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Large Group Physician Practice Computer Assisted Coding for Professionals: Market Shares, Strategies, and Forecasts, Worldwide, 2017 to 2023

Large Group Physician Practice Computer Assisted Coding for Professionals: Market Shares, Strategies, and Forecasts, Worldwide, 2017 to 2023

WinterGreen Research announces that it has published a new study Large Group Physician Office Practice Computer Assisted Coding: Market Shares, Strategy, and Forecasts, Worldwide, 2017 to 2023. Large physician practices seek next generation computer assisted coding to support further automation of the billing process and use of analytics to achieve higher and faster payments for services rendered. The study has 243 pages and 82 tables and figures.

Large physician office computer assisted coding of medical information uses natural language solutions to link the physician notes in an electronic patient record to the codes used for billing Medicare, Medicaid, and private insurance companies.

Physician Practice Professionals and Ambulatory Treatment Centers Use Computer Assisted Coding Systems To Streamline ICD-10.

Large group physician practices use computer assisted coding as part of larger automated systems. Computer assisted coding of medical information can link the physician notes in an electronic patient record to the codes used for billing Medicare, Medicaid, and private insurance companies. This creates improved operations for a group practice office.

88% of the coding can occur automatically without human review. Physicians are more comfortable describing a patient treatment in words. The electronic patient record, created using physician dictation, is used to form the base for the coding. The physician dictation done using regular language that the software recognizes and translates into billing codes is an automation that all offices need. Penetration of high end systems that are needed is very low now.

Physicians think about patient conditions in terms of words. CAC software is configured to achieve working with physicians who are more comfortable describing a patient treatment in words than codes. The electronic patient record, created using physician dictation, is used to form the base for the coding. Natural language solutions implement computer coding to identify key words and patterns of language. The physician dictation can be done using regular language that the software recognizes and translates into billing codes.


This is the 693nd report in a series of primary market research reports that provide forecasts in communications, telecommunications, the Internet, computer, software, telephone equipment, health equipment, and energy. Automated process and significant growth potential are a priority in topic selection. The project leaders take direct responsibility for writing and preparing each report. They have significant experience preparing industry studies. They are supported by a team, each person with specific research tasks and proprietary automated process database analytics. Forecasts are based on primary research and proprietary data bases.

The primary research is conducted by talking to customers, distributors and companies. The survey data is not enough to make accurate assessment of market size, so WinterGreen Research looks at the value of shipments and the average price to achieve market assessments. Our track record in achieving accuracy is unsurpassed in the industry. We are known for being able to develop accurate market shares and projections. This is our specialty.

The analyst process is concentrated on getting good market numbers. This process involves looking at the markets from several different perspectives, including vendor shipments. The interview process is an essential aspect as well. We do have a lot of granular analysis of the different shipments by vendor in the study and addenda prepared after the study was published if that is appropriate.

Forecasts reflect analysis of the market trends in the segment and related segments. Unit and dollar shipments are analyzed through consideration of dollar volume of each market participant in the segment. Installed base analysis and unit analysis is based on interviews and an information search. Market share analysis includes conversations with key customers of products, industry segment leaders, marketing directors, distributors, leading market participants, opinion leaders, and companies seeking to develop measurable market share.

Large Group Physician Practice Computer Assisted Coding Executive Summary
Medical Best Practice Linking
CAC for Coders
Computer Assisted Coding Best Practice
Coding Solutions
Physician Computer Assisted Coding Services
Natural Language Computer Assisted Coding Market Shares
Natural Language Computer Assisted Coding of Medical Procedures Forecasts
Medical Best Practice Linking
1. Large Physician Practice And Ambulatory Treatment Center Computer Assisted Coding Market Description And Market Dynamics
1.1 Physician Office Coding Challenge
1.1.1 Physician Practice Services Component of Computer Assisted Coding (CAC)
1.1.2 Advances In Natural Language Processing And Informatics
1.1.3 Using Electronic Health Record (EHR) Documentation To Generate Codes for
Large Physician Offices
1.2 Computer-Assisted Coding
1.2.1 Physician Practice Industry Forces Affecting Development of CAC
1.2.2 Application of CAC Technology In Large Physician Offices
1.3 Development of a CAC Tool For Physician Use
1.3.1 Large Physician Office CAC Impact on the Coding Workflow
1.3.2 Computers Replace Human Coders
1.3.3 CAC Applied Without Human Intervention Depends On Critical
Differences Between CAC Systems
1.4 Healthcare Industry Largest In United States
1.4.1 Building a Safer Health System
1.4.2 Facilitating the Use of Technology in the Healthcare Industry
1.4.3 Prescription Drug Modernization
1.5 Medical Necessity and Medical Necessity Errors
1.6 Physician Office Electronic Coding
1.6.1 CAC Automates and Accelerates Auditing
1.7 Natural Language Solutions
1.7.1 State Of Language Technology Evaluation
1.8 Computerized Workflow System
1.8.1 Confidence Assessment Module
1.8.2 Researching Electronic Coding Products:
2. Professional Large Physician Office Computer Assisted Coding Market Shares And Forecasts
2.1.1 Physician Practices With A Services Component Market Driving Forces
2.1.2 Medical Best Practice Linking
2.1.3 Large Physician Office CAC for Coders
2.1.4 Large Physician Office Computer Assisted Coding Best Practice
2.1.5 Large Physician Office Computer Assisted Coding Medical Information Solutions
2.1.6 Large Physician Office Coding Solutions
2.1.7 Physician Computer Assisted Coding Services
2.2 Physician Office and Ambulatory Clinical Organizations Natural Language Computer Assisted Coding Market Shares
2.2.1 Optum
2.2.2 Optum Automated Code Identification
2.2.3 Optum
2.2.4 3M 88
2.2.5 3M 91
2.2.6 3M Merging Quality With Reimbursement
2.2.7 nThrive / Precyse
2.2.8 Dolbey
2.2.9 McKesson
2.2.10 Cerner
2.2.11 TruCode
2.3 Natural Language Computer Assisted Coding of Medical Procedures Forecasts
2.3.1 CAC Market Software and Services Segmentation
2.3.2 CAC Hospitals and Facilities and Physicians Market Segment
2.3.3 Computer Assisted Coding Physician Market
2.3.4 Growth of the U.S. Healthcare Industry
2.4 Making the Shift To ICD-10 Requirements
2.5 Computer Assisted Coding Prices
2.6 Computer Assisted Coding Regional Analysis
3. Computer Assisted Coding Product Description
3.1 3M
3.1.1 3M 360 Encompass System
3.1.2 3M 3M CodeAssist System
3.1.3 3M APR DRG Solutions Aspects
3.1.4 3M Merging Quality With Reimbursement
3.1.5 3M™ APR DRG Software
3.1.6 3 M Classification System For Patients
3.1.7 3M APR DRG Software Features:
3.1.8 3M Coding Technology
3.1.9 3M Computer-Assisted Coding Solutions
3.1.10 3M Medical Coding Tools Streamline Processes
3.1.11 CodeAssist Automating the Medical Coding Process
3.1.12 3M CodeComplete Outsource Solution for Medical Coding
3.1.13 3M DataScout Clinical Data Extraction and Identification
3.1.14 3M and American Academy of Professional Coders (AAPC)
3.1.15 3M Data Mining Technology
3.1.16 3M Systems for Overcoming Documentation Shortfalls
3.1.17 3M Solutions for a Changing Healthcare Landscape
3.1.18 3M Web-Based Coding Software Return on Investment
3.1.19 3M Coding Software Functions
3.1.20 3M Computer-Assisted Coding Solutions Targeted to Specialty Areas
3.1.21 3M CodeAssist Functions
3.1.22 3M CodeComplete Business Process Management
3.2 Dolbey
3.2.1 Dolbey Coding Productivity Management
3.2.2 Dolby Fusion Suite Modules
3.3 Optum Coding Service
3.3.1 Optum Coding
3.3.2 Optum CPT® Codes
3.3.3 Optum Medicare Fee Schedule
3.4 McKesson
3.4.1 Mckesson Watching the Cash
3.4.2 McKesson Securing the Subsidy
3.4.3 McKesson Quality Control And Process Improvement
3.5 Cerner Computer Assisted Coding
3.6 Platocode® Computer-Assisted Coding
3.6.1 Platocode ICD 10
3.6.2 Platocode® Solution For Ambulatory Surgery
3.6.3 Platocode® API
3.6.4 Communication Between 3rd-Party Applications And A Platocode Server
3.7 Nuance Computer Assisted Coding
4. Computer Assisted Coding Research And Technology
4.1 Computer-Assisted Coding Technology
4.2 Hybrid Technology
4.2.1 Computer Assisted Coding Engine
4.3 Optum Computer Assisted Coding Technology
4.4 Natural Language Processing (NLP) Medical Coding
4.4.1 Rules Based Approaches
4.4.2 Reports Based On Statistics
4.4.3 Normalize the Data
4.5 Reports Must Be In Some Kind Of Electronic Format
4.5.1 NLP Software Statistical Analysis
4.5.2 Workflow
4.5.3 Feedback for Machine Learning
4.5.4 Coding
4.5.5 Accuracy And Specificity Of Retrieval
4.5.6 Natural Language Programming (NLP) Vocabulary Processor
4.5.7 Robust Underlying Terminological Model And A Component Architecture
4.6 TeSSI® (Terminology Supported Semantic Indexing)
4.6.1 L&C’s LinkBase® Medical Ontology
4.6.2 Semantic Indexing With The TeSSI® Indexing Engine
4.6.3 Semantic Indexing Solution Automates The Indexing Process
4.6.4 Information Extraction with TeSSI® Extraction Engine
4.6.5 Semantic Search with TeSSI® Search Engine
5. Computer Assisted Coding Company Profiles
5.1 CAC Key Market Players
5.2 3M 210
5.2.1 3M Business
5.2.2 3M Health Care Segment
5.2.3 3M Electronics and Energy Business
5.2.4 3M Health Information Systems
5.3 Cerner
5.3.1 Cerner Business
5.3.2 Cerner Acquired Siemens Health Services
5.3.3 Cerner 2016 Fourth Quarter and Full-Year Highlights:
5.4 Dolbey
5.5 EPIC 221
5.6 Group One / CodeCorrect
5.7 M*Modal
5.8 nThrive
5.8.1 nThrive / Precyse
5.9 Nuance
5.9.1 Nuance Healthcare
5.9.2 Nuance Business Description
5.9.3 Nuance Key Metrics
5.9.4 Nuance Healthcare Trends
5.10 Quest Diagnostics
5.11 TruCode 229
5.12 UnitedHealth Group / Optum
5.12.1 UnitedHealth Group / Optum
5.12.2 UnitedHealth Group Optum Health Information Technology Acquires Clinical Data Analytics Vendor Humedica
5.12.3 Optum Acquires Physician Practice Management And Revenue Management Software Firm, MedSynergies and Support Arm of ProHealth Physicians Group
5.12.4 Optum MedSynergies Synergies
5.12.5 Optum Life Sciences
5.12.6 United Healthcare Revenue
5.13 Selected CAC Companies
WINTERGREEN RESEARCH,
WinterGreen Research Methodology
List of Figures
Figure 1. Computer Assisted Coding of Medical Information Market Driving Forces
Figure 2. Computer Assisted Coding of Medical Information Market Driving Factors
Figure 3. CAC Workstation Coder Benefits
Figure 4. CAC Management Tools
Figure 5. ELECTRONIC CODING SOLUTION MARKET DRIVING FORCES
Figure 6. ELECTRONIC CODING PRODUCT ISSUES
Figure 7. Computer Assisted Coding Software and Services Market Shares, Dollars, 2016
Figure 8. Computer Assisted Coding Market Forecast, Dollars, Worldwide, 2017-2024
Figure 9. Advantages of CAC In Large Physician Office
Figure 10. Barriers to CAC In Large Physician Office
Figure 11. Electronic Coding Integrated Database Issues
Figure 12. Medical Necessity Online
Figure 13. Physician Office Computer Assisted Coding Key Benefits:
Figure 14. Natural Language Solutions System For Coding
Figure 15. Computerized Workflow System Systems Features
Figure 16. 3M Confidence Assessment Module System
Figure 17. Physician Practices and Ambulatory Care Centers CAC Market Driving Forces:
Figure 18. Large Physician Office Computer Assisted Coding of Medical Information Market Driving Forces
Figure 19. Large Physician Office Computer Assisted Coding of Medical Information Market Driving Factors
Figure 20. Large Physician Office CAC Workstation Coder Benefits
Figure 21. Large Physician Office CAC Management Tools
Figure 22. Large Physician Office Electronic Coding Solution Market Driving Forces
Figure 23. Large Physician Office ELECTRONIC CODING PRODUCT ISSUES
Figure 24. Large Physician Practice Computer Assisted Coding Software and Services Market Shares, Dollars, 2016
Figure 25. Worldwide Large Physician Office Computer Assisted Coding License
Shipments and Cloud Services, Market Shares, Dollars, 2016
Figure 26. Worldwide Physicians, Hospitals and Facilities, Market Shares, Units and Dollars,
Figure 27. Radiology and Ambulatory Clinic Computer Assisted Coding Software and
Services Market Shares, Dollars, 2016
Figure 28. Computer Assisted Coding Software and Services Market Shares, Dollars, 2016
Figure 29. Worldwide Computer Assisted Coding License Shipments and
Cloud Services Market Shares, Dollars, 2016
Figure 30. Optum CAC Key Benefits:
Figure 31. Optum LifeCode®, CAC Functions
Figure 32. Optum LifeCode®, CAC Reconciliation Functions
Figure 33. Optum CAC Reconciliation Module Functions:
Figure 34. 3M CAC Research Areas
Figure 35. 3M Core of NLP Computer Assisted Coding
Figure 36. Platocode® Computer Assisted Coding Solution Benefits
Figure 37. Large Physician Office Computer Assisted Coding Market Forecast, Dollars, Worldwide, 2017-2024
Figure 38. Computer Assisted Coding CAC Market Forecasts, Dollars, 2017 to 2023
Figure 39. Large Physician Practice CAC Market Segments Software and Services Key Topics
Figure 40. Worldwide Computer Assisted Coding Hospitals and Facilities and
Physicians Market Shares, Dollars, 2016
2.4 Making the Shift To ICD-10 Requirements
Figure 41. Large Physician Group Practice Computer Assisted Coding Regional
Market Segments Dollars, Worldwide, 2016
Figure 42. Computer Assisted Coding Regional Market Segments Dollars, Worldwide, 2016
Figure 43. 3M 360 Encompass 1,500 Hospitals And Healthcare User Organizations
Figure 44. 3M 3M CodeAssist System Features
Figure 45. 3M Codefinder Functions
Figure 46. 3M Codefinder Features
Figure 47. 3M Codefinder Intelligent Functions
Figure 48. 3M APR DRG Solutions Aspects
Figure 49. 3M Applications For Severity- And Risk-Adjusted Data
Figure 50. 3M Classification System
Figure 51. 3M APR DRG Software Features
Figure 52. 3M Medical Coding Tools
Figure 53. 3M DataScout Functions
Figure 54. 3M Clinical Information Extraction Functions
Figure 55. 3M Systems For Overcoming Documentation Shortfalls Focus
Figure 56. 3M Systems Topics
Figure 57. 3M Systems Metrics Included For Computerized Coding
Figure 58. 3M Web-Based Coding Software Return On Investment Metrics
Figure 59. 3M Web-Based Coding Software Key Benefits
Figure 60. 3M Coding Software Functions
Figure 61. 3M Coding Software Features
Figure 62. 3M Internet-Based Computer-Assisted Medical Coding Target Markets
Figure 63. 3M CodeAssist Functions
Figure 64. 3M CodeComplete Functions
Figure 65. Dolbey Fusion CAC Benefits
Figure 66. Dolbey Computer-Assisted Coding Solution Features
Figure 67. Dolby Computer Assisted Coding CAC Fusion Suite Modules
Figure 68. Optum Computer-Assisted Coding (CAC) Intelligent CAC Functions:
Figure 69. Optum Coding Service
Figure 70. Optum Medicare Fee Schedule
Figure 71. McKesson Practice Management Priorities
Figure 72. Cerner Discern nCode Functions
Figure 73. Cerner Discern nCode Key Features
Figure 74. Platocode Process
Figure 75. PlatoCode Code Set Filters
Figure 76. Nuance Clintegrity Facility Coding Healthcare Solutions Platform Functions
Figure 77. Computer Assisted Technology Functions
Figure 78. Semantic Indexing for Medical Ontology
Figure 79. Semantic Process Flow Index Component Medical Ontology
Figure 80. Information Extraction With Tessi® Extraction Engine Functions
Figure 81. 3M 360 Encompass 1,500 Hospitals And Healthcare User Organizations
Figure 82. Current EPIC Computer Assisted Coding CAC Integrations

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