Hayes' Healthcare Blog

Best Practices for Documentation during Rapid Change

Posted by Aaron Wall on December 9, 2015 at 9:00 AM

Most of us, myself included, just simply can’t remember everything. We might think we can, but in reality, things inevitably slip our busy, overactive minds. Most of the healthcare “basics” are the same; the how, the when, and the why. Problem is that the “where” and the “who” always seem to be changing. We are constantly being asked to adjust to change. Government regulations are continually evolving. System upgrades, user turnover, system migrations continue. The only constant is change and there are no signs of it stopping.

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Topics: documentation, healthcare management, change control, process improvement

4 Tips for Successful Project Closure, Why It’s a Crucial Step Between Go-live and Optimization

Posted by Srini Pasala on September 23, 2015 at 9:00 AM

 When you think of implementations, transitions, adoptions, or conversions, it's normal to think in terms of preparation, planning, and go-live. But what about post go-live? There is a massive transition that occurs between go-live and system optimization, often leaving you feeling like you’re mid-swing on a trapeze hand-off. Many projects are implemented successfully but the closure and transition of the project to operations and long-term support team are not always as successful. But here’s the thing, project closure is equally as important and should be planned for in the beginning by including the process in the project charter and project management plan. So how do you ensure your project transitions from go-live to optimization successfully? Here are four tips to consider.

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Topics: EHR go-live support tips, operations, healthcare project management, EMR implementation, documentation

It’s Almost October 1. Do You Know Where Your Documentation Is?

Posted by Robert Freedman on June 17, 2015 at 9:00 AM

The curfew for ICD-10 is fast approaching and with it comes a slew of changes for your documentation. Do you know what you’ll need for a successful implementation? Here are a few helpful suggestions:

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Topics: EMR, implementation, compliance, ICD-10, EHR, coding, revenue cycle management, documentation

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 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.

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

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