Hayes' Healthcare Blog

How to Fast Track Your Outpatient Clinical Documentation Program

Posted by Corliss Collins on December 17, 2014 at 9:00 AM

Implementing a clinical documentation improvement (CDI) initiative for outpatie121714nt settings is a crucial element of ensuring your coding is accurate and your claims are billable. CDI drives what can be coded and billed; it ensures descriptions of patient encounters, assessments, treatment planning and dates of service in the clinical note are correct.

Traditionally, when we discuss clinical documentation improvement efforts and resources; the focus has been primarily allocated for inpatient services. However, the Accountable Care Act (ACA) and the Institute for Healthcare Improvement (IHI) are encouraging medical communities to broaden the scope of reach to include outpatient settings. The quality of patient care and value of services rendered is determined by the comprehensiveness of the clinical encounter note and treatment outcomes.

In a recent survey, more than 270 hospitals were asked if they had an active clinical documentation improvement (CDI) program; 66% said yes, while 34% were in the discussion and assessment phase of determining where to begin, cost and value of establishing a formal CDI program. Statistics indicate that significant increases in reimbursements and revenue gains as a direct result of implementing a CDI platform.

So how do you fast track your organization to CDI excellence?

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Topics: CDI, clinical documentation, ICD-10, documentation

ICD-10 Testing, Testing 1, 2, 3

Posted by Susan J. Hopper on December 10, 2014 at 9:00 AM

During a sound and light check before any performance, lights blind the speaker, limiting vision to the stage. Performers sitting comfortably in the theater darkness hear “Testing. Testing. 1, 2, 3." Testing with payers is equally important when it comes to the successful implementation of ICD-10.

Develop and fine-tune scripts for payer focused testing

Many healthcare organizations have already participated in CMS acknowledgement testing. But is your team truly ready? Have you checked the scripts, incorporated lessons learned and re-examined payer testing strategies for the next dress rehearsal with CMS and your other payers? If not, now is the time to start planning and testing.

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Why it is Time to Reinvent the Patient Experience

Posted by Pete Rivera on December 3, 2014 at 9:00 AM

As we straddle the fence between manual processes and the use of technology, the process of walking into a typical doctor’s office today is the same as it was 20 years ago. Where we once manually filled out forms, we have just inserted electronic data touch points to capture information.

The typical clinician has been trained to see patients with a certain methodology in a predictable workflow, because as they say, “That’s how we have always done it.” We need to change the process in order to leverage the technology. This does not mean that technology is the driving force; it means that we now have an opportunity to look at things differently. The barriers that were once reasons for not implementing a technology (e.g., security, hardware costs, user adoption) are no longer valid. There are now low-cost solutions that address each of these concerns. New healthcare construction recognizes the need to direct the patient flow differently, but we don’t need to tear buildings down to start over; instead it’s a matter of thinking creatively.

Rethinking y

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