Provider Scope – Ongoing Education: Continuous Pre-Claim Coding Accuracy

This session demonstrated how AI can drive continuous coding accuracy through monthly automated provider education and self-service performance monitoring. Attendees saw how AI analyzes each provider’s billing patterns to detect improper coding before claims are submitted, delivering targeted education through preferred channels. The session also showcased peer-to-peer coding comparisons and shared analytics views that encourage provider-payer collaboration, along with self-service reporting tools that empower providers to make corrections proactively.

Highlights included:

• AI pattern recognition to identify improper billing pre-submission
• Automated monthly education programs delivered via preferred channels
• Peer-to-peer coding comparisons using shared analytics views
• Self-service performance reporting in action
• Ongoing monitoring strategies that benefit both payers and providers