Diagnosis Specificity Analysis

Why is specificity one of our core competencies? We have licensed the only proprietary filtering method that isolates the thousands of unspecified codes clearly requiring greater detail. This allows us to perform automated comparisons and identify problem areas by department and provider.

ICD-10 created a new world of diagnosis specificity possibilities and conundrums, especially for the congenital and pediatric CDI world. It is imperative to choose partners that understand, by medical specialty, the options available in the code set. SMRT Doc has trained some of the most prestigious institutions in the country on ICD-10-CM specificity and clinical nomenclature translation. We can help your adult or pediatric CDI program distill complex concepts into bullet points providers will remember. This coupled with automated scanning tools - like the Unicode Health Prohibited Code List - makes score-carding divisions and providers on code specificity a measurable, repeatable process for your adult or Children's Hospital.

  • -|  Unspecified Code Enhancement Reporting - We compare your coded diagnoses for hospital or professional accounts against the Unicode Health Prohibited Code List© isolating diagnoses, departments and providers that require greater education.

  • -|  Departmental Score-carding - We outline formal reconciliation, assignment, query/clarification, response and compliance procedures establishing the new department with a workflow and metrics.

  • -|  Concise Education - Coders are given a primer on the pathophysiology concepts and terminology they see frequently documented giving them the ability to translate this lexicon into coding. This also helps them formulate queries that are more readily understood by clinicians.

  • -|  Import into Your Billing System - Learn how to use effective techniques for physician engagement and build efficient query/clarification response mechanisms.