Ten years ago, not many hospital administrators would list revenue integrity as a major concern, but today the concept is more important than ever.
Following other industries, there will come a day in the next decade when artificial intelligence (AI) is so nuanced and complex, that AI will be able to solve many of our health care system's challenges. However, today is the day for AI assistance, as developments in AI technology for healthcare continue to mature. The health [...]
In an ideal world, translating what occurred during the patient's visit to a correct bill would be a simple task. Documents and other clinical data would stream in from physician notes and other sources, an automated system would recognize the appropriate information, structured or otherwise, translate the chart into the correct codes and seamlessly send [...]
By Nancy Hirschl, BS, CCS, AHIMA-Approved ICD-10 Trainer Vice President of HIM Services, Streamline Health, Inc. The way code auditing is performed at hospitals and other health care facilities is in need of a change. In many cases, major providers still use spreadsheets to manually track audit data. This antiquated method is time consuming, inefficient, susceptible to human [...]
Most providers know the importance of accurate clinical information to support value-based care models, yet few are taking steps to adapt their operations accordingly.
If community hospitals can avoid some common pitfalls when considering new analytics, they can identify opportunities to improve their clinical and financial performance and adapt to the changing healthcare market.
Securing your hard-earned revenue is crucial to the overall financial health of your healthcare organization, and when it comes to audit management, prevention is the key to long term health.
As providers begin to see the effects of ICD-10, it becomes more important than ever to review your Clinical Documentation Improvement (CDI) program. The increased specificity that ICD-10 demands, along with the productivity concerns, provides the impetus to not only improve your documentation, but also all your processes around CDI. Succeeding now means we need to work smarter, and that reinforces the need for a multi-faceted approach to maximize our CDI results. Whether you have a well-established CDI program, are just getting started or somewhere in between, here are five areas to review to ensure you’re getting the most out of your CDI efforts.