Challenges in Automated Surgical Coding: Taming the Complexity

In the rapidly evolving landscape of healthcare technology, medical coding is an area ripe for disruption. The majority of healthcare systems recognize embracing automation is no longer optional, it’s a necessity. Within this realm, surgical coding stands out as perhaps the most complex area for automation, with unique challenges that demand precision and adaptability. Surgical coding covers multiple surgical specialties and subspecialties, each with its own set of codes and modifiers. Surgical coding encompasses a substantial morass of rules, edits, coding regulations, and documentation requirements needed to accurately code procedures. For these reasons, surgery coders typically specialize in a single surgical specialty.
Several companies have entered this domain, providing “automated” solutions for surgical coding. These solutions automate limited portions of the coding operation. They are designed to assist human coders, improving their accuracy, and increasing their productivity.

Milagro entered the automated coding world with a bold goal: to develop a platform that goes beyond automated coding assistance for coders. A platform so accurate, transparent, comprehensive, and adaptable it can be trusted to automatically code the vast majority of medical services, fully autonomously. And since coding errors can mean a loss of revenue from under coding, denials, or potential compliance issues – the thought of putting coding “on autopilot” might seem daunting.

So why would Milagro choose the most challenging coding area – surgical coding – as its initial proving ground? Precisely because it is the most challenging area!

Where others see daunting challenges, Milagro sees opportunities. We didn’t feel this was a bold move. It was a statement. The ultimate proof of concept. A demonstration of Milagro’s commitment to conquering the most challenging aspects of medical coding.

Milagro’s journey in autonomous surgical coding has been a resounding success, consistently achieving at least 95% coding accuracy while covering 85% of all cases across surgical specialties. By developing an autonomous coding system that not only equals – it exceeds the accuracy and coverage of even the best coders, Milagro has demonstrated its adaptability and accuracy in the face of complexity. The result? Increased efficiency, reduced errors, decreased denials, and enhanced financial outcomes for hospitals and surgery centers.

Having conquered the Everest of surgical coding, Milagro now sets its sights on broader horizons. We have now expanding its autonomous coding solutions into other areas of healthcare, promising further innovation and efficiency gains. As Milagro continues to break new ground, healthcare providers can anticipate cutting-edge solutions that simplify coding, drive efficiency, and ultimately contribute to improved patient care and financial success.

Stay tuned as Milagro shapes the future of autonomous coding.