The result is a solution where payer details, informed financial disclosure and consent, coded charge capture, patient billing, and claims management are all available in a single solution that can be integrated to related systems when needed.

The InterSystems IntelliCare Coding solution provides Generative AI-enabled coding capability to assist coding teams with efficient, enhanced workflows and coding accuracy, while maintaining human oversight.

It supports episode of care coding using established clinical classification systems across the full spectrum of healthcare settings and environments, from single-site healthcare facilities to large multi-site health systems.

Coding and grouping functionality and workbenches embedded within InterSystems IntelliCare provide clinical context for recording the diagnosis and procedure codes assigned to an episode of care.

Diagnoses are typically based on the World Health Organization's International Statistical Classification of Diseases and Related Health Problems (ICD) or a similar coding system. InterSystems IntelliCare can also record the Diagnosis Related Group (DRG) for an episode when interfaced with third-party grouping software.

Additionally, the solution allows coverage to be tracked and managed to provide patients with the best possible experience, from their initial encounter to their final payment. At the same time, organizations achieve efficiency, optimize financial performance, and drive customer loyalty.