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Status
Live
AUTHORING ORGANIZATION
University of Texas Southwestern
PERFORMANCE METRIC
Clean Claim Rate
Automation Tool
UiPath
TECHNOLOGIES
RPA
Applications
EPIC
HB | PB
N/A
Automation value
(as reported)
497523

Problem Statement

When multiple EKGs are performed for a patient on the same day, modifiers 76 and 77 must be applied to the first and subsequent procedures or the duplicate services are denied, a detailed coding judgment that is easy to miss at volume and directly lowers the clean claim rate.

Automation Solution

This automation identifies EKG procedures with multiple same-day occurrences and applies the appropriate 76 and 77 modifiers to the first and subsequent EKGs, preventing duplicate-service denials before submission.

Automation Resources

PDDs, Process Flows, Presentations, and Assessments
Tarpon Health Process Map - UTSW EKG Rhythm
Process Flow
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Tarpon Health PDD - UTSW EKG Rhythm
PDD
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