himagine Cancer Registry Services

Accreditation Assistance and Survey ReadinessThe processes for applying and re-applying for CoC accreditation are always changing. himagine solutions can guide you through the process by helping you to develop a cancer registry, form a cancer committee, perform a pre-survey consultative visit and work with the CoC. A detailed report with our findings will be provided as well.

Full Managed OutsourcingThe pressures to lower costs and improve efficiency are prompting many hospitals to consider full outsourcing as a cost-effective option for managing their cancer registries. Our scalable outsourcing solutions provide extra resources to keep your registry running smoothly while you focus on providing quality healthcare to your patients.

Staff Augmentation If you are out of compliance with state reporting, having trouble maintaining accreditation or overwhelmed with the current workload, our highly trained CTRs can provide superior abstraction and follow up in accordance to state, CoC, and Surveillance Epidemiology and End Results (SEER) data requirements. Our CTR’s have a minimum of 3 years experience and are monitored and audited by our Cancer Registry Consultants and Compliance Team to ensure their performance is meeting your expectations.

Mentoring The himagine solutions’ innovative mentoring solution helps facilities comply with the CoC Standard 5.1. We will clarify the role of the cancer registrar, provide an overview of current cancer program standards, and provide oversight and quality reviews of non-CTR abstracting as required by the CoC.

Registry Assessments and Workflow AnalysisWe offer comprehensive cancer registry assessments which aids in optimizing efficiency and effectiveness when the department has experienced staff or management turnover or has shifted to a different department within the facility. Knowing the registry meets the national standards gives you confidence in managing your cancer registry efficiently and effectively.

Abstract Audits himagine solutions offers complete abstract audits to provide your cancer registry with optimal data support. These reviews along with our casefinding audits and state reporting evaluation offer a total view as to your compliance with state reporting laws and regulations.

RQRS ImplementationIn order to receive the Outstanding Achievement Award, cancer programs must receive commendation by participating in RQRS (Rapid Quality Reporting System). himagine solutions can assist your facility with its existing system as well as implementation and ongoing support of RQRS, including training, step-by-step instructions, and development of a plan to achieve and maintain compliance.

Reimagine Healthcare.3109 W. Martin Luther King Boulevard, Suite 650Tampa, FL 33607866-230-7865

www.himaginesolutions.com

Cancer registries have always played a critical role in the fight against cancer. Today, cancer registries are an integral part of a facility’s ability to provide outcomes data needed to negotiate with payers and protect revenue, as well as providing compliant reporting that impacts state and federal allocation of grant funding. Led by Dianne Cleveland, RHIA, CTR, past NCRA President and one of less than 40 CoC-trained consultants in the country, himagine solutions can provide services to help you meet changing requirements and strengthen your cancer registry.

Cancer Registry Services

We use himagine solutions for all of our Cancer Registry needs. When we first signed with himagine, we were behind in our reporting. The himagine compliance manager stated they could get us caught up in a very short period of time. himagine kept their word and I don’t have to worry about timely reporting any more. The professionalism of the himagine staff is outstanding.

Kim Leach Health Information Services Manager, Mercy Hospital

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CDI professionals with a CCDS and/or CDIP credential

Registered Nurses (RN) with an active RN license

HIM professionals with a coding (CCS) or HIM (RHIA, RHIT) credential

Identify and clarify missing, conflicting

or nonspecific clinical documentation related

to diagnoses and procedures

Initiate concurrent or retrospective reviews

of inpatient health records to improve

documentation accuracy

Effectively communicate with and educate your medical staff through verbal, written or electronic

queries

Support accurate diagnostic and

procedural coding, DRG assignments, and

severity of illness

Promote health record completion during the

patient’s course of care



Clinical Documentation Improvement (CDI) is critical to the success of healthcare organizations. himagine solutions’ CDI staff augmentation services will increase the quality and integrity of documentation and can help reduce the documentation gaps around coding questions, quality measures and improve overall care management of a patient.

Clinical Documentation Improvement Specialists

CDI Resources & Expertise

CDI Specialists

With resources available from coast to coast, himagine solutions has the flexibility to provide CDI consultants on-site and/or remotely. Our tenured CDI consultants have healthcare regulatory experience in a variety of settings and are skilled in clinical knowledge, payment

systems and methodologies, as well as ICD-10 coding concepts and guidelines. Our CDI staffing consultants are able to:

himagine solutions recruits and retains CDI consultants who have at least three years of CDI experience, have healthcare regulatory experience in a variety of settings, and are skilled in clinical knowledge, payment systems and methodologies, and ICD-9 and ICD-10

coding concepts and guidelines. These credentialed professionals are typically:

Our Approach

The himagine solutions fulfillment approach reflects industry best practices and results in the right match for each placement. Recruiters specialize in identifying experienced CDI professionals and screen all candidates prior to placing them on assignment. Once a candidate is selected, himagine solutions conducts background and reference checks and provides client-specific orientation upon assignment. Finally, a field manager is dedicated to each consultant and maintains regular communication throughout their tenure with himagine solutions.

Reimagine Healthcare.3109 W. Martin Luther King Blvd. Suite 650 Tampa, FL 33607


The healthcare industry, including medical coding, is experiencing significant changes: Coder demand is high while supply is low, and demand for healthcare services is dramatically increasing – meaning more coders (and codes) will be needed. Traditional HIM outsourcing is transactional and often doesn’t meet today’s providers’ needs. himagine believes there is a better way and hospitals can benefit from a more strategic and holistic approach to HIM outsourcing.

Introducing, Enterprise HIM from himagine solutions. With Enterprise HIM hospitals can implement a complete HIM coding solution and engage in a long-term partnership. himagine possesses the scale, experience and national resources to serve as a partner by tackling healthcare coding from an enterprise level.

Enterprise HIM by himagine solutionsThe better way to outsource HIM coding

HIMEnterprise

Plus, clients receive the benefit of himagine’s scale & experience through the largest body of HIM experts in the country.

A fragmentedindustry createspain points.

Current stateof the industry:

1

4

2

3

HIMEnterprise

himagine solutions offers a better way through Enterprise HIM.

Supply Stats

Current coders are aging and entering retirement; 48% of them are age 45-64.

The current medical coder’s average age is 54.

Demand Stats

Unemployment has dropped 32% since 2010.

Healthcare reform will extend insurance to an additional 30M people in the next 10-15 years.

Job postings for medical coders have doubled since 2010.

Demand for medical coding labor force is expected to increase by 20-40%.

Hea

lthca

re

Coders

Supply

Demand

Hospitals use multiple vendors in short-term engagements; as a result vendors commit limited resources.

This results in suboptimal coding, productivity and quality.

Internal resources are used to manage vendors and performance issues vs. more productive revenue-generating activities.

The value of outsourced services does not justify the cost.

ExperienceScale

Enterprise HIM is a holistic and strategic solution to overcoming the industry pain points.

Guaranteed quality, productivity and rapid implementation

Long-term partnerships with clients lead to better unit economics

Applicable to managed coding and full department outsourcing

Industry leading candidate sourcing capability

Robust bench of coders

Unparalleled ability to fulfill coding needs with short turnaround time

>800 HIM professionals

Average industry experience >8 years

Full-time senior HIM support professionals >50

All professionals work directly for himagine (no 1099s)

Reimagine Healthcare.3109 West Martin Luther King Blvd, Suite 650, Tampa, FL 33607 866-230-7865


In 2014 we launched Enterprise HIM as a solution to the transactional and fragmented approach of traditional HIM outsourcing. Since that time, Enterprise HIM has changed the way healthcare providers address and optimize their HIM resources through more strategic and long term outsourcing solutions.

We recognize that audits of your in-house coders are an equally critical component in quantifying your facility’s financial health which is why we are extending the Enterprise HIM concept to this key area. Our experience has shown that detailed baseline coding audits require extensive time and skilled auditors. With himagine’s Enterprise HIM Audit Program you can quickly course-correct coder performance issues and deliver better financial results on a consistent basis with our strategic high frequency and long term approach to quality assurance.

Enterprise HIM Audit Program

himagine solutions adheres to coding & reporting guidelines developed & approved by the Cooperating Parties for ICD-9-CM and ICD-10-CM:

Why utilize himagine’s Enterprise HIM Audit Program for your internal needs?

• Do you have up-to-date coding audit results to meet your compliance plan needs?

• Have you had recent coding staff turnover?

• Have your case-mix indices changed recently?

• Do you have documentation challenges transitioning toward ICD-10-CM?

• Are you receiving coding-related claims denials?

1. Experience and Scale: Our 40 highly skilled compliance managers have all of the necessary skills to deliver superior results in multiple audit segments including inpatient, outpatient, emergency department, and professional services.

2. Increased clarity on coder and financial performance: Episodic audits can result in missed opportunities. Our approach of greater audit frequency gives you improved transparency on potential compliance and reimbursement optimization opportunities.

3. Better unit economics: A minimum 1 year commitment for our audit services performed on a quarterly basis enables us to provide you the most competitive pricing.

Many facilities don’t have internal resources to commit to this task, and want an objective, outside audit.

With our Enterprise HIM Audit Program you receive the benefit of…..

1. 2. 3.

Help you establish a firm grasp on your coding

accuracy.

Provide coding audit results to meet your compliance plan needs.

Prevent documentation challenges when transitioning toward ICD-10-CM.

Help avoid coding-related claims denials.

Eliminate problems regarding coding staff turnover.

Eliminate resource constraints that limit your ability to invest fully in quality

assurance.

Navigate recent changes in case-mix indices.

himagine solutions can:

continuedEnterprise HIM Audit Program

Reimagine Healthcare.3109 West Martin Luther King Blvd, Suite 650, Tampa, FL 33607 866-230-7865


Custom Audit Services and Deliverables

• Performed remotely or on site

• Targeted by you or himagine solutions

• Focused on Medicare alone or multiple payers

• Provide you with annual coder-level performance appraisal quality scoring

• Provide you with focused and /or random audits

• Performed at annual, quarterly, monthly, or ad hoc intervals

• Provide valuable information to document the effectiveness of your clinical documentation improvement program

• Deliver detailed results, including detailed preliminary and final reports describing coding accuracy rates, reimbursement impact, documentation quality, trends, outcome recommendations, charts, and graphs

himagine solutions adheres to coding & reporting guidelines developed & approved by the Cooperating Parties for ICD-9-CM and ICD-10-CM:



himagine solutions has one of the largest populations of HIM professionals in the industry. We have specialized in the HIM market since 1998 and have developed capabilities to deliver the highest caliber HIM experienced professionals. Our talented HIM professionals are RHIA or RHIT credentialed and may have additional coding certifications, including CCS, CCS-P, CPC, and/or CPC-H. We only engage HIM managers who have a minimum of three years of professional management experience. Our HIM professionals are able to identify process, system and/or staff related problems and concerns, develop solutions from best practice alternatives and if necessary effectively escalate issues to executive leadership.

HIM Interim Management

himagine solutions’ skilled professionals are preferred, fully vetted candidates with strong leadership and change management skills with significant experience in the following areas:

Corporate VP of HIM HIM Director HIM Manager Coding Supervisor

Planning, directing and providing oversight for both HIM and

revenue cycle functions.

Monitoring, tracking, improving and reporting HIM key performance indicators,

KPIs.

Developing and enforcing policies related to compliance with regulatory and

accrediting agency requirements in areas of responsibility.

Overseeing departmental personnel management.

Working collaboratively with others to ensure optimal performance within the

department and the organization.

Reviewing, managing, and optimizing HIM contracted services such as

coding, transcription and/or release of information.

Reviewing and monitoring budget controls.

Coordinating communication with Information Services (IS), regarding

support and maintenance of HIM applications.

himagine solutions’ HIM professionals are experienced and well versed in

HIM and healthcare specific management protocols.

IRR Audits Survey preparationAbstracting Training Consulting



himagine partners with hospitals, trauma centers and state regulatory bodies to offer flexible

solutions. himagine provides qualified Registrars who are able to handle all aspects of your

Registry as well as train new employees. himagine consultants are proficient with the most

updated software: Collector (POPIMS), Trauma One, Trauma Base, N Tracs and Kales.

Trauma Registry Services

himagine Trauma Registry Services include:

M & M reports Conducting EMS Regional Council meetings

Performance Improvement reviews Accreditation consulting

Our Qualifications

Other himagine Health Information Services:

himagine has insured Consultants with an average of 10.7 years of experience in their field. Most consultants are referred to us by other consultants and sometimes facilities. Word of mouth is the best form of advertisement! Less than 1% of the consultants we hire responded to an ad. Prior to hire our consultants are thoroughly profiled, interviewed, tested and referenced. Once hired, our consultants are held to education standards based on their credentials. Our ongoing QA process ensures adherence to industry standards and changing guidelines for both our consultants and clients.

In addition, himagine offers a full range of HIM services to our healthcare clients. We understand that your time is valuable and having one resource for all of your HIM needs offers a way to consolidate efforts and better manage your department. Please contact us to learn more about our broader service offerings.

Availability Contract Information Pricinghimagine can usually provide on-site Consultants with a lead time of two weeks. However, it is sometimes possible to have consultants available with no notice. himagine provides traveling and local consultants in some markets.

himagine has a non-restrictive contract available upon request. It is also possible to use CLIENT contracts as well.

Pricing is based on specific hospital volumes, case mix and market location. Specific rates are provided once a thorough profile of the Registry is complete. It is also possible to negotiate system wide rates as well.

Coding Solutions

Audit Services

AdvisoryServices

Registry Solutions

himagine Cancer Registry Services

Documents