Clinical Documentation Improvement (CDI) has been built on Innovaccer’s proprietary platform “Datashop” and enables clinicians and CDI staff to identify missed diagnosis codes or potential down-coding to analyze the tangible impact on revenue and risk-adjusted savings. It streamlines the CDI process using Datashop’s built-in analytics and risk coding with flexible and automated workflows. Additionally, it will help health care networks justify admission and treatment, accurately reflect the severity of medical conditions and rightly assess their risk which, in turn, will be instrumental in generating better financial outcomes.
Diagnostic errors are a critical challenge in today’s healthcare and its transformation to value-based care today. Inaccurate coding and documentation can result in incorrect risk mapping, making it difficult to maintain data quality and calculate the risk-adjusted score. Innovaccer’s CDI solution will counter these issues with its key features:
Missed Coding Identification: Accurate patient mapping throughout the network to identify potentially down-coded or missed codes that might affect risk adjustments.
Prioritization: Estimate potential risk down-coding impact and potential shared savings opportunity lost per patient for better prioritization of patients.
Accurate Risk Coding & Alerts: Calculate and adjust risk scores of patients through risk scoring methods like CMS-HCC or HSS-HCC. Notify care teams about patients with sudden changes in risk scores.
Clinical Integration backed Analytics: Integrate with EHRs for real-time feeds on patients and identify complications, co-morbidities, medications, etc.
Automated Workflows: Automate work queues for the clinical documentation improvement staff with the list of all the patients that have been miscoded or need attention across all payers.
Dashboarding & Tracking: Automatically track codes which have been redone and capture risk scores to provide accurate visibility on shared savings opportunities and the overall return on investment.
“We’re very excited about the potential of our new solution, and how it helps healthcare organizations strive for sustainable and scalable quality improvements as well as achieve financial excellence,” says Abhinav Shashank, CEO at Innovaccer. “As healthcare evolves and clinical documentation improvement becomes critical to delivering value and success, we’re optimistic that Innovaccer’s solution will help support and reflect the high-quality care physicians deliver.”
The new solution is in-line with Innovaccer’s holistic value-based care solutions suite that includes data integration, population health management, quality reporting, care management, referral management, and patient engagement.
Access the solution here- http://www.innovaccer.com/cdi
Innovaccer Inc is a Silicon Valley-headquartered, Healthcare platform company easing care teams’ transition to Value-based Reimbursements. Innovaccer’s aim is to simplify complex data from all points of care, streamline the information and help organizations make powerful decisions and realize strategic value-based reimbursement goals based on the key insights and predictions from their data. Its proprietary product Datashop enables provider organizations to use data as a source of innovation and has been deployed across 15 countries at academic institutions, governmental organizations, and several corporate enterprises such as Mercy ACO, Compass Medical, Catalyst Healthcare, Rochester RHIO, Osler, El Paso HIE, and Hartford Healthsystems to name a few.
For more information, please visit innovaccer.com or follow us on Twitter @innovaccer.