E&M Coding Solution for Medical Practices and Hospitals
Designed by a physician, E&M Generate uses orders, management options, and diagnosis information to provide medical decision-making determinations. Our proprietary method of combining risk and acuity for diagnoses identifies potential over-coding and under-coding for medical necessity and ensures compliance and protects valuable revenue as well as prevents civil and criminal penalty liability.
E&M Generate has been reviewed by hundreds of healthcare consultants, compliance managers, and auditors. It has been used by thousands of practices, through integration into their software applications. This has resulted in the most reliable, accurate, and comprehensive E&M coding solution on the market today.
Accurate, Audit-Ready E&M Coding Solution in Any Clinical Setting
E&M Coding Benefits
- Eliminates the subjective component of medical decision making
- Reduces audit risk
- Reliable, accurate, and comprehensive E&M coding
E&M Coding Features
- Proprietary method assigns risk values to diagnosis codes, diagnostic tests, and other management options to ensure precise medical complexity
- Assigns acuity value to every diagnosis based on the severity and status of the presenting problem
- Considers additional factors like time, review of prior medical records, consultations, etc.
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“For over 20 years, White Plume has relied on Alpha II’s software development kits to deliver cutting-edge code search and medical necessity guidance for our provider customers. Alpha II’s CodeWizard is integrated seamlessly with AccellaCAPTURE™ and AccellaSMART™ and helps us deliver trust for our customers time and time again – and that’s very important to us.”
"The partnership is really helpful in working on the revenue cycle for a practice to ensure that you are getting the appropriate reimbursement, getting everything you deserve, as we work to clean up the revenue cycle, denial management, and things of that nature. Alpha II is a great partner at helping us do that."
“My experience with Alpha II has been exceptional and I couldn’t ask for better service or a better product. Their entire team is courteous, professional, and knowledgeable. They consistently exceed our clients' and my expectations as a MIPS Qualified Registry. I know them to be of excellent character, highly qualified, and honorable. Their MIPS Registry product has given our clients the ease to do their MIPS reporting and every client has expressed how much they love the Alpha II Team. Their customer service is stellar like no other.”
"Upgrading claim scrubbing in the eMDs product portfolio is an important part of the ongoing investment in our platform modernization strategy that makes a real difference to our customers. The partnership with Alpha II shows eMDs’ ongoing modernization investments across our software and services portfolio. With over 20 years providing RCM services to healthcare organizations, large and small, now known as eMDs Aria Health Services, we fully understand the value of tight scrubbing integration when it comes to dealing with the complexity of a myriad of payer rules in order to ensure claims are paid the first time ensuring a lower cost to collect."
“It has been an absolute joy to work with Alpha II during our transition to a new EHR. Their implementation team has assisted us with enabling many of their existing edits as well as quickly creating several user defined edits. As someone new to the world of coding, I appreciate their assistance in helping me think through complicated coding scenarios and the thorough overview they provided of their ClaimStaker portal. They have been extremely accessible to us, patient with our questions, and thoughtful with our requests, even going as far as to ensure understanding of our unique workflow. They have gone above and beyond to support their mission of providing us with excellent customer service.”
“EZClaim partnered with Alpha II for claim scrubbing due to their superior solution and friendly team. Alpha II met our high expectations and we could tell from the start they’ve done this before. They’ve been on the ball with every request, including slicks, show support, and webinars. From our first partner kickoff meeting on, we knew we made the correct partner choice.”
“For almost 15 years, our medical billing service has been daily users of Alpha II’s EasyCoder. It has proved to be an invaluable tool, providing my staff with quick access to current, comprehensive and reliable coding resources. The E&M Generate, policy reviewer, supporting diagnoses lists, and access to the Medicare fee schedules by locality have developed our staff’s knowledge and confidence as we strive to serve our clients as a trusted resource.”
“Alpha II clinical scrubbing has been instrumental in helping our clients submit clean claims. We were able to integrate encounter editing into our EHR and claim editing in our PM system, giving our clients the chance to address issues as early in the process as possible. The edit configurability allows our providers to enable edits that impact their claims and the custom edits ensure even the most obscure payer rules get billed correctly.”
“We are in the midst of unprecedented transformation in healthcare – from transitioning guidelines and emerging regulations to staff turnover and care model changes within the practice. Alpha II’s ClaimStaker product helps my customers mitigate billing challenges by filling in knowledge gaps and staying in front of those rule changes.”
“Integration of the Alpha II Code Wizard into our EHR/PM software Team Chart Concept has been instrumental in our clients achieving an average of 96 to 98 percent clean claims ratio. Our relationship spans over eight years of continued innovation by Alpha II to meet the needs of the medical billing community.”