Computer-assisted Coding Market - Growth, Trends, COVID-19 Impact, and Forecasts (2021 - 2026)

The Computer-assisted Coding Market is Segmented by Product (Software (Standalone Software and Integrated Software) and Services), Mode of Delivery (Web and Cloud Based and On-premise), Application (Automated Computer-Assisted Encoding, Management Reporting and Analytics, and Clinical Coding Auditing), End User (Hospitals, Clinical Laboratories and Diagnostic Centers, and Other End Users), Geography (North America, Europe, Asia Pacific, Middle-East and Africa, and South America). The report offers the value (in USD million) for the above segments.

Market Snapshot

Market Snapshot1
Study Period: 2018 - 2026
Base Year: 2020
Fastest Growing Market: Asia Pacific
Largest Market: North America
CAGR: 11.2 %

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Market Overview

The computer-assisted coding market is expected to register a CAGR of 11.2% during the forecast period.

The COVID-19 pandemic had a potential economic impact and implications on most sectors, including the healthcare IT market. The impact of the COVID-19 pandemic on the global computer-assisted coding market is positive because increasing adoption of advanced solutions to reduce the operational cost and the growing focus on patient care management. Many healthcare organizations worldwide are implementing computer-assisted coding (CAC), and the growth in adoption of these systems can be seen in the post-COVID-19 impact. During the COVID-19 pandemic, the code providers used to document COVID-19 was an International Classification of Disease (ICD), Tenth Revision, Clinical Modification (ICD-10-CM) emergency code created by the World Health Organization in March 2020 for confirmed cases of COVID-19.

Moreover, there have been new International Classification of Disease (ICD) procedure codes related to the COVID-19 and many more changes to the Current Procedural Terminology (CPT), and Healthcare Common Procedural Coding System (HCPCS) code sets to account for COVID-19 and related conditions and procedures.

Some of the factors driving the market growth include increasing implementation of electronic health record (EHR) systems, increasing utilization of computer-assisted coding solutions to curtail the rising healthcare costs, and increasing regulatory requirements for patient data management.

Furthermore, increasing improvement in the healthcare infrastructure and growing insurance reimbursement policies are rolled down by public and private organizations. Additionally, the growing adoption of CAC solutions to reduce increasing healthcare expenditure by population is boosting the growth of the computer-assisted coding systems market.

The market players adopted various strategies, such as product launches, collaborations, acquisitions, mergers, and expansions, to increase the market share. For instance, in September 2019, 3M company Health Information Systems and M Modal launched a clinical documentation enhancement tool that uses artificial intelligence to encourage speed and efficiency for clinicians and coders.

Moreover, in October 2019, Abeo acquired Trusted i10, which allowed Abeo to expand its software offerings and services and exploit advanced technology that used artificial intelligence (AI) to help health providers increase their accuracy and compliance. However, the high cost of maintenance and lack of skilled professionals for system support have restrained market growth.

Scope of the Report

As per the scope of the report, a computer-assisted coding system is a software that analyzes all the documents of healthcare and produces a suitable medical code for specific phrases and terms within the document. This coding helps in the escalation of productivity and reducing the processing time of the administrative person or coder. The computer-assisted coding market is segmented by product (software (standalone software and integrated software) and services), mode of delivery (web and cloud-based and on-premise), application (automated computer-assisted encoding, management reporting and analytics, and clinical coding auditing), end user (hospitals, clinical laboratories and diagnostic centers, and other end users), geography (North America, Europe, Asia Pacific, Middle-East and Africa, and South America). The report offers the value (in USD million) for the above segments. The market report also covers the estimated market sizes and trends for 17 different countries across major regions, globally.

By Product
Software
Standalone Software
Integrated Software
Services
By Mode of Delivery
Web and Cloud Based
On-premise
By Application
Automated Computer-assisted Encoding
Management Reporting and Analytics
Clinical Coding Auditing
By End User
Hospitals
Clinical Laboratories and Diagnostic Centers
Other End Users
By Geography
North America
United States
Canada
Mexico
Europe
Germany
United Kingdom
France
Italy
Spain
Rest of Europe
Asia Pacific
China
Japan
India
Australia
South Korea
Rest of Asia Pacific
Middle-East and Africa
GCC
South Africa
Rest of Middle-East and Africa
South America
Brazil
Argentina
Rest of South America

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Key Market Trends

Under Mode of Delivery Web and Cloud Based Segment is Expected to Hold Significant Market Share Over the Forecast Period.

Web-based delivery is a network that runs on different server computers and communicates by internet, virtual private network, and the wireless network, using hypertext transfer protocol (HTTP), transmission control protocol (TCP), and internet protocol (IP) or other protocols. A web-based computer-assisted coding system is entirely accessed through a web browser, and no software is installed or required on the device at all. All data and software are hosted remotely and accessed through the internet. This is one of the main advantages of the web-based computer-assisted coding system.

The impact of COVID-19 on computer-assisted coding (CAC) software is positive, and it is expected to move ahead at a steady pace because it is a medical requirement. Currently, countries across the world are strengthening their medical infrastructure to fight against the pandemic. This is likely to create lucrative opportunities for the market to grow in the coming years.

Cloud-based solutions are comparatively newer approaches and are mostly used by organizations that lack the internal infrastructure to support them. The installation cost for these systems is lower. Moreover, this software eradicates the need for in-house maintenance, which is likely to be the prime factor driving their increasing demand.

The web-hosted model manages the computer-assisted coding system platform by aggregating and normalizing data presented for instant view regarding clinical information of the patient or any other data. The main difference between the web-based computer-assisted coding system model and the cloud-based computer-assisted coding system model is the usage of a personal instance of the application in a web-based model. In the cloud-based model, the provided model is standardized for all customers. Additionally, the main factor hindering the growth of the web-based model segment is that, unlike cloud-based, they run only on the provider’s web servers.

The web-based computer-assisted coding system does not require any hardware as it is hardware-independent. Hence, these systems can be used on devices with a web browser. Some of the strategies adopted by market players to increase their market share include mergers, acquisitions, collaborations, and expansions. For instance, in November 2019, Abeo (Trusted i10, LLC) partnered with Athenahealth’s Marketplace Program to provide computer-assisted coding to enhance compliance and reimbursement accuracy. Hence, the factors mentioned above are expected to drive the segment growth over the forecast period.

Mordor 2

North America Dominates the Market and Expected to do Same in the Forecast Period

Some of the factors driving the market growth in the North American region include many investments in modernizing its digital healthcare infrastructure, high investments in healthcare by the government and private sector, and the presence of key market players.

Since the Health Information Technology for Economic and Clinical Health (HITECH) Act came into being in 2009, the use of computer-assisted coding in the United States has been increasing, along with EHR. The HITECH Act has introduced an EHR incentive program for the US healthcare providers to facilitate the efficient and meaningful use of health IT software. The United States government plans to use electronic health records to cut costs and improve the quality of healthcare over the next decade.

For instance, according to the Canada Health Infoway, in 2018, 93% of physicians who use electronic medical records allow them to provide improved patient care, while 100% of Canadians have at least one hospital clinical report, or their immunization record, available in electronic form, and their authorized clinicians can access this information outside of a hospital.

Additionally, in March 2018, the Trump Administration announced the MyHealthEData Initiative, which aims to empower patients by ensuring that they control their healthcare data and decide how their data may be used, all while keeping that information safe and secure. This is likely to allow an overhaul to Centers for Medicare & Medicaid Services (CMS’s) Electronic Health Record (EHR) Incentive Programs.

Furthermore, many hospitals in the North American region are adopting computer-assisted coding (CAC) systems to manage the increasing load of coding resulting from the adoption of ICD-10 standards. Government funding is likely to increase the adoption of computer-assisted coding by healthcare providers and change the way players across the sectors operate.

Hence, the increasing adoption of a patient-centric approach by healthcare payers, favorable government funding policies, and initiatives for implementing healthcare IT solutions are the major factors expected to drive the computer-assisted coding market in the North American region during the forecast period.

Computer Assisted Coding Market3

Competitive Landscape

The computer-assisted coding market is fragmented competitive. Not only established players of the information technology industry have been intrigued in the market, but many new players have also established their presence. Market players in developed countries have more resources and fundings, hence, mainly dominate the global market. However, technological advancements and sharing of knowledge across borders have helped companies in developing countries to enter the race. Some market players include Cerner Corporation, TruCode LLC, Optum Inc., Artificial Medical Intelligence Inc., and 3M Company, among others.

Recent Developments

In April 2021, 3M company launched a new technology platform that allows healthcare providers and payers to prioritize care and allocate resources for high-risk individuals and patient populations. 3M social determinants of health analytics (3M SDoH) combines clinical, social, and population health data to create a complete picture of patient health.

In April 2021, Cerner Corporation completed the acquisition of Kantar Health, a division of Kantar Group, for USD 375 million in cash, subject to adjustment.

Table of Contents

  1. 1. INTRODUCTION

    1. 1.1 Study Assumptions and Market Definition

    2. 1.2 Scope of the Study

  2. 2. RESEARCH METHODOLOGY

  3. 3. EXECUTIVE SUMMARY

  4. 4. MARKET DYNAMICS

    1. 4.1 Market Overview

    2. 4.2 Market Drivers

      1. 4.2.1 Increasing Implementation of Electronic Health Record (EHR) Systems

      2. 4.2.2 Increasing Utilization of Computer Assisted Coding Solutions to Curtail the Rising Healthcare Costs

      3. 4.2.3 Increasing Regulatory Requirements for Patient Data Management

    3. 4.3 Market Restraints

      1. 4.3.1 High Implementation and Maintenance Costs

      2. 4.3.2 Lack of On-site Support and In-house Domain Knowledge

    4. 4.4 Industry Attractiveness - Porter's Five Forces Analysis

      1. 4.4.1 Bargaining Power of Buyers/Consumers

      2. 4.4.2 Bargaining Power of Suppliers

      3. 4.4.3 Threat of New Entrants

      4. 4.4.4 Threat of Substitute Products

      5. 4.4.5 Intensity of Competitive Rivalry

  5. 5. MARKET SEGMENTATION

    1. 5.1 By Product

      1. 5.1.1 Software

        1. 5.1.1.1 Standalone Software

        2. 5.1.1.2 Integrated Software

      2. 5.1.2 Services

    2. 5.2 By Mode of Delivery

      1. 5.2.1 Web and Cloud Based

      2. 5.2.2 On-premise

    3. 5.3 By Application

      1. 5.3.1 Automated Computer-assisted Encoding

      2. 5.3.2 Management Reporting and Analytics

      3. 5.3.3 Clinical Coding Auditing

    4. 5.4 By End User

      1. 5.4.1 Hospitals

      2. 5.4.2 Clinical Laboratories and Diagnostic Centers

      3. 5.4.3 Other End Users

    5. 5.5 By Geography

      1. 5.5.1 North America

        1. 5.5.1.1 United States

        2. 5.5.1.2 Canada

        3. 5.5.1.3 Mexico

      2. 5.5.2 Europe

        1. 5.5.2.1 Germany

        2. 5.5.2.2 United Kingdom

        3. 5.5.2.3 France

        4. 5.5.2.4 Italy

        5. 5.5.2.5 Spain

        6. 5.5.2.6 Rest of Europe

      3. 5.5.3 Asia Pacific

        1. 5.5.3.1 China

        2. 5.5.3.2 Japan

        3. 5.5.3.3 India

        4. 5.5.3.4 Australia

        5. 5.5.3.5 South Korea

        6. 5.5.3.6 Rest of Asia Pacific

      4. 5.5.4 Middle-East and Africa

        1. 5.5.4.1 GCC

        2. 5.5.4.2 South Africa

        3. 5.5.4.3 Rest of Middle-East and Africa

      5. 5.5.5 South America

        1. 5.5.5.1 Brazil

        2. 5.5.5.2 Argentina

        3. 5.5.5.3 Rest of South America

  6. 6. COMPETITIVE LANDSCAPE

    1. 6.1 Company Profiles

      1. 6.1.1 3M Company

      2. 6.1.2 Optum Inc.

      3. 6.1.3 Nuance Communications Inc.

      4. 6.1.4 Cerner Corporation

      5. 6.1.5 TruCode LLC

      6. 6.1.6 Artificial Medical Intelligence Inc.

      7. 6.1.7 Athenahealth Inc.

      8. 6.1.8 Streamline Health Solutions Inc.

      9. 6.1.9 Epic Systems Corporation

      10. 6.1.10 ZyDoc Corporation

      11. 6.1.11 Alpha II LLC

    2. *List Not Exhaustive
  7. 7. MARKET OPPORTUNITIES AND FUTURE TRENDS

**Subject to Availability
**Competitive Landscape covers- Business Overview, Financials, Products and Strategies and Recent Developments

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Frequently Asked Questions

The Global Computer-assisted Coding Market market is studied from 2018 - 2026.

The Global Computer-assisted Coding Market is growing at a CAGR of 11.2% over the next 5 years.

Asia Pacific is growing at the highest CAGR over 2021- 2026.

North America holds highest share in 2020.

Cerner Corporation, TruCode LLC, 3M Company, Optum Inc., Artificial Medical Intelligence Inc. are the major companies operating in Global Computer-assisted Coding Market.

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