Unlike other areas of healthcare operations, clinical documentation relies heavily on the integration of personnel, internal and external processes, and technology. For these reasons, healthcare institutions find clinical documentation assessments and improvement to be a daunting task. Many institutions and providers fail to recognize the direct correlation between accurate clinical documentation and reimbursement, efficiency standards, quality reporting outcomes and overall patient quality of care. Institutions that neglect their clinical documentation processes are at risk for decreased revenue, weakened quality reporting standards and potential regulatory compliance sanctions.
Clinical Documentation Training Overview
At Provident, we understand the complexities that surround documentation practices and our solution provides organizations with the most up-to-date clinical documentation training in accordance with current regulatory requirements. Our clinical documentation professionals have experience performing clinical documentation assessments and training for a variety of healthcare organizations. We have developed unique tools and techniques designed to effectively evaluate the current state of clinical documentation at an organization and assess the organization’s compliance with current regulatory standards, including ICD-10 compliance. Our customized processes allow us to effectively identify problem areas and provide our clients with workable training solutions.
By providing your physicians, coding personnel and other clinical documentation and healthcare specialists with the most up-to-date clinical documentation training, institutions can rest assured knowing that their documentation processes are on par with current regulatory requirements and that patients are receiving the best care available.
A COMPREHENSIVE APPROACH
ProvidentEdge® Audit – Clinical Documentation Assessment includes a retrospective record review resulting in targeted, personalized provider training and immediate remediation of insufficient clinical documentation delivered through the ProvidentEdge® Web-Based Education Solution. Provident’s customized training allow us to effectively identify problem areas and provide our clients with workable training solutions. Our technology and expert services help alleviate the burden of managing large scale education deployments while implementing a continuous improvement methodology that our clients can carry forward on their own.
Our assessment and training solution includes:
- Utilization of our innovative Clinical Documentation Assessment
- Customized and individualized physician and coder training based on Clinical Documentation results
- Trending and analysis of Clinical Documentation results
- Personalized training utilizing provider documentation samples from actual medical records
- Focused, module training categorized by physician and specialty, immediate remediation of insufficient clinical documentation through web-based and in-person training
Additionally, through the Provident Continuous Improvement Methodology, coders and clinical documentation improvement specialists will receive targeted training to increase adherence to documentation standards, reduce queries, enhance compliance, and reduce avoidable errors/omissions that impact DRG and Case Mix over time. Coding errors and DRG opportunities will be identified to enhance current coding accuracy and optimize revenue.
WHAT SETS US APART
Provident has a national team of dedicated, highly integrated professionals, experienced in providing clinical documentation training. We have extensive experience working with healthcare organizations on a variety of needs including clinical coding and documentation audits and assessments, coding and documentation improvement initiatives, and coding and document training efforts. Provident’s team of clinical reviewers has helped clients increase DRG accuracy rates, optimized DRG assignments and provided continuing education based on findings to coding, clinical documentation improvement staff and providers. Our professionals maintain nationally recognized coding and compliance certifications and credentials including RHIT, CCS, AHIMA approved ICD/CM PCS trainer, JD, CFE and others.