Increasing Coding Quality Productivity_Precyse_2010

PLEASE NOTE:

PHONE L INES WILL BE MUTED FOR ALL ATTENDEES.

IF YOU HAVE ISSUES RAISE YOUR HAND OR VIS IT WEBINAR SUPPORT @ WWW.GOTOWEBINAR .COM

Welcome

P r e s e n t e d b y

CHLOE PHILLIPS, MHA, RHIABAPTIST HEALTH SYSTEM

Increasing Coding Quality & Productivity with Advanced

Technology

© 2010

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.

© 2010

4

About the Speaker

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.

© 2010

5

Baptist Health System4 facility hospital

enterprise1576 Total Licensed Beds36,258 Inpatients Served

Annually347,976 outpatient

procedures performed annually

2,611 system-wide births annually

More than 520 active medical staff members

79 Residents

THE ASSIGNMENT

Increasing Coding Quality & Productivity with Advanced

Technology

© 2010

7

BHS: The AssignmentTrouble recruiting/retaining certified coding

professionals, coding efficiency problems (coders wanted to work remotely) Separate team of coders for each of the 4 hospitals

at BHSWorkload fluctuations caused

backlogs/overtime during busy periods, but underutilized staff during slower times

Spent significant time, resources, and money on these ongoing problems

© 2010

8

BHS: The Assignment

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

© 2010

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

THE RESOLUTION

Increasing Coding Quality & Productivity with Advanced

Technology

© 2010

11

BHS: The Resolution

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

© 2010

12

BHS: The ResolutionRemote Coding

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

© 2010

13

BHS: The ResolutionSystem Centric Team

Centralized all coders to one teamSharing of resources and managing the entire

healthcare systems needs became possibleManagement is able to virtually oversee the

staff, workload, and processes more effectively

© 2010

14

BHS: The ResolutionImplement 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

© 2010

15

PrecyseCode Dashboard

THE RESULTS

Increasing Coding Quality & Productivity with Advanced

Technology

© 2010

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 adoptionDelivers 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

© 2010

18

BHS: The ResultsThe 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

© 2010

19

BHS: The ResultsRegulatory Readiness

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.

NEXT STEPS

Increasing Coding Quality & Productivity with Advanced

Technology

© 2010

21

BHS: Next Steps

Continue to refine: Workflow management Coding processes Clinical Documentation Improvements

Implement new features in PrecyseCode

© 2010

22

New Features for Precyse Code

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 MCCAllows coder ability to annotate and modify

codesSearch feature that provides traceability to

support audits Highlights abnormal values Integrated physician query tool

© 2010

23

Physician Query

© 2010

24

Text Highlighting for all Chart Types

© 2010

25

Summary

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.

© 2010

26

Precyse Experts

Dee Lang, RHIT: Vice President of Coding Technologies

Scott Briercheck: Vice President, Chief Scientist

Tiffany Neally: Senior Coding Technology Implementation Specialist

© 2010

27

Thank you for attending today’s session!

All attendees will be sent an FAQs from today’s session and a link to replay the webcast

We look forward to hosting you on future webcasts. Please send questions regarding this content to

[email protected] Please visit our website for future webcasts at

www.precysesolutions.comFor more information regarding PrecyseCode please

visit www.precysesolutions/precysecode.com Follow our updates on Twitter

www.twitter.com/precysetweets