For hospitals that serve rural communities, providing telemedicine services and sharing electronic health systems with non-affiliated healthcare organizations may be commonplace. Because of the rural setting and limited resources available to many patients, the ability to connect with patients and share data outside of the walls of the hospital is...
Author Archives: proedge
CDI QUERY OPTIMIZATION
CDI Query Optimization with DocEdge® Communicator The administrative burden on providers has only increased over the past several years due to the implementation of multiple federal government driven regulations and performance improvement programs. According to a recent study published in JAMA, primary care physicians receive 77 EMR notifications per full...
DocEdge Enhances Query workflow
An interview with DocEdge Communicator Users We recently sat down with one of Provident’s DocEdge® Communicator clients to learn more about how DocEdge® Communicator has impacted their query workflow. Here is what the Clinical Documentation Improvement Specialists had to say after using DocEdge® for over a year. 1. How has...
2017 ICD-10 DRG AUDIT TARGET AREAS
COPD Exacerbation with Pneumonia Provident has been engaged in ongoing DRG audits since ICD-10 was implemented in October 2015. We have identified potential DRG audit target areas related to our audit work, changes to the ICD-10 codeset, and Coding Clinic updates. We will be posting cases regularly in our newsletter....
$3.3 Billion Recovered From the Health Care Industry
Federal Government Recovered $3.3 Billion From the Health Care Industry in FY 2016 According to the Health Care Fraud and Abuse Control Program (“HCFAC”) Annual Report (“Annual Report”), over $3.3 billion were returned to the federal government and private individuals as a result of health care enforcement actions in Fiscal...
High Performance CDI with DocEdge®
DocEdge® Communicator was designed as a directed and efficient solution to address the workflow challenges and gaps in the query process. With the ability to query physicians via their smart phone and two click physician responses that flow directly into the medical record, DocEdge® Communicator integrates and streamlines the query...
Effective Written Policies and Procedures
Having an effective compliance program is critical for healthcare providers given today’s complex regulatory environment and increased scrutiny of by federal and state regulators. One core element of an effective compliance program is written policies and procedures. Written policies and procedures describe the compliance program’s expectations, provide guidance to employees...
Artificial Intelligence in Healthcare Management
Artificial Intelligence in Healthcare: AI moves from sci-fi movie plots to real world applications for coding, patient care and health management and strategy. Artificial Intelligence (AI) is ‘machine learning’ and the ability to perform tasks without human direction. Cognitive tasks include speech and visual interpretation, decision-making, problem-solving and complex data...
Three Areas to Consider When Selecting a CDI Program Partner
It has been more than a year since ICD-10 was implemented, which has allowed for some degree of normalization for clinical documentation improvement (CDI) programs. Time and resources can now be redirected towards building, strengthening or expanding CDI programs to meet the increasing demands of documentation requirements. Below are three...
How to be Secure with Your Privacy and Security Program
Over the past year, reports of Protected Health Information (PHI) breaches, ransomware attacks and hacking of healthcare software systems/applications have increased. Due to the uptick in potential breaches and threats to PHI, the Office of Civil Rights (OCR) has also increased its efforts to ensure healthcare organizations have the appropriate...