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Discharge Planning – Preparing for the IMPACT Act Proposed Changes
In the Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), the Centers for Medicare & Medicaid Services (“CMS”) propose to revise discharge planning requirements under the Medicare Conditions of Participation. The objectives of the revisions include improving patient quality of care and outcomes, reducing factors that lead to preventable...
2017 ICD-10 DRG Audit Target Areas
Excisional Debridement 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. Please see...
OBTAINING VISIBILITY INTO OUTPATIENT RISKS AND OPPORTUNITY
The expansion of outpatient services continues to be a high priority for hospitals across the country. What continues to drive this transition? Value-based reimbursement models and patient demand. The proof is in the numbers – in 2013 there was an average of 2,145 outpatient visits per 1,000 people up from...
Virtual Healthcare – Will You Be Ready?
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...
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...