Hayes' Healthcare Blog

Most fear it, others embrace it…Audits!

Posted by Jayne Dalton on May 25, 2016 at 9:00 AM

Success has never felt so good. We have successfully met and surpassed the national ICD-10 implementation from October 1, 2015.  If you were like most organizations, you were ready a year in advance.  Others, however, were relieved when CMS postponed the original go-live date of October, 2014 to a year later.  Some physicians have been very vocal about the challenges involved in learning a new coding system, and we continue to see growing pains as the new ICD-10 codes are implemented. With reimbursements in full swing, how do you ensure your organization is successfully and efficiently implementing all these changes?

One way you can ensure this is by creating, implementing and optimizing an official audit process.

Read More

Topics: clinical documentation, healthcare compliance, Audits

The Imperfect Checkout Process: 6 Steps to Enhance Patient Experience

Posted by Angela Hunsberger on August 26, 2015 at 9:00 AM

Picture a road race with no finish line. I envision it would look similar to the bewildered faces of patients leaving your office without stopping at a checkout desk. Without closure from their appointment, your patients may have trouble explaining details to their loved ones when they get home or have likely forgotten the next steps. They may have the clinical summary printout in their hand, but closing the patient’s appointment is more than providing a list of instructions and showing them the door.

Read More

Topics: clinical documentation, healthcare revenue cycle, patient satisfaction, checkout

The 6 C’s of Clinical Documentation for Post ICD-10

Posted by Gretchen Dixon on May 13, 2015 at 9:00 AM

While ICD-10 migration can sometimes feel like a test to be graded, it’s more of a process to embrace in the name of better patient care. The ICD-10 deadline, despite its delay, is rapidly approaching and with it comes a number enterprise-wide changes. These changes, of course, include your clinical documentation - otherwise known as the key source of patient services. It also communicates why the patient in there in the first place. Clinical documentation affects three key parts of your organization: patient care, healthcare data and reimbursement. How can your organization harness clinical documentation improvement (CDI) to ensure optimization of ICD-10 utilization? We have six recommendations to consider.

Read More

Topics: clinical documentation, ICD-10, clinical documentation improvement, coding

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?

Read More

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

ICD-10 Dual Coding: 5 Key Reasons to Keep on Schedule

Posted by Edwin Hartai on July 16, 2014 at 3:07 PM

The delay of ICD-10 has caused healthcare providers to re-evaluate the time and costs associated with planning and implementation efforts, including those devoted to dual-coding. President Obama signed the SGR bill (H.R. 4302) on April 1, 2014, effectively delaying ICD-10 until October 1, 2015 at the earliest. Many organizations were just getting their dual coding efforts underway and others were trying to give their coders at least six months of practice to minimize the impacts on productivity following the implementation of ICD-10.

Read More

Topics: CDI, clinical documentation, ICD-10, clinical documentation improvement, coding, delay, coder, budget, documentation

Want more from Hayes?

5 Cool Things in Healthcare

Sign up for our weekly 5 Cool Things in Healthcare newsletter.  Every Friday we give you five stories of innovation, disruption, and - you guessed it - coolness. 

Here's how:

Subscribe to Email Updates

Posts by Topic

see all