Description: In this article about athena login, the author is going to show you how Integra coder works. IntegraCoder is the premiere 3rd party coding application in the athenahealth marketplace. This web-based solution analyzes content in electronic medical records and provides highly relevant diagnoses and procedure code suggestions.
We’re excited to show you how Integra coder works, this is a screen that you should be familiar with, this is the schedule view, we’re going to look at our patient Tammie, to be clear Tammy is not a real patient but we’re using her as a real note.
We’re going to go into it, as you can see this is very clear, we’re going to go into exam, our technology by default reads a few different views, we have few different fields in the EHR, we review encounter reason chief complaint, we review history of present illness, review systems, assessment plan and procedure documentation.
If a provider uses other fields in the EHR, we can make our technology read that as well, we’re flexible in that, in any event we’re going to go over to the face sheet, as you can see there’s this link to consult Integra coder, we’re going to consult Integra coder.
This is our technology, we’re going to see a few different notes but we’re going to go to this one, load this up, what we’re going to find here is the EHR broken down into its fields, as you can see we have our diagnosis, chief complaint, procedure documentation and review of systems.
This will change based on different EHRs but in essence it’ll all look the same, you can see that the words that are in the EHR text are triggering certain codes from icd-10, also from CPT which we call procedures in this items services or hit pics and also with icd-9 which we’ve been asked by CMS to keep that around for future use.
We’re going to go back to icd-10, what we’re going to wind up looking at is notes, you can see what it excludes and other notes that might be relevant to the coding procedure, you click this Add button, this brings the code down into the assess field.
We’re going to come over to the procedures, there are a number of procedures, it shows where things are coming from in the EHR, we’re going to select this 33405, additionally we have a dashboard view that will show you the global days, there are the non-facility RVU and facility RVU.
This is where you get paid on, these are always good things to check on, as you’re going to see that things like this are good as research tools, for instance the provider puts in a note and the coder comes in, maybe there’s a better code to use for this.
In this case we can come in and search for angina, before I search for this, I’ll show you that each of these procedures all has this local search feature, when you search for this, it’s going to bring in under icd-10 every single code that’s associated with angina, so you can see a lot.
It comes from all over the place so you can select from here, you can also go into what we call the book view which is a great research tool that allows you to see the entirety of the ICD 10, cpt hit pics or icd-9 coding base, here we can see it’s got all these B 27.9 things.
You can scroll down, if you’ve got all the time in the world, you can scroll through the entire ICD-10 code base to your heart’s content but I don’t recommend that, in any case you can always add from here, but we don’t want this, we’re going to remove this.
In addition to the local search we have a global search, let’s delete angina, we’re going to take for instance this line of text, we’re going to put it in here, this is what we call the global search, this goes through all of our coding sets so that you can see valve replacement will come up.
Sometimes it takes a few seconds, but as you can see it’s very comprehensive, you can add from the book view if you look at the book view, all of these searches work together, we are back at this, we’re going to select a different code.
We’re going to select this 93660 code, then it comes down here, we’ve got a tab for modifiers, you can look and see what common modifiers for this are, if you know the modifier you want, you can add it manually, then we have 33405 and we have 93660.
We’re going to add a HCPCS code of G0404, we have this handy scrub feature, you should come up here, you click scrub, this goes through the coding sets, as you can see there are some big problems with this, it gives red X, what we need to do is to add our diagnosis into these and we’ll rescrub.
Now we have a green checkmark which shows it’s okay, this is still a problem for the system, the procedure is not typically performed in a non facility setting, place of service issues and inpatient setting stuff, this shows you what’s going to cause you to get potentially audited.
Additionally we have these yellow exclamation points, these are warnings, that is helping you to get paid, these warnings may present a problem but they’re not like these red Xs which are basically guarantees that you’re probably not going to get paid on this.
We’re looking for either green checkmarks which is ideal or these yellow exclamation points, if you can justify them, you can put them through, we’re going to delete that, we’re going to delete that scrub, it seems that everything is good for you to get paid.
Another interesting function is our save feature, if the provider in discussion deletes that and adds this as the assessed field, you can save that, the session is saved, then you can come out of this, go back in to consult Integra coder and go back to our note.
What you’ll find is that the the note has been saved as you left it with icd-10, what we’ll do is to go back in, we’ll put in our proper codes, let’s scrub it one more time, we add our diagnosis and our modifier, you should get paid on this note, that’s the extent of what Integra coder can do.
It’s very good about context, the scrub feature is very important, if something doesn’t come up, there’s always this button at the top right hand corner which is our feedback button, you put in your name and your email, you report the problem, these come directly to us.
We can make fixes to the system within a matter of an hour, anytime you’re using it, feel free to send us feedback, as another note our technology can be used at any time during the history of the patient encounter, when the provider is working with it, he can save it, the biller or coder can come in and take it from there all the way to an auditor or an administrator,
Our pricing structure is based on a 30-day obligation installation, after that point we charge 1450 per provider per year, that’s unlimited usage across a practice, if you have ten doctors or ten providers and 25 coders, all 35 people can use it in that case.
We have discounts to start after five providers, we can give you personalized quotes, if you want more information, look us up on the MTB, MDP marketplace page and email us, we’ll be happy to talk to you, thanks.