Autocoding 2.0

What is Autocoding 2.0?

Autocoding 2.0 is HANK's upgraded AI-powered claim processing system. It can mark cases as Code Complete automatically, and it offers more configuration options than Autocoding 1.0. Quality control runs through Human Review Elements (HREs): targeted checkpoints attached to a case. Each element tells you:

• What needs review
• Why it matters
• Who should look at it
• What action to take

What Autocoding 2.0 codes today

• Anesthesia, including GI endoscopy anesthesia, obstetric anesthesia, nerve blocks, and post-op pain rounds
• Radiology, including interventional radiology
• Surgery, including surgeon companion claims for organizations that enable them
• E/M visits: office and outpatient, hospital inpatient and observation, and emergency department

The five element types

• HARDSTOP: information is missing or conflicting, and the problem would cause a payer rejection or denial. In the default configuration, resolve it before the claim is submitted. Note: you may still receive Autocoding predictions on a case with HARDSTOP elements.

Your administrators can change how each type is handled.

How to enable and use it

Reach out to [email protected] to see whether your organization runs Autocoding 1.0 or 2.0. Enabling Autocoding 2.0 requires coordination with the HANK AI staff.

Once Autocoding 2.0 is enabled:

• Turn on the work queue in Claim Maker
• Filter by your role to see only the elements assigned to you
• Review each flagged item, then resolve, document, or escalate it
• Mark items complete and move to the next encounter in your queue

Key things to know

• Autocoding only runs once per case. If review elements prevent full autocoding, a human must apply codes manually.
• Your facility can customize confidence thresholds, toggle specific checks on or off, and set code exemptions. Reach out to [email protected].
• For issues or feedback, contact [email protected].