TCi OptiCoder®

 

DRG Manager® comes optionally with the TCi OptiCoder®. The OptiCoder® is a coding tool developed over the last three years by TCi and the world leading ICD-10-AM Coding training body (Distance and local), the Health Information Managers Association of Australia (HIMAA).

 

TCi OptiCoder® has been developed to allow less experienced ICD-10-AM coders and even doctors and clinical nurse specialists to code hospital based admissions to a high standard. Once patient admissions arte coded using TCi OptiCoder®, the level of expert coder review is significantly reduced allowing hospitals to stay on top of coding for DRG Financing purposes. The TCi OptiCoder® not only significantly speeds coding by experienced and inexperienced coders alike, it helps ensure maximal legal DRG return for each admission and minimize costly coding errors . It is particularly useful for countries who are just beginning to use ICD-10-AM and the AR-DRG for Coding / Costing and Billing purposes who do not have a great excess of trained HIM's at their disposal.

 

 Key Benefits

Coding and grouping are only a first step in the process of DRG (Casemix) Management. The software assists management of the funding (income) model, monitoring of DRG volumes, control over length of stay while the patient is still in Hospital, discharge planning and review of quality assurance effects that are imposed by DRG financing.

 

Not only does the DRG Manager® evaluate the accuracy of coding, it assists the management of DRG financing, length of stay and quality assurance processes.

 

 Support for Coders

Grouping Options

TCi OptiCoder®- Speeds accurate Coding of patient admissions

Optimiser - control over income entitlements (Fortune Seeker)

Mapping

Discharge Plan

Errors in Batch

Re-admissions

Bacteria - Infection Control

Disease Index

Coming soon - Clinical Costing

Export to Excel

Code Search - by number and by word

Grouping Options

Hospitals can process DRG assignment using a choice of Grouper engines - process old data with updated Grouper or use an earlier Grouper engine for comparative studies.

OptiCoder®

The TCi OptiCoder® is designed by leading AR-DRG Grouper Logic Builders/ Clinicians and HIM Clinical Coders. It has been built using DRG logic specifications and best coding guidelines to ensure maximum efficiency in terms of speed and accuracy of coding patient admissions. No other ICD-10-AM coding product can provide the range and depth of coding assistance offered by
TCi OptiCoder®.

Optimiser

The DRG Manager® Optimiser incorporates recognition of values for unpaid days, low and high trim outliers.

Mapping Tables

Hospitals are able to apply any required mapping tables.

Errors in Batch

Coding errors and questionable DRG assignment are detected and identified. "Drill down" correction of errors is enabled.

Re-admissions

Re-admissions are identified - an important control over avoidable admissions and other factors affecting control over length of stay.

Infection control

Various reports are configured to assist Infection Control - an important influence on controlling avoidable length of stay.

Disease Index

Facility is provided to select permanent patient disease conditions for inclusion in the patient file - each new admission then has these conditions immediately identified, to assist recognition of complication conditions and higher cost weight values.

Export to Excel

The export facility incorporates a funding model and allows Hospitals to design their own analysis and graphs.

Code Search

Interactive coding is provided and you can search the ICD-10 and OPS databases to find the correct code.