Exdion’s Cloud Powers Vaccine Registrations at Urgent Care Centers
The Biden Administration’s recent announcement that it will reimburse providers $40 to administer each dose of the COVID-19 vaccine creates an ideal opportunity for Urgent Care Centers (UCC) to assist in a public health initiative without sacrificing their bottom lines. UCCs can effectively and efficiently establish a run, walk-in, or even drive-through vaccination initiatives with few changes to their daily operations by adopting smart solutions.
Source: Business Wire
COVID 19 and Vaccine Registration
With the advent of the COVID-19 pandemic, pharmaceutical companies all across the world have been producing and delivering vaccines in record time.
Accurately correlating vaccine registrations and vaccinated patients with one of the available COVID-19 vaccines is critical for managing immunizations. The American Medical Association (AMA) has updated the Current Procedural Terminology (CPT) code set to include immunization and administration codes that are unique to each COVID-19 vaccine.
A mass vaccination effort with the available COVID-19 vaccines presents enormous logistical challenges. UCCs need to correlate each COVID-19 vaccine with its own unique CPT code to ensure vaccine administration, especially for patients who need to complete a two-dose immunization schedule.
This is both a logistical and technological challenge.
Exdion Solutions Offers Services to Quickly Ramp Up And Leverage Vaccine Administration
ExdionRCM a Div. of Exdion Solutions, a top specialist in high-tech solutions for the healthcare sector, is providing a seamless solution enabling Urgent Care Centers to offer cloud-based access for registering patients for vaccines, live automated eligibility and verification, claim creation and submission, follow-ups, payment posting, reporting, and appeals.
Exdion’s services facilitate a direct interface with the Health Resources and Services Administration’s provider relief fund to bill under the CARES act for the uninsured COVID vaccines.
Exdion’s system can be implemented within one week without requiring any changes to the current IT and operation systems and/or processes. It can work as a standalone and separate module from a provider’s electronic medical records system, thus allowing urgent care centers to continue their day-to-day operations uninterrupted.
The Importance of Vaccine Coding Accuracy
Brand new codes and reimbursement policies are emerging every day.
There have been at least a dozen new ICD procedure codes related to the virus and many more changes to the Current Procedural Terminology (CPT) and Healthcare Common Procedural Coding System (HCPCS) code sets to account for COVID-19.
Healthcare providers and UCCs need to figure out how to document and bill for the new services amid frequent policy and regulatory changes.
Your Revenue Cycle and Claim Denial
With so many changes in codes, there is increasing confusion over COVID-19 coding and claim requirements. This may have led to an increase in claim denials.
This is why complying with new coding and documentation requirements is necessary to reduce revenue leakages.
Reimbursement for Administering the Vaccine
Staying in sync with the latest COVID-19 coding and billing guidelines is crucial to ensuring accurate reimbursement with proper coding and documentation.
Accurate COVID-19 coding and billing allow UCCs like you to get paid for your efforts. However, that is easier said than done.
A Serious Lack of Automation
Most of the work at UCCs is still primarily handled manually, either through mail or fax. This is creating administrative problems and cost inflation for providers.
Exdion’s Innovative Solutions for Healthcare
At ExdionRCM, we have been leveraging Artificial Intelligence, Natural Language Processing (NLP), Machine Learning (ML), Big Data, and the Cloud. We data-mine patient records to identify the appropriate medical codes based on clinical documentation.
AI-based coding solutions are a proven means of increasing medical coding productivity and accuracy.
ExdionRCM’s solution uses NLP to pick out important terms and phrases from ICD-10 CM and the AMA’s Current Procedural Terminology to automate medical coding.
We believe automation at UCCs and other healthcare providers can help overcome the challenge of COVID-19 vaccination registration as well as coding and billing. It will also help in creating a more resilient revenue cycle that can adapt quickly to changes in claim volumes, speeding things up across the business.
Discover more about how ExdionRCM can enhance your entire workflow with innovative solutions.