OUTPATIENT VISITS

Autonomous Medical Coding for Outpatient Visits

From E/M leveling to HCC capture, Nym's engine codes outpatient visit encounters in seconds with zero human intervention, backed by an audit trail for every code.

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Autonomous coding TRUSTED by 30+ health Systems & physician groups

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What can autonomous coding do for outpatient visits?

Nym's engine codes outpatient visits in seconds with zero human intervention. Here's the impact that this can have on your medical coding and revenue cycle teams.

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Cut through note bloat in seconds

Visit notes keep getting longer, but Nym's engine reads the complete encounter in seconds and applies consistent coding logic at scale, no matter how long the note gets.

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Assign E/M levels you can defend

Evaluation and management (E/M) leveling is configured to your coding philosophy and applied consistently, with audit trails provided for every code assigned by the engine.

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Capture the HCC codes your documentation supports

Nym's engine captures the services and Hierarchical Condition Category (HCC)  codes supported by the documentation, with the specificity that risk adjustment calls require.

What is Nym's coding scope in outpatient visits?

Full coding coverage for family medicine and primary care office visits, configured to your organization's coding philosophy and guidelines, and updated as soon as new guidelines are released.

Care Settings


  • Physician offices
  • On-campus hospital outpatient
  • Off-campus hospital outpatient

Code Types


  • Professional coding
  • CMS-1500 (837P) claims


Encounter Types


  • E/M visits
  • Preventive visits
  • Annual wellness visits (AWV)
  • In-office procedures
  • HCC code capture

Coding Scope


  • CPT including E/M levels and modifiers
  • ICD-10-CM diagnosis codes
  • NCCI, OCE edits and Medical Necessity
  • Provider attribution capture

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*encounters that the engine is unable to code with high confidence are routed to human coders

How does Nym code an outpatient visit?

From visit note to billing, with zero human intervention.

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Retrieves the Visit Record

Nym's engine retrieves the complete visit record, including the provider's narrative note and structured clinical data such as the office visit notes and any procedures completed in the office, directly from the EHR system.

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Parses the Complete Chart

The engine parses the visit record, including both structured and unstructured data, and organizes it into the "Nym Standard Chart."

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Analyzes the Clinical Narrative

The engine uses Nym's Clinical Language Understanding (CLU) technology to analyze the Nym Standard Chart and create a clinical narrative that accurately reflects the patient visit.

 

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Assigns Codes and Routes Them to Billing

The engine assigns the final codes to the visit based on the clinical narrative. E/M levels follow your organization's coding philosophy, HCC codes supported by the documentation are captured, and codes are sent directly to billing with a fully traceable audit trail.

Get a Demo of Nym's Engine for Outpatient Visits

See how autonomous medical coding works for your outpatient visits. Request a demo, and a member of our team will be in touch.