How do you use encoder tools like 3M or TruCode?

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Encoder tools like 3M Encoder or TruCode Encoder are software applications used by medical coders to assign accurate and compliant codes (ICD-10-CM, CPT, HCPCS, etc.) to clinical documentation for billing, reporting, and analytics.

Here's how they're typically used:

1. Access Patient Documentation: Coders start by reviewing electronic health records (EHRs), including physician notes, lab reports, and discharge summaries.

2. Launch the Encoder: The encoder software (3M or TruCode) is opened, either integrated with the EHR or as a standalone tool.

3. Search and Code: Coders enter keywords or diagnoses/procedures into the encoder. The tool guides them through logic-based prompts (decision trees) to assign the correct ICD-10-CM, ICD-10-PCS, CPT, or HCPCS codes. Some encoders also support auto-suggestion or computer-assisted coding (CAC).

4. Compliance and Edits: The encoder checks for coding rules, edits, and compliance issues, such as NCCI (National Correct Coding Initiative) edits or DRG (Diagnosis Related Group) grouping. It may also suggest queries if documentation is unclear.

5. Export Codes: Once verified, the codes are exported to the billing system or attached to the patient record in the EHR.

3M is widely known for its robust integration with EHRs and advanced features like CAC, while TruCode is known for real-time coding support and being lightweight.

In summary, encoder tools streamline the coding process, reduce manual errors, ensure compliance, and support efficient revenue cycle management.

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