Table of Contents Computer Assisted Coding Executive Summary 18 Medical Best Practice Linking 21 CAC for Coders 21 Computer Assisted Coding Best Practice 24 Coding Solutions 26 Physician Computer Assisted Coding Services 28 Natural Language Computer Assisted Coding Market Shares 29 Natural Language Computer Assisted Coding of Medical Procedures Forecasts 31 Medical Best Practice Linking 33 1. Computer Assisted Coding for Large Physician Practices and Ambulatory Treatment Centers Market Description and Market Dynamics 34 1.1 Coding Challenge 34 1.1.1 Computer Assisted Coding (CAC) Physician Practice Services Component 35 1.1.2 Advances In Natural Language Processing And Informatics 36 1.1.3 Using Electronic Health Record (EHR) Documentation To Generate Codes 37 1.2 Computer-Assisted Coding 39 1.2.1 Physician Practice Industry Forces Affecting Development of CAC 40 1.2.2 Application of CAC Technology 42 1.3 Development of a CAC Tool For Physician Use 43 1.3.1 CAC Impact on the Coding Workflow 43 1.3.2 Computers Replace Human Coders 43 1.3.3 CAC Applied Without Human Intervention Depends On Critical Differences Between CAC Systems 44 1.4 Healthcare Industry Largest In United States 45 1.4.1 Building a Safer Health System 47 1.4.2 Facilitating the Use of Technology in the Healthcare Industry 48 1.4.3 Prescription Drug Modernization 49 1.5 Medical Necessity and Medical Necessity Errors 50 1.6 Physician Office Electronic Coding 51 1.6.1 CAC Automates and Accelerates Auditing 55 1.7 Natural Language Solutions 55 1.7.1 State Of Language Technology Evaluation 56 1.8 Computerized Workflow System 58 1.8.1 Confidence Assessment Module 59 1.8.2 Researching Electronic Coding Products: 61 2. Professional Computer Assisted Coding Market Shares and Forecasts 62 2.1.1 Physician Practices With A Services Component Market Driving forces 63 2.1.2 Medical Best Practice Linking 66 2.1.3 CAC for Coders 67 2.1.4 Computer Assisted Coding Best Practice 70 2.1.5 Computer Assisted Coding Medical Information Solutions 71 2.1.6 Coding Solutions 71 2.1.7 Physician Computer Assisted Coding Services 74 2.2 Physician Office and Ambulatory Clinical Organizations Natural Language Computer Assisted Coding Market Shares 75 2.2.1 3M 83 2.2.2 3M 85 2.2.3 3M Merging Quality With Reimbursement 88 2.2.4 Optum 89 2.2.5 Optum Automated Code Identification 90 2.2.6 Optum 93 2.2.7 nThrive / Precyse 94 2.2.8 Dolbey 94 2.2.9 McKesson 96 2.2.10 Cerner 98 2.2.11 TruCode 98 2.3 Natural Language Computer Assisted Coding of Medical Procedures Forecasts 98 2.3.1 CAC Market Software and Services Segmentation 102 2.3.2 CAC Hospitals and Facilities and Physicians Market Segment 104 2.3.3 Computer Assisted Coding Physician Market 106 2.3.4 Worldwide Computer Assisted Coding, Hospitals and Facilities and Physicians 108 2.3.5 CAC Software Market Hospital and Physician Segments 110 2.3.6 CAC Services Market Segment 111 2.3.7 US Computer Assisted Coding Physician Software License / Maintenance and Cloud SaaS Services 112 2.3.8 Physicians Computer Assisted Coding 115 2.3.9 US Computer Assisted Coding Software Units 118 2.3.10 US Computer Assisted Coding Software / Cloud Services for Independent Radiology Clinics Market Forecasts 120 2.3.1 US Independent Radiology Imaging Centers 121 2.3.2 Erroneous Selection of Principal Diagnoses Impacting Reimbursement 122 2.3.3 Growth of the U.S. Healthcare Industry 126 2.4 Worldwide, Number of Patients and Procedures 128 2.5 Making The Shift To The Modern ICD-10 Requirements 132 2.6 Computer Assisted Coding Prices 133 2.7 Computer Assisted Coding Regional Analysis 134 2.7.1 3M 360 Encompass System 137 3. Computer Assisted Coding Product Description 138 3.1 3M 138 3.1.1 3M 360 Encompass System 139 3.1.2 3M 3M CodeAssist System 141 3.1.3 3M APR DRG Solutions Aspects 147 3.1.4 3M Merging Quality With Reimbursement 148 3.1.5 3M™ APR DRG Software 150 3.1.6 3 M Classification System For Patients 150 3.1.7 3M APR DRG Software Features: 153 3.1.8 3M Coding Technology 155 3.1.9 3M Computer-Assisted Coding Solutions 156 3.1.10 3M Medical Coding Tools Streamline Processes 156 3.1.11 CodeAssist Automating the Medical Coding Process 157 3.1.12 3M CodeComplete Outsource Solution for Medical Coding 158 3.1.13 3M DataScout Clinical Data Extraction and Identification 158 3.1.14 3M and American Academy of Professional Coders (AAPC) 160 3.1.15 3M Data Mining Technology 161 3.1.16 3M Systems for Overcoming Documentation Shortfalls 162 3.1.17 3M Solutions for a Changing Healthcare Landscape 166 3.1.18 3M Web-Based Coding Software Return on Investment 179 3.1.19 3M Coding Software Functions 181 3.1.20 3M Computer-Assisted Coding Solutions Targeted to Specialty Areas 183 3.1.21 3M CodeAssist Functions 184 3.1.22 3M CodeComplete Business Process Management 185 3.2 Dolbey 187 3.2.1 Dolbey Coding Productivity Management 189 3.2.2 Dolby Fusion Suite Modules 191 3.3 Optum Coding Service 195 3.3.1 Optum Coding 196 3.3.2 Optum CPT® Codes 197 3.3.3 Optum Medicare Fee Schedule 197 3.4 McKesson 199 3.4.1 Mckesson Watching the Cash 200 3.4.2 McKesson Securing the Subsidy 201 3.4.3 McKesson Quality Control And Process Improvement 203 3.5 Cerner Computer Assisted Coding 204 3.6 Platocode® Computer-Assisted Coding 207 3.6.1 Platocode ICD 10 210 3.6.2 Platocode® Solution For Ambulatory Surgery 210 3.6.3 Platocode® API 211 3.6.4 Communication Between 3rd-Party Applications And A Platocode Server 211 3.7 Nuance Computer Assisted Coding 211 3.7.1 Nuance Clinical Documentation Review 212 3.7.2 Nuance Clinical Documentation Compliance 213 3.7.3 Nuance Clintegrity Computer Assited Coding (CAC) 213 3.7.4 Nuance Clintegrity Computer Assisted Coding (CAC) Key Features 216 3.7.5 Nuance Clintegrity Facility Coding Solutions for Healthcare 216 3.7.6 Nuance Clintegrity Facility Coding 218 3.7.7 Nuance Clintegrity Computer Assisted Coding (CAC) Features 219 3.7.8 Nuance Clintegrity Physician Coding 220 3.7.9 Nuance Clinician Reimbursement Calculation 222 3.7.10 Nuance Clintegrity Compliance & ICD-10 Transition 223 3.7.11 Nuance Clintegrity Facility Coding 224 3.7.12 Nuance Clintegrity Abstracting 224 3.7.13 Nuance Clintegrity ICD-10 Education Services 226 3.7.14 Nuance Automated Coding 229 3.7.15 Nuance Natural Language Processing 230 3.7.16 Nuance Natural Language Understanding 230 3.7.17 Nuance Mapping and Modeling Disparate Controlled Medical Vocabularies (CMVs); 231 3.8 Artificial Medical Intelligence Emscribe CAC 231 3.8.1 Artificial Medical Intelligence EMscribe Dynamic Search 233 3.8.2 Artificial Medical Intelligence EMscribe Encoder 234 3.8.3 AMI EMscribe® Dynamic Medical Term And Coding Search Tool 235 3.8.4 Artificial Medical Intelligence Autonomous Coding 236 3.8.5 Artificial Medical Intelligence (AMI) EMscribe Dx 237 3.9 CodeCorrect 240 3.9.1 CodeCorrect Capture Revenue and Maintain Compliance 240 3.9.2 CodeCorrect knowledge 240 3.9.3 CodeCorrect Medical Necessity Verification and APC Performance Tools 241 3.9.4 QuadraMed 242 3.10 M*Modal Coding 242 3.10.1 M*Modal Workflow 244 3.10.2 M*Modal Management Tools 244 3.10.3 M*Modal Single Platform 244 3.11 nThrive / MedAssets-Precyse and Equation 245 3.11.1 Precyse Medical Coding and Computer Assisted Coding 245 4. Computer Assisted Coding Research and Technology 248 4.1 Computer-Assisted Coding Technology 248 4.2 Hybrid Technology 252 4.2.1 Computer Assisted Coding Engine 252 4.3 Optum Computer Assisted Coding Technology 254 4.4 Preventable Medical Conditions 255 4.5 Natural Language Processing (NLP) Medical Coding 256 4.5.1 Rules Based Approaches 256 4.5.2 Reports Based On Statistics 256 4.5.3 Normalize the Data 257 4.6 Reports Must Be In Some Kind Of Electronic Format 257 4.6.1 NLP Software Statistical Analysis 258 4.6.2 Workflow 258 4.6.3 Feedback for Machine Learning 258 4.6.4 Coding 259 4.6.5 Accuracy And Specificity Of Retrieval 260 4.6.6 Natural Language Programming (NLP) Vocabulary Processor 260 4.6.7 Robust Underlying Terminological Model And A Component Architecture 261 4.7 TeSSI® (Terminology Supported Semantic Indexing) 262 4.7.1 L&C’s LinkBase® Medical Ontology 262 4.7.2 Semantic Indexing With The TeSSI® Indexing Engine 263 4.7.3 Semantic Indexing Solution Automates The Indexing Process 264 4.7.4 Information Extraction with TeSSI® Extraction Engine 267 4.7.5 Semantic Search with TeSSI® Search Engine 268 5. Computer Assisted Coding Company Profiles 269 5.1 CAC Key Market Players 269 5.2 3M 270 5.2.1 3M Business 271 5.2.2 3M Health Care Segment 274 5.2.3 3M Electronics and Energy Business 275 5.2.4 3M Health Information Systems 275 5.3 Artificial Medical Intelligence 279 5.4 Cerner 279 5.4.1 Cerner Business 280 5.4.2 Cerner Acquired Siemens Health Services 281 5.4.3 Cerner 2016 Fourth Quarter and Full-Year Highlights: 281 5.5 Craneware 281 5.6 Dolbey 282 5.7 EPIC 282 5.8 Group One / CodeCorrect 283 5.9 M*Modal 284 5.10 nThrive 285 5.10.1 nThrive / Precyse 285 5.11 Nuance 286 5.11.1 Nuance Healthcare 287 5.11.2 Nuance Business Description 287 5.11.3 Nuance Key Metrics 288 5.11.4 Nuance Healthcare Trends 289 5.12 Quest Diagnostics 290 5.13 TruCode 291 5.14 UnitedHealth Group / Optum 292 5.14.1 UnitedHealth Group / Optum 293 5.14.2 UnitedHealth Group Optum Health Information Technology Acquires Clinical Data Analytics Vendor Humedica 293 5.14.3 Optum Acquires Physician Practice Management And Revenue Management Software Firm, MedSynergies and Support Arm of ProHealth Physicians Group 294 5.14.4 Optum MedSynergies Synergies 297 5.14.5 Optum Life Sciences 299 5.14.6 United Healthcare Revenue 300 5.15 Selected CAC Companies 302 WinterGreen Research, 303 WinterGreen Research Methodology 304

List of Figures Figure 1. Computer Assisted Coding of Medical Information Market Driving Forces 19 Figure 2. Computer Assisted Coding of Medical Information Market Driving Factors 20 Figure 3. CAC Workstation Coder Benefits 22 Figure 4. CAC Management Tools 23 Figure 5. ELECTRONIC CODING SOLUTION MARKET DRIVING FORCES 27 Figure 6. ELECTRONIC CODING PRODUCT ISSUES 28 Figure 7. Computer Assisted Coding Software and Services Market Shares, Dollars, 2016 30 Figure 8. Computer Assisted Coding Market Forecast, Dollars, Worldwide, 2017-2024 32 Figure 9. Barriers to CAC 41 Figure 10. Electronic Coding Integrated Database Issues 51 Figure 11. Medical Necessity Online 52 Figure 12. Physician Office Computer Assisted Coding Key Benefits: 53 Figure 13. Natural Language Solutions System For Coding 55 Figure 14. Computerized Workflow System Systems Features 57 Figure 15. 3M Confidence Assessment Module System 59 Figure 16. Computer Assisted Coding of Medical Information Market Driving Forces 62 Figure 17. Computer Assisted Coding of Medical Information Market Driving Factors 63 Figure 18. CAC Workstation Coder Benefits 65 Figure 19. CAC Management Tools 66 Figure 20. ELECTRONIC CODING SOLUTION MARKET DRIVING FORCES 70 Figure 21. ELECTRONIC CODING PRODUCT ISSUES 71 Figure 22. Computer Assisted Coding Software and Services Market Shares, Dollars, 2016 73 Figure 23. Worldwide Computer Assisted Coding License Shipments and Cloud Services Market Shares, Dollars, 2016 74 Figure 24. 3M CAC Research Areas 76 Figure 25. 3M Core of NLP Computer Assisted Coding 78 Figure 26. Optum CAC Key Benefits: 82 Figure 27. Optum LifeCode®, CAC Functions 83 Figure 28. Optum LifeCode®, CAC Reconciliation Functions 84 Figure 29. Optum CAC Reconciliation Module Functions: 85 Figure 30. Platocode® Computer Assisted Coding Solution Benefits 88 Figure 31. Computer Assisted Coding Market Forecast, Dollars, Worldwide, 2017-2024 92 Figure 32. Computer Assisted Coding CAC Market Forecasts, Dollars, 2017 to 2023 93 Figure 33. CAC Market Segments Software and Services Key Topics 95 Figure 34. Worldwide Computer Assisted Coding Hospitals and Facilities and Physicians Market Shares, Dollars, 2016 96 Figure 35. Worldwide Computer Assisted Coding: Large Teaching Hospitals, Mid-Size and Small Hospitals, and Clinical Facilities, Market Shares, Units, 2016 97 Figure 36. Worldwide Computer Assisted Coding, Hospitals and Facilities and Physicians, Market Shares, Units, 2016 100 Figure 37. Worldwide Computer Assisted Coding, License Shipments, Services, and Cloud Services 101 Figure 38. Worldwide and US Computer Assisted Coding Number of Large Physician Practices, CAC Installed Base, Market Forecasts, Number, 2017-2023 104 Figure 39. Worldwide and US Computer Assisted Coding Software and Cloud Services CAC Market Forecasts, Dollars, 2017-2023 105 Figure 40. Worldwide and US Computer Assisted Coding for Physicians CAC Market Forecasts, Dollars, 2017-2023 107 Figure 41. US Computer Assisted Coding Physician Software License / Maintenance and Cloud SaaS Services, CAC Market Forecasts, Dollars, 2017-2023 108 Figure 42. US Computer Assisted Coding Software License / Maintenance and Cloud SaaS Services CAC For Large Independent Physician Practices Market Forecasts, Dollars, 2017-2023 109 Figure 43. US Computer Assisted Coding Software Units Retired CAC For Large Independent Physician Practices Market Forecasts, 2017-2023 110 Figure 44. US Computer Assisted Coding Software Units Retired CAC For Large Independent Physician Practices Market Forecasts, 2017-2023 111 Figure 45. US Computer Assisted Coding Software and Cloud SaaS Services CAC For Independent Radiology Clinics Market Forecasts, Dollars, 2017-2023 112 Figure 46. US Computer Assisted Coding CAC Software License / Maintenance and Cloud SaaS Percent Penetration For Independent Radiology Clinics Market Forecasts, Dollars, 2017-2023 113 Figure 47. US Outpatient Procedures Forecasts, Number of Procedures, 2016-2023 120 Figure 48. US Computer Assisted Coding Outpatient Procedure Market Penetration Forecasts, % Penetration, 2017-2023 121 Figure 49. 3M™ APR DRG Software Functions: 123 Figure 50. Computer Assisted Coding Regional Market Segments Dollars, Worldwide, 2016 127 Figure 51. Computer Assisted Coding Regional Market Segments Dollars, Worldwide, 2016 128 Figure 52. 3M 360 Encompass 1,500 Hospitals And Healthcare User Organizations 129 Figure 53. 3M 360 Encompass 1,500 Hospitals And Healthcare User Organizations 131 Figure 54. 3M 3M CodeAssist System Features 133 Figure 55. 3M Codefinder Functions 135 Figure 56. 3M Codefinder Features 136 Figure 57. 3M Codefinder Intelligent Functions 138 Figure 58. 3M APR DRG Solutions Aspects 139 Figure 59. 3M Applications For Severity- And Risk-Adjusted Data 141 Figure 60. 3M Classification System 144 Figure 61. 3M APR DRG Software Features 145 Figure 62. 3M Medical Coding Tools 149 Figure 63. 3M DataScout Functions 151 Figure 64. 3M Clinical Information Extraction Functions 152 Figure 65. 3M Systems For Overcoming Documentation Shortfalls Focus 155 Figure 66. 3M Systems Topics 156 Figure 67. 3M Systems Metrics Included For Computerized Coding 157 Figure 68. 3M Web-Based Coding Software Return On Investment Metrics 171 Figure 69. 3M Web-Based Coding Software Key Benefits 172 Figure 70. 3M Coding Software Functions 173 Figure 71. 3M Coding Software Features 173 Figure 72. 3M Internet-Based Computer-Assisted Medical Coding Target Markets 175 Figure 73. 3M CodeAssist Functions 177 Figure 74. 3M CodeComplete Functions 178 Figure 75. Dolbey Fusion CAC Benefits 180 Figure 76. Dolbey Computer-Assisted Coding Solution Features 182 Figure 77. Dolby Computer Assisted Coding CAC Fusion Suite Modules 185 Figure 78. Optum Computer-Assisted Coding (CAC) Intelligent CAC Functions: 187 Figure 79. Optum Coding Service 188 Figure 80. Optum Medicare Fee Schedule 190 Figure 81. McKesson Practice Management Priorities 192 Figure 82. Cerner Discern nCode Functions 197 Figure 83. Cerner Discern nCode Key Features 198 Figure 84. Platocode Process 200 Figure 85. PlatoCode Code Set Filters 201 Figure 86. Nuance Personnel Impacted by Transition to ICD-10 206 Figure 87. ICD-10 Critical Business Concerns: 207 Figure 88. Nuance Clintegrity Facility Coding Healthcare Solutions Platform Functions 209 Figure 89. Nuance Clintegrity Facility Coding Healthcare Solution Functions 210 Figure 90. Nuance Clintegrity Computer Assisted Coding (CAC) Professional Fee Coding Functions 213 Figure 91. Nuance Clintegrity Clinician Coding Features 214 Figure 92. Nuance Clintegrity Facility Coding Features 216 Figure 93. Nuance Clintegrity Platform Modules 217 Figure 94. Nuance Clintegrity Platform, Modules Customizable Data Collection Fields Features 218 Figure 95. Nuance Advantages Of Automating Coding With Clintegrity 220 Figure 96. Nuance Coding Algorithms 221 Figure 97. Nuance Mapping And Modeling Disparate Controlled Medical Vocabulary Functions 223 Figure 98. Artificial Medical Intelligence EMscribe CAC 224 Figure 99. Artificial Medical Intelligence EMscribe Dynamic Search 225 Figure 100. Artificial Medical Intelligence (Ami) Emscribe™ Dx Benefits 231 Figure 101. Precyse Coding Services 238 Figure 102. PrecyseCode™ CAC Coding Functions 239 Figure 103. Computer Assisted Technology Functions 241 Figure 104. How ICD-9 and ICD-10 Are Different 245 Figure 105. ICD-9 and ICD-10 Different Formats 246 Figure 106. Semantic Indexing for Medical Ontology 257 Figure 107. Semantic Process Flow Index Component Medical Ontology 258 Figure 108. Information Extraction With Tessi® Extraction Engine Functions 259 Figure 109. 3M 360 Encompass 1,500 Hospitals And Healthcare User Organizations 270 Figure 110. Current EPIC Computer Assisted Coding CAC Integrations 274