Product Overview

Introducing Pena4’s Central Learning (CL), an advanced web-based tool that improves coding proficiency, supports confident and compliant claims submission, and minimizes revenue risks. CL is a comprehensive platform designed for medical coders at all levels, utilizing redacted real-life medical records, code rationales, and answer keys for skill enhancement. The Code Rationale serves as an educational resource, clarifying code selection and guiding coders through relevant coding clinics and medical records. Additionally, CL’s managerial suite offers reporting and data assessment tools that identify accuracy, strengths, weaknesses, and productivity, empowering organizations to effectively mitigate revenue risks.

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Key Features

  • The application offers real-world medical records, coding scenarios, and in-depth accuracy assessment to hone the coder’s medical coding skills
  • It makes coding managers up to 40% more efficient by automatically grading and scoring coder skills in ICD-10 and CPT
  • Coders can review medical records and assign appropriate codes easily. The application grades the accuracy of the assigned codes, providing instant feedback to the coders
  • Faster coding analytics for better revenue management
  • Excess Code entry detection and reporting feature to combat inaccurate billing thereby impacting returns
  • Central Learning provides comprehensive coding data analytics, empowering organizations with insights for process improvement and effective skill gap bridging
  • Allows hospitals to pinpoint corrective action and stops crippling reimbursement delays by exposing hidden coding denial dangers
  • Coding Accuracy Data Analytics are grouped by various parameters such as patient types, code category, diagnosis category, etc
  • Coding Competitions to test medical coder’s skills, the application allows IC’s (Independent Consultants) to participate in this event
  • Test Environment (New Codes) to familiarize medical coders with any changes made to the medical codes every year
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How does it work?

  • Coders are assigned cases by patient type, category, diagnosis, procedure, or difficulty level
  • Coders open each case in Central Learning and enter codes using an abstract screen
  • Central Learning scores each case immediately upon completion
  • Management graphs, tables, and coder skill gap reports are automatically generated to analyze, track, or trend

Efficiency of Central Learning Software

  • 100% more cost-effective than traditional audit methods
  • Complete turnkey software implementation in 72 hours
  • Effortless way to continually improve in ICD-10
  • The application automatically checks coder work against verified answer keys for immediate feedback by case type, code category, DRG or procedure
  • Target corrective action: coders, physicians, and CDI
  • Instant rationale for missed code opportunities
  • Excess Codes feature to ensure medical coding integrity
  • Identify specific areas of low productivity and accuracy
  • Compare and assess coder knowledge through Peer Performance Reports

Target Audience

Hospitals

It aids hospitals and health systems with practical tech solutions supporting coding, revenue cycle management, and audits, founded on expertise and comprehensive services.

Coders

The application offers real world medical records, coding scenarios, and in-depth accuracy assessment to hone the coder’s medical coding skills.

Medical Coding Clients

It is practical business technology that works for any coding, revenue cycle, or auditing business.

Options to Assess Coders Proficiency in ICD-10

Manual Process

Traditional Coding Audit

  • Need to identify or contract auditing staff/team
  • Manual selection of records to audit
  • Manual review by auditing staff
  • Each coder codes a distinct medical record; disparate assessment and comparisons
  • Subjective determination of reasons for errors based on the individual auditor
  • Manual compilation of findings with no tracking or trending
  • Limited data analysis with no drill down capabilities
  • Long process, two to three week process
  • One single audit project with one snapshot of coder quality
  • No productivity assessment
  • Very costly whether the audit is performed by in-house staff or contracted services

Central Learning Accurate Process

Automatic Coding Audit Plus Assessment

  • Minimal auditors required
  • Automatic assignment of cases based on filters
  • Automatic scoring of accuracy
  • All coders code the same medical record case; equal assessment and comparison
  • Answer Key created by a forum of coders
  • Automatic categorization of reasons for error, and automatic compilation, tracking and trending of errors
  • Full data analysis with drill down to the specific codes
  • Immediate findings as each case is coded
  • Endless audits that continuously assess coders
  • Includes productivity assessment
  • More cost-effective than traditional audit methods and without the expense of auditors

This is one of very few vendor relationships I have experienced in my 35 years as an HIM where I truly feel like we are partners with the same goal in mind-quality health information.

Cindy Penner

The Ottawa Hospital

I have had experience with other offshore coding services, and the quality from the Pena4 coders is excellent.

Craig Chase

Catholic Health Services

Very responsive team, expert knowledge, and easy to work with.

John Samuels

Better Health Advisors

Always on point with Turn Around Time requirements.

Lordy Josama

One Brooklyn Health System

Great long-term relationship, able and willing to meet our needs. Great customer service, great support, great outcomes!

Ray Cosner

Mt. Sinai Health System

It has been such a pleasure to work with Pena4 and their team. They have highly educated coders and I do not need to be involved in their internal processes, they know how to get the job done and with great quality.

Bonnie DiAntonio

RWJ Barnabas South

Pena4 continues to deliver high-quality services to our Team. We look forward to maintaining our strong partnership with the Pena4 Team.

Jade Johnson

Mount Sinai Hospital MSH/MSQ

Thank the management team, Arnab, Navin, Caroline, and the entire support team for their continued support and dedication to BronxCare Health Systems.

Valerie Oselmo

BronxCare Health System

Pena4 staff was helpful and accommodating to our professor and students' needs.

Dasantila Sherifi

Rutgers University

Implementation is a 2-way street and Pena4 keeps up its end. They provide great service with involved and attentive operations leaders.

Craig Chase

Catholic Health Services

Love the Team! Deb, Bernie, and Shelley are extremely knowledgeable, friendly, and especially pleasant to work with!

Sonia Shiels

Joseph Brant Hospital

We hired HIMonCall to assist with coding to meet our mandated fiscal year deadlines. We were able to meet this deadline successfully with the help of these contract coders and the work was delivered on time, as promised.

Monique Rasmussen

Providence Health Care