Computer assisted cdi your secret weapon to revenue generationezDI
The clinical documentation improvement (CDI) market is set to reach USD 4.5 billion by 2023, at a compound annual growth rate (CAGR) of 7.9%. And for good reason. With 23 states embracing a value-based care model to improve their healthcare systems, the spotlight is firmly on clinical documentation.
5 Reasons Why Coding and Documentation Audits are More Important than EverezDI
Auditing is an integral aspect of governance and quality management for organizations across industries. From a hospital in New York benefitting by $1.03 million, to recovering $214 million from medical insurance schemes, here are 5 reasons why auditing is important in healthcare today.
Visit Our Website:- https://www.ezdi.com/
ICD-10 introduces ICD-10-PCS codes apart from ICD-10-CM for reporting procedures with a view to reduce claim denials and maximise the reimbursement obtained.
Computer assisted cdi your secret weapon to revenue generationezDI
The clinical documentation improvement (CDI) market is set to reach USD 4.5 billion by 2023, at a compound annual growth rate (CAGR) of 7.9%. And for good reason. With 23 states embracing a value-based care model to improve their healthcare systems, the spotlight is firmly on clinical documentation.
5 Reasons Why Coding and Documentation Audits are More Important than EverezDI
Auditing is an integral aspect of governance and quality management for organizations across industries. From a hospital in New York benefitting by $1.03 million, to recovering $214 million from medical insurance schemes, here are 5 reasons why auditing is important in healthcare today.
Visit Our Website:- https://www.ezdi.com/
ICD-10 introduces ICD-10-PCS codes apart from ICD-10-CM for reporting procedures with a view to reduce claim denials and maximise the reimbursement obtained.
The Future of RCM in Healthcare OrganizationsCitiusTech
This document / whitepaper talks about how healthcare technology companies can leverage emerging technologies to derive insights to improve their Revenue Cycle Management process.
Artificial intelligence (AI) truly is a disruptive force across all industries. One such industry that has been transformed by AI technologies is healthcare. So, in this post, we discuss the many roles of AI in today’s healthcare industry.
Visit: https://www.ezdi.com/blog/the-role-of-ai-in-healthcare/
The 2019 CitiusTech 'AI in Healthcare' Readiness Survey polled over 50 health systems to develop an industry viewpoint and key insights on the state of AI/ML adoption, key challenges and the near-term outlook for healthcare providers.
Robotic Process Automation in Healthcare-An Urgency! By.Dr.Mahboob KhanHealthcare consultant
More and more industries are adopting RPA because RPA exceeds adopters’ expectations not only when it comes to the rapid rate of ROI(Return on Investment) increase, but also when it comes to facilitating compliance (92%), improved quality and accuracy (90%), or improved productivity (86%).
As per a study conducted by McKinsey, the healthcare sector had a 36% technical potential for automation. It also stated robotic process automation as one of the emerging technologies that will reshape healthcare and create between $350 billion and $410 billion in annual value by 2025.
The Future of RCM in Healthcare OrganizationsCitiusTech
This document / whitepaper talks about how healthcare technology companies can leverage emerging technologies to derive insights to improve their Revenue Cycle Management process.
Artificial intelligence (AI) truly is a disruptive force across all industries. One such industry that has been transformed by AI technologies is healthcare. So, in this post, we discuss the many roles of AI in today’s healthcare industry.
Visit: https://www.ezdi.com/blog/the-role-of-ai-in-healthcare/
The 2019 CitiusTech 'AI in Healthcare' Readiness Survey polled over 50 health systems to develop an industry viewpoint and key insights on the state of AI/ML adoption, key challenges and the near-term outlook for healthcare providers.
Robotic Process Automation in Healthcare-An Urgency! By.Dr.Mahboob KhanHealthcare consultant
More and more industries are adopting RPA because RPA exceeds adopters’ expectations not only when it comes to the rapid rate of ROI(Return on Investment) increase, but also when it comes to facilitating compliance (92%), improved quality and accuracy (90%), or improved productivity (86%).
As per a study conducted by McKinsey, the healthcare sector had a 36% technical potential for automation. It also stated robotic process automation as one of the emerging technologies that will reshape healthcare and create between $350 billion and $410 billion in annual value by 2025.
The AI Advantage- Complete, Accurate, and Compliant Medical Coding.pdfAGSHealth2
Maximizing patient revenue and collection speed are AI's two main objectives in the revenue cycle process. However, for that to happen, medical records must be correctly coded and contain the necessary clinical documentation to back up diagnosis and treatment. Learn more about the AI Advantagehttps: https://www.agshealth.com/blog/the-ai-advantage-complete-accurate-and-compliant-medical-coding/
The AI Advantage: Complete, Accurate, and Compliant Medical Coding | AGS Heal...AGSHealth1
Explore the transformative impact of artificial intelligence (AI) on medical coding, ensuring completeness, accuracy, and compliance. Dive into AGS Health's insightful discussion on leveraging AI for enhanced coding efficiency and precision. https://www.agshealth.com/blog/the-ai-advantage-complete-accurate-and-compliant-medical-coding/
The AI Advantage - Complete, Accurate, and Compliant Medical Coding.pdfAGSHealth2
Healthcare orgs are turning to AI tech like CAC and NLP to overcome financial pressures caused by lower patient volumes and labor shortages. AGS Health is a strategic partner for optimizing revenue cycle operations through AI and expert support. Know how AI helps hospital executives by safeguarding patients and revenue. Link: https://www.agshealth.com/blog/the-ai-advantage-complete-accurate-and-compliant-medical-coding/
Christopher Chute, MD, DrPH
Chair, Division of Biomedical Informatics
Mayo Clinic
Presentation “Strategies for the ICD-10 Transition”
Participants will have an understanding of the background and implications of three key areas:
∙ How Meaningful Use standards impact ACO operations and success
∙ What role will the new ICD-10 play in providers understanding their practice and outcomes
∙ What are the future directions in ICD-11 and beyond Meaningful Use Phase 3
Cardiology Coding Got You Down? Use These 5 Tips for Success!Manny Oliverez
Struggling with billing for your cardiology practice? In this presentation, we discuss 5 challenges to proper documentation and coding in a cardiology practice. These challenges include human errors, lack of knowledge regarding current coding and documentation standards, working and charting in multiple care environments, and/or not coding to the highest degree of specificity.
Visit Our Website: http://www.CaptureBilling.com/
What is the status on ICD-10? In this Infographic I bring you the facts you always wanted to know & 6 foundation blocks for successful ICD-10 implementation
Have you ever wondered how search works while visiting an e-commerce site, internal website, or searching through other types of online resources? Look no further than this informative session on the ways that taxonomies help end-users navigate the internet! Hear from taxonomists and other information professionals who have first-hand experience creating and working with taxonomies that aid in navigation, search, and discovery across a range of disciplines.
Making AI Behave: Using Knowledge Domains to Produce Useful, Trustworthy ResultsAccess Innovations, Inc.
In today's highly charged atmosphere of anxiety and anticipation about AI, and especially LLMs,
one of the biggest concerns is how to ensure that it returns accurate results (meaning both true
and pertinent to its audience). This is particularly important to scholarly, scientific, and other
technical organizations, whose constituents are often in very specific domains, such as
medicine, engineering, history, biology, chemistry, etc. One extremely useful tool to incorporate in an AI-based process in such cases is a comprehensive and well-structured knowledge domain which is based on a controlled vocabulary.
Smart Submit and Client Support
Michael Millar, Junior Software Developer, and Frank Coates, Client Support Manager
Get a peek at the new and improved Smart Submit and learn about new, easier ways to contact the support team at Access Innovations.
How a Good Taxonomy Can Provide Valuable Business Insights
Kristen Monahan, Public Library of Science (PLOS)
Kristen is a business analyst and she won’t be talking about the PLOS taxonomy but rather how she uses that taxonomy to drill down into the massive amount of content, metadata, and usage and process data that is PLOS for deep, detailed analysis and to drive business decisions. Much of this work involves trend analysis. For example, trend analysis of submissions can look at the time it takes from submission to decision by subject (narrow subjects like Covid, broad subjects like biotechnology), or by institution, or by country, etc. to see not just the overall big picture but where in their submission and peer review workflows the bottlenecks might be. A trend analysis of topics over time can prompt them to issue a call for papers for a topic they think needs to be better covered–and then look at both short-term and long-term trends resulting from that call to papers. Their taxonomy doesn’t just make their content smarter–it makes how they publish that content smarter too.
Editor and Peer Reviewer Assignments Using Data Harmony
Andrew Smeall, Hindawi Publishing
Andrew will show how Hindawi, an open access publisher, applies their taxonomy to make editor and reviewer assignments for incoming submissions to their journals.
Cloud Deployment of Data Harmony
Jeffrey Gordon, Lead Developer, Access Innovations, Inc.
Jeffrey will describe the cloud deployment of the Data Harmony software.
Marjorie M. K. Hlava, President, Chair of the Board, and Chief Scientist, Access Innovations, Inc.
During this annual highlight of the DHUG meetings, Margie will discuss the exciting new changes and additions to the Data Harmony software. She will be joined by some members of our software development team to talk about specific initiatives we have worked on over the past year.
Access Innovations and Atypon: Beyond Content Tagging
Hong Zhou and Gerasimos Razis, Atypon
Gerasimos and Hong will discuss the changes to the Atypon platform since DHUG 2020.
Getting to the Point: Using AI and Taxonomies to Craft Meta -Titles
Travis Hicks, American Society of Clinical Oncology (ASCO)
Looking to better leverage SEO and include key terms in the url construct for research abstracts, ASCO is working with Access Innovations to evaluate how to programmatically create short titles for abstracts. The idea is to index titles against existing taxonomies as a way of producing a short title that succinctly identified what an abstract is about for purposes of constructing a new url configuration. Travis will discuss the need, challenges, and early results of the project.
Expanding the Use of MAIstro at ASCE
Xi Van Fleet, American Society for Civil Engineers
Using MAIstro, ASCE created the subject/topic taxonomies for their publications to enhance content discovery and business insight. After achieving their primary goal, they have been expanding its use for other applications.
Lessons Learned From Building a Taxonomy and Indexing 140 Years of Content
Michael Darr, Project Manager, D33 – American Chemical Society Pubs IT
Michael will talk about the things they would do differently if they were to build a new taxonomy and index a legacy file, and the things they did right the first time.
Bill’s talk is entitled “WHAT’S IN A NAME? How Kew helps drug regulators disambiguate the messy welter of medicinal plant names to shore up regulation and save lives”. It’s really eye-opening to realize how complicated and imprecise names can get, with multiple scientific, pharmaceutical and popular names for the same thing or with one name used for completely different things.
This has real-world consequences. For example, the EU mistakenly banned a useful plant we use every day when intending to ban a poisonous one because of a naming problem. How Kew is using semantic and taxonomic tools and technologies to bring order to this complexity (I almost said chaos) is really fascinating. They’re also helping to disambiguate nomenclature and provide links to authoritative information for botanical terms for use in journal articles, among other things.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
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Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
DHUG 2017 - Access Integrity
1. Using MAIstro for Medical Coding
Daryl Loomis
Business Development
Access Integrity
Data Harmony Users Group Meeting
February 7, 2017
2. An Extremely Brief History
• Access Integrity (AI2) founded in 2011 by Margie
Hlava, Jay Ven Eman, and John Kuranz.
• Of the six markets in the medical space that were
considered, the provider market was deemed the
most lucrative for this technology.
• Multiple Electronic Health Record (EHR)
integrations including athenahealth and
Allscripts.
3. How It Works
• Leverages Data Harmony in the medical space to
deliver relevant ICD-10, CPT, and HCPCS code
recommendations.
• The massive rule bases (4.6 million lines for
ICD-10) analyze the content and context of the
providers’ notes in an EHR.
• Delivers highly relevant diagnosis and procedure
coding suggestions, while supplying revenue
cycle and denial management resources.
4. So What’s the Problem?
• Providers are required by clinic management to
provide ICD-10 codes for an encounter. Doesn’t
the clinic hire coders to do this?
• Providers are out of their element and miss
codes that can pay them more. MAIstro captures
and recommends these.
• Doctors want to be doctors, but they have to take
time with unfamiliar code sets and concepts,
keeping them from providing you the care they
know they should deliver.
5. AI2 Integration Basic: Medical Claims Compliance (MCC)
Upload a file or paste text for
analysis
Codes are suggested based on
context
Selected codes are separated from
suggestions for copying and
pasting into an EHR.
Search functionality for code and
description.
6. AI2 Integration Intermediate: Find-A-Code (FAC)
Everything in MCC also exists in Find-A-
Code, with some additions.
Zip code is required to calculate Relative
Value Units (RVUs), which determine
how much a practice gets paid. Health
care is cheaper in Cheyenne than
Boston.
Book View surfaces the hierarchy,
allowing users to see the codes
surrounding the suggested codes.
Scrub functionality checks selections
against medical databases and returns
errors if they exist. This is not a well-
coded note.
7. AI2 Integration Advanced: IntegraCoder (IC)
IntegraCoder validates the codes
selected within the EHR.
View and select modifiers for
more accurate reimbursement.
Search individual code sets or
search globally. Feedback button
allows for easy
communication.
Charge pushes
selections back into
the EHR billing
screen.
8. ICD-History
• ICD-9 was adopted as a standard in 1979.
• ICD-10 completed in 1992 and adopted by most
of the world by 2010, rendering ICD-9 obsolete.
• Implementation stalled over and over in the
United States until 2015, when a reprieve was
filed with Congress on hiatus, preventing a vote.
• Much to clinics’ dismay, ICD-10 would be
implemented on October 1, 2015.
11. 10/1/2015
The next morning, people still got
sick and doctors still had to doctor.
That’s when the real monster under
the bed emerged.
Mama! A turtle
bit me right on
the hand!
W59.21XA – Bitten by turtle, initial encounter
Y92.830 – Public park as the place of occurrence of the external cause
13. What Is E&M?
• A tiny division of the CPT code set that
determines the level of service during an
encounter.
• E&M determines how much time a provider
spent with a patient, the thoroughness of the
examination, and the level of associated risk.
14. Why is E&M Important?
• It determines how much a provider gets paid for
a particular encounter.
• Overcoding E&M can trigger audits, which can
potentially bankrupt a practice.
• As a result, practices undercode E&M, causing
lower reimbursement while still putting practices
at increased risk.
• Practices report an accuracy rate of only 30% for
E&M coding.
15. The Data Harmony Solution: eMDoc
• Uses five thesauri to differentiate between the
various places where E&M is calculated.
• Pulls information from patient history,
examination, and risk/decision-making areas of
the EHR.
• If it’s not in the documentation, it didn’t happen,
no matter what actually occurred during an
encounter. DOCUMENT WHAT YOU DID!
• Should we actually look at it?...yes we should.
16. eMDoc: A Closer Look
The final E&M calculation (CPT code) is
presented at the top, along with the
time spent with the patient and the
calculations of each individual section.
Green text indicates what was checked
in the examination.
Clicking the “?” will highlight where in
the note that piece occurs, giving
providers at-the-ready documentation
for why an encounter was coded to a
certain level.
This fact is CRUCIAL for combatting
audits.
17. Where Is AI2 Headed?
• E&M revealed other places for Data Harmony:
• HCC (Hierarchical Condition Coding): 79
specific IDC-10 codes that determine level of
payment.
• NCCI (National Correct Coding Initiative): A
grouping of CPT and HCPCS codes that reflect
connections between procedures and their
ICR-10 diagnosis counterparts.
• RAF (Risk Adjustment Factor): A sliding scale
to determine an individual’s level of “risk”
compared to their age and status.
18. – Other situational type phobia
• I hope I didn’t trigger
this for you.
G47.419 – Narcolepsy without cataplexy
Questions?...
Or maybe
dinner?
For further questions, contact me at
dloomis@accessintegrity.com or visit us at
www.accessintegrity.com. Thank you!