About
Clinical Coding Services has a team of experienced HIMs and clinical coders to help reduce your backlog of uncoded episodes.
- Our Australian-based team provides high-quality clinical coding services that can be tailored to meet your case mix needs
- We specialise in processing outstanding backlogs so sorely needed revenues can be returned to you quickly
- Our services are provided remotely; arrangements can also be made to provide coding services on-site
- We charge less than our nearest competitor for clinical coding
- We have invested $1.3 million dollars in a revolutionary AI clinical coding and EMR system – with rollout anticipated in 2025
- Because we’re part of the AusHealth charity, ALL profits generated by Clinical Coding Services are reinvested in medical research.
For more information please contact Julie Stojanovski, our Clinical Coding Manager
Email: Clinical.Coding@aushealth.com.au
Our Services
- Clinical Coding
- Other Health Information Management Services
- Analytical Auditing Service
- Clinical Information Transformation – unlocking your most valuable data
- Training and Education
Clinical Coding
Our coders and health information managers are certified, experienced and knowledgeable. They support hospitals on a permanent, long-term or short-term basis, to level out seasonal challenges as well as planned or unplanned staff shortages.
Our coding teams effectively relieve your organisation of the costs of sourcing accredited coding and managerial staff (presently in short supply across Australia); they also relieve your organisation of having to deal with issues of errors, rejections and compliance.
Our coders are experienced in clearing coding backlogs. They will secure reimbursement as quickly as possible to get your revenues flowing again.
Our services are cost-effective: we charge less than our nearest competitor for clinical coding.
Our coding services are completely flexible to align with your requirements and volumes.
Our remote team can take care of your case mix needs — we can also arrange for an on-site team to be integrated with your organisation.
AusHealth is currently investing $1.3 million dollars in a revolutionary AI Clinical Coding and EMR system. Our clients will be the first to enjoy next-level advantages when this technology is introduced – expect announcements in 2025!
Because we’re part of the AusHealth charity, ALL our profits from clinical coding are invested in medical research.
For more information please contact Julie Stojanovski, our Clinical Coding Manager
Email: Clinical.Coding@aushealth.com.au
Analytical Auditing Service
Clinical Coding Services offers an auditing service that will help you better understand your strengths and weaknesses when it comes to clinical coding.
Our analytical auditing service uses 3M CodeFinder software to gather clinical data from across your organisation to provide valuable insights, including:
- Coding gaps
- Missing codes for coding/query
- Knowledge gaps and targeted education opportunities for clinical staff.
Sources providing data for analysis might typically include:
- Notes extracted from the Electronic Medical Record
- Pathology/medical imaging results
- Medication data
- Clinical observations.
The software, which understands the Independent Health and Aged Care Pricing Authority’s NWAU model and DCCL values, runs hundreds of algorithms across all episodes of care to identify gaps and missing diagnosis codes – as opposed to the accepted audit practice of searching for key words in a single patient episode.
The software, which understands the Independent Health and Aged Care Pricing Authority’s NWAU model and DCCL values, runs hundreds of algorithms across all episodes of care to identify gaps and missing diagnosis codes – as opposed to the accepted audit practice of searching for key words in a single patient episode.
Clinical Information Transformation
To many health service providers, clinical information is an unknown quantity – to the potential detriment of their patients and organisational performance.
AusHealth’s Clinical Information Transformation service changes that by:
- Capturing and analysing the wealth of detailed clinical information held within health services
- Allowing better understanding of financial opportunities and risk
- Identifying the source and size of potential compliance issues
- Enhancing reporting accuracy
- Improving and reducing data entry errors that impact reimbursement.
When coupled with our billing, resolutions and revenue recovery solutions, the clinical information transformation service presents health care providers with an opportunity to exponentially enhance operations and bottom-line performance.
The pillars supporting AusHealth’s integrated package of transformational services combine:
- Industry leading expertise (headed by Dr Paul Tridgell);
- Benchmarking against Hospital/State/Local Health District results and current acute and sub-acute inpatient coding; and
- Utilisation of innovative analytical software.
Our Clinical Information Transformation service includes:
- Documentation Gap Analysis.
The quality of clinical coding of acute inpatients can have a major impact on the Diagnosis Related Group (DRG) allocated to a patient. Too often, complexities including additional medications or diagnostic tests are not documented in a way that can be coded – with a negative impact on funding and the benchmarking of a hospital’s efficiency.
AusHealth allows users to analyse both administrative coded data and clinical data (such as clinical notes, discharge summaries, medications, and diagnostic test results) to identify missing diagnosis codes that may change the DRG.
- Coding classification changes.
- Sequencing of ICD-10 diagnosis and procedure codes to clinical appropriateness of the case-mixed episodes.
AusHealth assists analysis of the impact of coding classification system changes on back casting calculations used by the IHACPA.
This can be particularly important when analysing the National Weighted Activity Unit (NWAU) output across significant accounting changes.
- Coding processes and outputs.
Aushealth can assist with the analysis of potential variations in coding processes and outputs in a State or Local Health District (LHD). This analysis is useful in assessing consistency, under-reported codes, assigned Diagnosis Related Groups (DRGs) and clinical areas with the greatest opportunity.
A key to this analysis is linking differences in rates of codes to NWAU impact.
- Medicare and billing.
Under the terms of the National Health Reform Agreement (NHRA) the Commonwealth conducts data linkage to assess compliance with the funding agreement and Medicare Benefits Schedule (MBS) billing.
The AusHealth team has extensive experience in undertaking data linkages to assess compliance with current Activity Based Funding (ABF) under the NHRA. Such analysis may be of particular benefit to a health service seeking to identify risks and gaps or ahead of a scheduled audit.
- HACs and monitoring.
AusHealth can assist with analysis of Hospital Acquired Complications (HACs). By linking clinical and administrative data, we can also assess the likelihood of a pre-existing condition.
Training and Education
Looking to enhance or upskill your existing personnel assets? AusHealth can provide targeted education in:
- Documentation
- Overcoming coding gaps
- Data extraction
- Data errors correction
- Health Information Services Operation
- Freedom of Information Requests
- Clinical coding rules, conventions and standards
- Coding classification system changes
- Data errors correction of Clinical Coding from VAED/VEMD extracts/returns for Victorian Hospitals that are ABS funded.