Prior Authorization Submission for Medical Coding Managers with TruCode

TruCode Medical Coding Manager CDI & Coding

The Problem

Prior auths for CDI & Coding procedures sit in 3M 360 Encompass queues for days — the patient reschedules, the surgeon's OR time goes unused, and the practice eats the margin.

What We Build in TruCode

AI checks payer-specific PA requirements, pulls the chart from 3M 360 Encompass, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours. Purpose-built for teams running TruCode — uses the native API or agent integration so nothing leaves the system of record.

TruCode Integration Approach

1

Audit your TruCode configuration

We map the specific TruCode objects, custom fields, and workflows the automation needs to touch for your cdi & coding practice.

2

Build on the TruCode API or agent

Integration happens inside TruCode — no data leaves the system, no parallel tool for your team to learn, no license changes.

3

Human-in-the-loop handoff

Every automation routes exceptions back to a human in TruCode with enough context to act — AI handles the 80%, your team owns the judgment calls.

See this running in your TruCode instance

30-minute call. We'll look at your actual TruCode setup and show exactly how this workflow fits.

More About This Workflow

Prior Authorization Submission for Medical Coding Managers

AI checks payer-specific PA requirements, pulls the chart from 3M 360 Encompass, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours.

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