The integration of clinical and financials processes and data is critical to a sustainable provider organization. This new era of revenue integrity requires close monitoring of clinicians’ ordering, documentation practices, and clinical significance, in order to ensure appropriate reimbursement, avoid denials and improve public quality reporting. Clinical documentation has never been more vital since performance-based payments are not directly linked to quality measures that required data and information.
This session is intended to discuss data driven CDI for continuous improvement through internal auditing and feedback mechanisms, collaboration with coding and providers in order to solve issues related to more efficiently merge clinical and financial processes.
Session Objectives: To improve patient care, revenue and compliance, a clinical documentation chain requires collaboration throughout the organization. Weak links anywhere along the chain will contribute to poor data quality. This presentation will describe:
-Regulatory Issues impacting healthcare
-What is Revenue Integrity
-What is Denials Management and strategies to prevent downstream revenue cycle problems
-How does CDI link Quality Measures, Care Coordination, Revenue -Integrity and Denials Prevention through ongoing data driven CDI practices
-Focus on meaningful metrics to better manage outcomes