Success Story

“It’s amazing how fast we receive back coded charts from Nym - We have results within seconds rather than days which I never thought before was possible. And I have full visibility into the coding reasons.”

Coding Manager

The ChallengeCoding vendor dissatisfaction. Lack of visibility into coding decisions. Inconsistent coding quality. Time-consuming coding processes. The revenue cycle organization in this case study experienced all of these common pain points in the medical coding world today. They were outsourcing their Emergency Department professional coding to an external vendor, and they had limited visibility into the rationale behind the code assignments. Coding quality was also inconsistent from regular audit reviews of the coding results. Furthermore, with over 60,000 visits across all facilities per month, keeping up with minimizing days from discharge to claim submission was a constant challenge.

BACKGROUND Company Type: Revenue Cycle Organization Location: Texas Work Type: Emergency Department Professional Coding Daily Visit Volume: ~2,000 (over 60,000 visits per month) Number of Facilities: 20

SOLUTION Nym Autonomous Medical Coding

RESULTS

Summary

Nym autonomous coding reduced medical coding costs by 50% per chart, accelerated charts coded per hour to over 600, and improved accuracy to over 98%.

Reduced medical coding costs by 50% per chart

Accelerated coding speed to over 600 charts per hour

Reduced time from discharge to coding from an average of 5 days to under one minute

Improved coding quality to an accuracy rate of over 98%

CASE STUDY

The ResultsWithin one month of going live, Nym’s engine was coding 50% of all charts received, with an accuracy rate of over 98% and a speed of over 600 charts per hour. The time from discharge to coding dropped from an average of 5 days to under one minute. Projected annual savings are over $200,000 for coding costs alone, with additional opportunity for savings in compliance and denial management with the full audit trail explaining the coding rationale. Nym was able to identify additional codes and capture more specificity in the coding, maintaining consistent and high-quality codes for all medical records being successfully coded per day.

Nym has already begun a pilot with the client around improving clinical documentation quality to further increase revenue. A real-time dashboard at the facility and physician-level details the lost charges and identifies opportunities for improving documentation to achieve a higher reimbursement value.

These results are just the beginning. Nym is continuing to work with the client to expand chart coverage for further cost savings and further improve physician documentation for greater revenue.

The Solution The client leveraged Nym’s autonomous medical coding solution to improve operational efficiency, enhance coding accuracy, and gain visibility into coding decisions. Nym’s autonomous coding solution assigns ICD10 and CPT codes (including E&M and modifiers) within seconds and provides a full audit trail, or coding rationale, detailing the reasoning for why each code was assigned to the visit. Client-specific requirements were taken into consideration when configuring the coding engine for the client’s needs during the two-week implementation phase. Charts Nym's autonomous coding engine cannot clinically understand are sent back to the customer for manual coding.

Nym’s complete clinical understanding provides additional value with its automatic RVU (relative value unit) attribution and clinical documentation quality improvement reporting.

“Integration was seamless and took under a month to achieve full production. Nym was flexible to shifting requirements.”

IT Manager

www.nym.health info@nym.health Copyright © 2020, nym health, All rights reserved.

chart coding costs

charts/hour accuracy discharge -> coded chart

50% >600 1min 98%+

$