1. P L E A S E N O T E :
P H O N E L I N E S W I L L B E M U T E D F O R A L L AT T E N D E E S .
I F Y O U H AV E I S S U E S R A I S E Y O U R H A N D O R V I S I T
W E B I N A R S U P P O R T @ W W W. G O T O W E B I N A R . C O M
Welcome

2. P r e s e n t e d b y
CHLOE PHILLIPS, MHA, RHIA
BAPTIST HEALTH SYSTEM
Increasing Coding Quality & Productivity
with Advanced Technology

3. Overview & Objectives
 Learn how Baptist Health System increased
productivity and revenue using advanced coding
solutions from Precyse.
 See how Baptist Health System tackled their coding
and productivity issues through a combination of
process improvement strategies and technology
solutions.
 Insight into how technology can assist with coding
issues today and in the future with ICD-10 on the
horizon.
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© 2010

4. About the Speaker
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 Chloe Phillips is the Corporate Director of HIM and
Clinical Revenue for Baptist Health System in
Birmingham, Alabama.
 Baptist Health System's Revenue Cycle was selected
among 10 hospitals to receive the High Performance
Award from Healthcare Financial Management
Association (HFMA) in June 2010. With over 12 years of
experience in HIM and Revenue Management, she has
held various HIM roles.

5. Baptist Health System
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 4 facility hospital enterprise
 1576 Total Licensed Beds
 36,258 Inpatients Served
Annually
 347,976 outpatient
procedures performed
annually
 2,611 system-wide births
annually
 More than 520 active
medical staff members
 79 Residents

6. T H E A S S I G N M E N T
Increasing Coding Quality & Productivity
with Advanced Technology

7. BHS: The Assignment
 Trouble recruiting/retaining certified coding
professionals, coding efficiency problems (coders
wanted to work remotely)
 Separate team of coders for each of the 4 hospitals at BHS
 Workload fluctuations caused backlogs/overtime
during busy periods, but underutilized staff during
slower times
 Spent significant time, resources, and money on
these ongoing problems
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8. BHS: The Assignment
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 BHS Goals:
 optimize proficiency of their coders
 capture revenue that possibly was being missed due to human error
 meet ever-changing compliance rules and regulations
 ICD-10 Readiness
 Meaningful Use Readiness

9. BHS: The Assignment
Business Problems
1. Variability in coders skill level, accuracy, and efficiency
2. Coding accuracy audits and payor audits
3. Quality coders supply is low
4. Diversity in PHI systems and processes
5. Clinical documentation improvement and concurrent review
6. ARRA funds and EHR adoption
7. Electronic discreet data capture and tagging
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10. T H E R E S O L U T I O N
Increasing Coding Quality & Productivity
with Advanced Technology

11. BHS: The Resolution
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 Design and Implement a Remote Coding Policy
 Create a System Centric, rather than facility centric
team
 Implement a coding platform that offers modules for
coding and management of process and people

12. BHS: The Resolution
Remote Coding
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 Ability to move the coding team offsite, allowing them
to work remotely, via an automated coding platform
 Guidelines for remote coding were created and
communicated
 Clear accountability for workloads
 Deadlines must be met

13. BHS: The Resolution
System Centric Team
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 Centralized all coders to one team
 Sharing of resources and managing the entire
healthcare systems needs became possible
 Management is able to virtually oversee the staff,
workload, and processes more effectively

14. BHS: The Resolution
Implement a Coding Platform
• PrecyseCode with the PrecyseNet Platform
• Single view of record, including hybrid forms
• Coding tools available in one comprehensive software application
• Increased productivity reduces the average amount of time to code a case
• Improved accuracy assures consistent and optimized coding
• Maximize coder skill set with auto assignment functionality of records driven by
coder's profile helping the coder to be successful
• Assists with transition to ICD-10
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15. PrecyseCode Dashboard
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16. T H E R E S U LT S
Increasing Coding Quality & Productivity
with Advanced Technology

17. BHS: The Results
Business Problems Impact of Implemented Resolutions
1. Variability in coders skill level, accuracy, and
efficiency
Coder productivity improvement
2. Coding accuracy audits and
payor audits
Reduce audit costs –10% reduction
3. Quality coders supply is low Improved recruiting and retention
4. Diversity in PHI systems and processes Reflected in coder productivity – 20% increase
5. Clinical documentation improvement and
concurrent review
Increased revenue 0.25% (better information, more
accurate coding)
6. ARRA funds and EHR adoption
Delivers structured, coded data and outputs for EMR
and facilitates linkage to ambulatory care settings
7. Electronic discreet data capture and tagging Tags and indexes the discreet PHI for future analytics
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18. BHS: The Results
The Employees
 Telecommuting has improved morale, teamwork,
loyalty:
 One of the most surprising results is how much the teamwork has
improved since the coders moved off-site.
 Coders are more engaged and communicative, they solve their
problems together and work as a cohesive team, and we can
oversee their efforts remotely, so employees don’t feel like we’re
looking over their shoulders micromanaging them
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19. BHS: The Results
Regulatory Readiness
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 Through a system-centric team, BHS is better
positioned for the ICD-10 conversion.
 By utilizing the automated coding platform, BHS has
improved the quality of documentation specificity in
preparation of ICD-10 conversion
 By using the automated coding platform, BHS is better
positioned to track specific meaningful use criteria.

20. N E X T S T E P S
Increasing Coding Quality & Productivity
with Advanced Technology

21. BHS: Next Steps
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 Continue to refine:
 Workflow management
 Coding processes
 Clinical Documentation Improvements
 Implement new features in PrecyseCode

22. New Features for Precyse Code
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 Assists the coder by highlighting a set of codes
automatically in the text
 Automated assignment of ICD9 and CPT codes as well as
display of ICD-10 and SNOMED
 Automatically designates a code as an MCC
 Allows coder ability to annotate and modify codes
 Search feature that provides traceability to support
audits
 Highlights abnormal values
 Integrated physician query tool

23. Physician Query
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24. Text Highlighting for all Chart Types
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25. Summary
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 We talked about how Baptist Health System increased
productivity and revenue using advanced coding
solutions from Precyse.
 We discussed how Baptist Health System tackled their
coding and productivity issues through a combination
of process improvement strategies and technology
solutions.
 We gave insight into how technology can assist with
coding issues today and in the future with regulatory
changes on the horizon.

26. Precyse Experts
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 Dee Lang, RHIT: Vice President of Coding Technologies
 Scott Briercheck: Vice President, Chief Scientist
 Tiffany Neally: Senior Coding Technology
Implementation Specialist

27. Thank you for attending today’s session!
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© 2010