intelligence / MedQuist 5-97

5.18     MedScribe Information Systems Inc. 5-99

5.19     Med Scribe  5-99

5.20     Meta Health Technology  5-100

5.21     M-Modal 5-101

5.22     MED2020  5-104

5.22.1  Med2020 Coding and Abstracting Software  5-105

5.23     New Wave Software  5-106

5.24     Source:  New Wave Software. 5-107

5.24.1  New Wave Software NWS/EDS

Emergency Department Information System (EDIS) 5-108

5.25     Peak HealthCare Solutions, Inc. 5-109

5.25.1  Peak HealthCare Solutions Electronic Media Claims (EMC) 5-111

5.25.2  Peak Healthcare Solutions Consulting Services  5-111

5.25.3  Peak Healthcare Solutions Real-Time Access/Reports  5-112

5.25.4  Peak Healthcare Solutions Coding Analysis  5-113

5.25.5  Peak Healthcare Solutions Practice Management Software  5-113

5.25.6  Peak Healthcare Solutions Forms Creation  5-114

5.25.7  Peak Healthcare Solutions Outsource Coding  5-115

5.25.8  Peak Healthcare Solutions Remote Coding  5-116

5.25.9  Peak Healthcare Solutions Technology  5-117

5.25.10 Peak Healthcare Solutions Auditing Services  5-118

5.25.11 Peak Healthcare Solutions On-Site Coding  5-119

5.26     Picis / LYNX Medical Systems  5-120

5.26.1  LYNX E/Point HFMA Peer Review   5-120

5.26.2  LYNX E/Point 5-121

5.26.3  Picis LYNX CareBridge: Integrated

Answer to Medical Necessity  5-122

5.26.4  Picis LYNX Pressure On, Observations Up,

Admissions Down  5-124

5.26.5  Picis LYNX CareBridge Supports Better Admissions

Decision-Making  5-124

5.27     Platocode  5-127

5.28     Precyse Solutions  5-127

5.28.1  Precyse Coding Services  5-129

5.29     QuadraMed  5-131

5.29.1  QuadraMed Clients  5-132

5.29.2  QuadraMed's Care-Based Revenue Cycle Solutions: 5-132

5.29.3  QuadraMed Smart Identity Management 5-133

5.29.4  QuadraMed Care Management 5-133

5.29.5  QuadraMed Health Information Management 5-133

5.29.6  QuadraMed Patient Revenue Management 5-134

5.30     Radiology Business Management 5-134

5.31     Sentara Healthcare  5-135

5.32     TruCode  5-136

5.32.1  TruCode Medical Necessity Editor 5-137

5.33     UnitedHealth Group  5-137

5.33.1  UnitedHealth Group Health Benefits and Health Services  5-139

5.33.2  UnitedHealthcare  5-139

5.33.3  UnitedHealth Group Ovations  5-139

5.33.4  UnitedHealth Group AmeriChoice  5-140

5.33.5  UnitedHealth Group Health Services  5-140

5.33.6  UnitedHealth Group OptumHealth  5-140

5.33.7  UnitedHealth Group Ingenix  5-141

5.33.8  UnitedHealth Group Prescription Solutions  5-141

5.33.9  Unitedhealth Group Second Quarter Results 2010  5-141

5.33.10 UnitedHealth Group Product Offerings  5-142

5.33.11 UnitedHealth Group Quarterly Financial Performance  5-143

5.33.12 UnitedHealth Group  5-146

5.33.13 UnitedHealth Group / Ingenix  5-150

5.33.14 Ingenix Innovations  5-152

5.33.15 UnitedHealth Group Ingenex / HSS  5-153

5.33.16 UnitedHealth Group / Ingenix / HSS  5-155

5.33.17 UnitedHealth Group / Ingenix Partners & Alliances  5-156

5.33.18 American Academy of Professional Coders (AAPC) 5-156

5.33.19 America’s Health Insurance Plans  5-156

5.33.20 American Association of Preferred Provider Organizations  5-157

5.33.21 APHSA – American Public Human Services Association  5-157

5.33.22 basys  5-157

5.33.23 CaseNet 5-158

5.33.24 Connecture  5-158

5.33.25 Delmar, Cengage Learning  5-158

5.33.26 DST  5-159

5.33.27 FACTS® Services, Inc. 5-159

5.33.28 FutureVision Technologies  5-160

5.33.29 IBM    5-161

5.33.30 ITAA – Information Technology Association of American  5-161

5.33.32 The Managed Care Executive Group  5-162

5.33.33 MphasiS  5-162

5.33.34 NCQA   5-162

5.33.35 NASCIO   5-163

5.33.36 NASP  5-163

5.33.37 NaviMedix  5-163

5.33.38 Silverlink  5-164

5.33.39 THE CODING NETWORK   5-164

5.33.40 TDWI – The Data Warehousing Institute  5-164

5.33.41 The TriZetto Group, Inc. 5-165

5.33.42 Ingenix Solves Problems In Health Care  5-165

5.33.43 Ingenix wholly-owned subsidiary of UnitedHealth Group  5-165

5.34     Zotec Partners  5-165

5.35     Selected Computer Assisted Coding Vendors  5-166

5.35.1  3M Health Information Systems  5-166

5.35.2  Allshred Services  5-166

5.35.3  Amphion Medical Solutions  5-167

5.35.4  Cardone Record Services  5-167

5.35.5  Certified Document Destruction  5-167

5.35.6  Cintas Document Management 5-168

5.35.7  CodeRyte  5-168

5.35.8  Complete Coding Solutions  5-168

5.35.9  Cranel 5-169

5.35.10 CPSI  5-169

5.35.11 CTech  5-169

5.35.12 DataBank  5-169

5.35.13 DeVry University  5-170

5.35.14 Diskriter 5-170

5.35.15 Dolbey  5-171

5.35.16 EDCO Group  5-171

5.35.17 Fireproof Records Center 5-171

5.35.18 First Choice Medical Transcription Service  5-172

5.35.19 FormFast 5-172

5.35.20 Fujitsu Computer Products  5-172

5.35.21 FutureNet Technologies  5-173

5.35.22 Golden Isles Medical Transcription  5-173

5.35.23 HealthPort 5-173

5.35.24 Heartland Information Services  5-174

5.35.25 HIMentors  5-174

5.35.26 InfraWare  5-174

5.35.27 Ingenix  5-175

5.35.28 iod incorprated  5-175

5.35.29 Iron Mountain, Inc. 5-175

5.35.30 JLG Medical Transcription Services  5-176

5.35.31 Keystrokes Transcription Services  5-176

5.35.32 KIWI-TEK   5-176

5.35.33 Laguna Medical Systems  5-177

5.35.34 LMS' ACCUTREND   5-177

5.35.35 LexiCode Corporation  5-177

5.35.36 Master of Business Operational Excellence  5-177

5.35.37 Maxim Health Information Services  5-178

5.35.38 McKesson Corporation  5-178

5.35.39 Medical Learning  5-179

5.35.40 Medical Transcription Corporation  5-179

5.35.41 MedPlus, Inc. 5-180

5.35.42 MedQuist 5-180

5.35.43 MedScribe Information Systems  5-180

5.35.44 Meta Health Technology  5-181

5.35.45 Micro Star 5-181

5.35.46 MicroImage, Inc. (35) 5-181

5.35.47 Modern Office Methods  5-182

5.35.48 MRO Corporation  5-182

5.35.49 NetWorks Group  5-182

5.35.50 New England Medical Transcription. Inc. 5-183

5.35.51 Nuance  5-183

5.35.52 OfficeTeam Healthcare Group  5-184

5.35.53 Owens Community College  5-184

5.35.54 Peak Health Solutions  5-185

5.35.55 Perry Johnson & Associates  5-185

5.35.56 Precyse Solutions  5-185

5.35.57 ProTec Solutions  5-185

5.35.58 Quality Management Consulting Group, Ltd. 5-186

5.35.59 RealMed  5-186

5.35.60 Rehabilitation Services Commission  5-187

5.35.61 RRS Release of Information Service  5-187

5.35.62 Shred-it 5-188

5.35.63 SOAP Transcription Services  5-188

5.35.64 SoftScript ( 5-188

5.35.65 SPi Healthcare  5-188

5.35.66 Stat Solutions (29) 5-189

5.35.67 Streamline Health  5-189

5.35.68 College of St. Scholastica  5-189

5.35.69 Transcend Services  5-190

5.35.70 UnicorMed  5-191

5.35.71 United Audit Systems  5-191

5.35.72 University of Cincinnati-ONLINE   5-192

5.35.73 Visionary HealthWare  5-192

5.35.74 Zodiac Transcription Service  5-192

 

List of Tables and Figures

 

Computer Assisted Coding Executive Summary

 

Table ES-1  ES-3

Electronic Computer Assisted Coding Solution Market Driving Forces 

Figure ES-2  ES-6

Computer Assisted Coding Market Shares, Dollars, First Half 2010 

Figure ES-3  ES-8

Computer Assisted Coding SaaS and License Shipments,

Market Forecasts Dollars, 2010-2016 

Figure ES-4  ES-11

SOA Healthcare Applications Shipments Market Shares, Dollars, 2009 

Table ES-5  ES-13

SOA Healthcare Applications Shipments Market Forecasts,

Dollars, 2010-2016 

 

 

 

Computer Assisted Coding Market Description And Market Dynamics

 

Table 1-1  1-2

Computer Assisted Coding Functions:

Table 1-2  1-10

Advantages of CAC  

 

 

Table 1-3  1-11

Barriers to CAC  

Table 1-4  1-19

Electronic Coding Integrated Database Issues 

Table 1-5  1-20

Medical Necessity Online 

Table 1-6  1-21

Natural Language Solutions System For Coding 

Table 1-7  1-24

Computerized Workflow System Systems Features 

Table 1-7  (Continued) 1-25

Computerized Workflow System Systems Features 

Table 1-8  1-26

Confidence Assessment Module System  

Table 1-8  (Continued) 1-27

Confidence Assessment Module System  

 

Computer Assisted Coding Market Shares and Market Forecasts

 

Figure 2-1  2-2

Automated Coding of Medical Records 

Table 2-2  2-4

Electronic Computer Assisted Coding Solution Market Driving Forces 

Figure 2-3  2-7

Computer Assisted Coding Decreases Paperwork Costs 

Figure 2-4  2-9

SOA Component Architecture for Healthcare 

Figure 2-5  2-10

Blood Pressure Tracking Advantages 

Table 2-6  2-14

Electronic Coding Product Issues 

Table 2-7  2-15

Electronic Coding Challenges 

Figure 2-8  2-17

Computer Assisted Coding Market Shares, Dollars, First Half 2010 

Table 2-9  2-18

Computer Assisted Coding in Canada Market Shares, S

oftware as a Service (SaaS) Dollars, Worldwide, 2009 and H1 2010 

Figure 2-10  2-26

Computer Assisted Coding SaaS and License Shipments,

Market Forecasts Dollars, 2010-2016 

Figure 2-11  2-28

Computer Assisted Coding Dollars Per Patient Records

Processed Market Forecasts, Worldwide, 2010-2016 

Figure 2-12  2-29

Computer Assisted Coding Patient Records Processed

Market Forecasts, Millions, Worldwide, 2010-2016 

Figure 2-13  2-30

Computer Assisted Coding SaaS and License Shipments,

Market Forecasts Dollars, 2010-2016 

Figure 2-14  2-33

SOA Healthcare Applications Shipments Market Shares,

Dollars, 2009 

Table 2-15  2-34

SOA Healthcare Applications Shipments

Market Shares, Dollars, 2009 

Table 2-16  2-36

SOA Healthcare Applications Shipments

Market Forecasts, Dollars, 2010-2016 

Figure 2-17  2-37

Reimburse for eMail Contact with Patients 

Figure 2-18  2-39

Computer Assisted Coding Regional Market Segments, 2009 

Table 2-19  2-40

Computer Assisted Coding Regional Market Segments, 2009 

 

Computer Assisted Coding Product Description

 

Table 3-1  3-2

A-Life Medical Computer-Assisted Coding Solution Key Features 

Table 3-2  3-4

A-Life Medical Key Coding Features 

Table 3-3  3-5

A-Life Medical Key Features 

Table 3-4  3-6

A-Life Medical Auditing Key Features 

Table 3-5  3-7

A-Life Medical RecoverIt Charge Capture Process Key Features 

Table 3-6  3-8

A-Life Medical Hospital Computer-Assisted Coding Key Features 

Table 3-7  3-9

CodeRyte Products Computer-Assisted Coding Technologies 

Table 3-8  3-10

CodeRyte Product Benefits 

Table 3-9  3-14

CodeRyte CodeAssist Functions 

Table 3-10  3-15

CodeRyte CodeComplete Functions 

Table 3-11  3-16

CodeRyte DataScout Functions 

Table 3-12  3-17

CodeRyte DataScout Features 

Table 3-13  3-18

CodeRyte DataScout Context-Sensitive Data

Mining And Clinical Information Extraction Features 

Table 3-14  3-19

CodeRyte DataScout Pattern Analysis 

Table 3-15  3-22

CodeRyte Academic Institution Sophisticated

Natural Language Processing Technology 

Table 3-16  3-23

CodeRyte Multi-Specialty Clinics 

Table 3-17  3-25

CodeRyte Automates Medical Coding For Specialty,

Hospital-Based Practices 

Table 3-18  3-26

CodeRyte Billing Company Features 

 

Table 3-19  3-27

CodeRyte Hospital Computer Assisted Coding Features 

Table 3-20  3-32

3M Health Information Management Benefits 

Table 3-21  3-38

3M ARMS Clinicians Reimbursement Opportunities Functions 

Table 3-22  3-38

3M Computer Assisted Coding Revenue Savings Results 

Table 3-23  3-42

3M Reimbursement Support

Table 3-24  3-45

3M™ Audit Expert System (inpatient) Functions 

Table 3-25  3-47

3M ChartFact Key Features and Benefits 

Table 3-26  3-48

3M™ ChartLocator Key Features and Benefits 

Table 3-27  3-49

3M™ ChartRelease™ Software Key Features and Benefits 

Table 3-28  3-51

3M™ ChartScan™ Key Features and Benefits 

Table 3-29  3-52

3M™ ChartScriptMD Key Features and Benefits 

Table 3-29  (Continued) 3-53

3M™ ChartScriptMD Key Features and Benefits 

Table 3-30  3-54

3M™ ChartScript™ Key Features and Benefits 

Table 3-31  3-55

3M Codefinder Key Benefits 

Table 3-32  3-56

3M Codefinder Key Features 

Table 3-33  3-57

3M Codefinder Functions 

Table 3-34  3-58

3M Codefinder System components 

Table 3-35  3-59

3M™ Coding Reference Software State-Of-The-Industry 

Figure 3-36  3-61

3M Supports ICD-10 code 

Figure 3-37  3-63

3M ICD-10 code E11341 Translates To A Combination of ICD-9 Codes 

Figure 3-38  3-65

PlatoCode System  

Table 3-39  3-71

SOA Leveraging of Business Integration Systems 

Table 3-40  3-72

SOA Engine Segments 

Table 3-41  3-74

Artificial Medical Intelligence EMscribe™ Benefits 

Table 3-42  3-75

Artificial Medical Intelligence Emscribe™ Efficient Benefits 

Table 3-43  3-84

Artificial Medical Intelligence AutoCode Features 

Table 3-44  3-89

TruCode Encoder Capabilities 

Table 3-45  3-90

TruCode Encoder Research Pane Codes Presented 

Table 3-46  3-90

TruCode Encoder Customization 

Table 3-47  3-91

TruCode Encoder Coding Results 

Table 3-48  3-92

TruCode Encoder Cost Benefits 

Table 3-49  3-94

Lynx CareBridge Key Features 

Table 3-50  3-96

Lynx Medical Systems E/Point Functions 

Table 3-51  3-98

Lynx Medical Systems Picis ED PulseCheck Functions 

Table 3-52  3-100

Lynx C/Point Key Features 

Table 3-52 (Continued) 3-101

Lynx C/Point Key Features 

Table 3-53  3-102

Lynx performance monitoring: functions 

Table 3-54  3-105

CranWare Chargemaster Computer Assisted Coding Functions 

Table 3-55  3-111

Language & Computing Comprehensive Ontology

Knowledgebase Segments Supported 

Table 3-56  3-113

Language & Computing Computer Assisted Coding Functions 

Table 3-57  3-114

Language & Computing Computer Assisted Coding Benefits 

 

Table 3-58  3-115

QuadraMed physician coding Product Benefits 

Table 3-59  3-116

QuadraMed eSignature Product Benefits 

Table 3-60  3-117

QuadraMed Clinical Modification/Procedure

Coding System (referred to as "ICD-10)

Table 3-61  3-118

Cerner Discern nCode Functions:

Table 3-62  3-119

Cerner Discern nCode Key features 

Table 3-63  3-122

MED2020 Benefits of WinRecs Cloud Services 

Table 3-64  3-123

Benefits of MED2020 WinRecs Regional Solutions 

Table 3-65  3-124

Benefits of MED2020 WinRecs Technical Overview  

Table 3-66  3-125

MED2020 WinRecs Features 

Table 3-66  (Continued) 3-126

MED2020 WinRecs Features 

Table 3-66  (Continued) 3-127

MED2020 WinRecs Features 

Table 3-67  3-128

MED2020 WinRecs Benefits 

Table 3-68  3-131

MED2020 Coding Features 

 

Table 3-69  3-134

MED2020 N~Coder Features 

Table 3-70  3-134

MED2020 N~Coder Customized Features 

Table 3-70  (Continued) 3-135

MED2020 N~Coder Customized Features 

Table 3-71  3-136

MED2020 N~Coder Benefits 

Table 3-72  3-143

Ingenious Med’s Client and Technical Support

Table 3-73  3-145

MDe Coding Solutions Benefits 

Table 3-74  3-146

MDe Solutions Product Features 

Table 3-75  3-148

MDeSolutions PrecisionCode® Rules Engine Applications Formats 

Table 3-76  3-148

PrecisionCode® Rules Engine Benefits 

Table 3-77  3-149

MDeSolutions PrecisionCode® Rules Engine Features 

Table 3-78  3-150

MDeSolutions PrecisionCode® Rules Engine Functions 

Table 3-79  3-152

MDeSolutions ICD-9-CM Database Elements 

Table 3-80  3-153

MDeSolutions CPT Database Elements 

Table 3-81  3-154

MDeSolutions HCPCS Level II Database Elements 

Figure 3-82  3-158

MedCode icdPIX Button Images 

Table 3-83  3-159

Synoptex Synoptic Pathology Coding 

Table 3-84  3-160

Synoptex Synoptic Pathology Conditions Identified 

Table 3-85  3-161

Meta Health Technology HIM Solutions 

Table 3-86  3-162

Meta Health Technology Coding From Remote Locations 

Table 3-87  3-163

Meta Health Technology HIM Digital

Physician Signature Software Features 

Table 3-88  3-164

Meta Health Technology PowerAbstract

Chart Abstracting & Coding Features 

Table 3-89  3-167

Meta Health Technology Functions To Streamline

The Workflow for CDI 

Table 3-90  3-168

Meta Health Technology eCDI functions 

Table 3-91  3-169

Meta PowerMonitor Features 

Table 3-92  3-171

Meta Health Technology HIM Medical Record

Tracking Software Features 

Table 3-93  3-173

Meta Health Technology PowerRelease

 

Computer Assisted Coding Technology

 

Table 4-1  4-12

Semantic Indexing Benefits L&C’s LinkBase® Medical Ontology 

Figure 4-2  4-13

L&C’s LinkBase® Semantic Process Flow Index

Component Medical Ontology 

Table 4-3  4-15

Information Extraction with TeSSI® Extraction Engine Functions 

Figure 4-4  4-16

L&C TeSSi Indexing   L&C TeSSi Search 

Table 4-5  4-17

Resulting Template With Extracted Information 

Figure 4-6  4-19

Semantic Extraction by TeSSi     Semantic Indexing by TeSSi

 

Computer Assisted Coding Company Profiles

 

Table 5-1  5-4

Allscripts Market Positioning 

Table 5-2  5-10

Cerner Millennium® Positioning 

Table 5-3  5-12

Cerner CEO Pages Key Benefits 

Table 5-4  5-12

Cerner CEO Technical Highlights 

Table 5-5  5-14

CodeNet Primary Service 

Table 5-6  5-15

CodeRyte Sophisticated Medical Coding Technology Functions 

Table 5-7  5-16

CodeRyte Coding Engine Functions 

Table 5-8  5-20

CodeRyte’s NLP Engine Benefits 

Table 5-9  5-32

Dolby Dictate, Recognize, Store and Edit Document Features 

Table 5-10  5-36

Healthcare Systems Integration Engine Features:

Figure 5-11  5-36

Healthcare Systems Integration Engine Target Markets 

Table 5-12  5-37

Healthcare Systems Integration Engine Services Offering 

Figure 5-13  5-47

IBM SMB Partner Go to Market Approach 

Table 5-14  5-48

IBM Strategic Priorities 

Table 5-15  5-87

Foundation Of Language And Computing L&C’s Technology 

Table 5-16  5-93

3M Health Information Systems Core Capabilities 

Table 5-17  5-100

Meta Health Technology Coding Features 

Table 5-18  5-101

Meta Health Technology Partners 

Table 5-19  5-102

M-Modal Partners:

Table 5-19 (Continued) 5-103

M-Modal Partners:

Table 5-20  5-106

New Wave Software Functions 

Figure 5-21  5-107

New Wave Software Customers 

Table 5-22  5-108

New Wave Software NWS/EDS Emergency Department Functions 

Table 5-23  5-108

Technical & Service Highlights:

Table 5-24  5-112

Peak Healthcare Solutions 

Table 5-25  5-114

Peak Healthcare Solutions Medical Practice Management

 

Table 5-26  5-115

Peak Healthcare Solutions Guarantee 

Table 5-27  5-116

Peak Healthcare Solutions Comprehensive Client Reporting System Benefits 

Table 5-28  5-117

Peak’s Healthcare Solutions Remote Coding Solution Functions 

Table 5-29  5-119

Peak Auditing Solutions: Functions 

Table 5-30  5-125

Picis LYNX CareBridge Hospitals Functions 

Table 5-31  5-126

LYNX Revenue Management Solutions Benefits 

Table 5-32  5-128

Precyse Solutions Functions:

Table 5-33  5-130

Precyse Solutions Positioning 

Table 5-34  5-136

TruCode Coding Functions 

Table 5-35  5-151

Ingenix Computer Assisted Coding Technology Innovations