On Monday, October 17 Ardent Health Services (Ardent Health), a 14-hospital health system that serves areas of Texas, Oklahoma and New Mexico, presented at the 2016 AHIMA Convention & Exhibit. The educational session, presented by Adrienne Younger, RN, CCDS, Manager of CDI Education and Trevor Snow, RHIA, Vice President of Health Information Management, focused on their ability to create a single clinical documentation system across its three-state health system.
With the increase in coding complexity post ICD-10 adoption, Ardent Health knew that they needed to better understand how coding and documentation would affect their bottom line. To pinpoint trends and opportunities for improvement, they created a Health Information Integrity (HII) program to ensure claims accuracy. Using data analytics, Ardent was able to:
- Ensure documentation accurately reflects patient acuity and the level of care provided
- Improve unspecified and secondary diagnosis code usage
- Identify opportunities for education and training
- Facilitate compliance and mitigate audit and take-back risk
- Standardize reporting with customized, role-based views
- Conduct DRG audits centered on data insights and share results with leadership
To learn more about Ardent's success story, click here. For more information about how data can improve your CDI efforts under ICD-10, visit our Revenue Integrity solution page.
Get our take on industry trends
Becker’s Fall Payer Issues Roundtable: The Next Competitive Advantage Isn’t More Data. It’s Measurable Performance.
Healthcare payers have never had more data, analytics, technology, or AI available to them. Yet for many organizations, achieving meaningful…
Where Medicare Advantage revenue leaks: The disconnect between RAF, Star Ratings, and MLR
Most Medicare Advantage revenue loss doesn’t show up where finance teams expect it. It’s not a single variance in a report or a clear…
Rural health transformation needs more than funding. It needs measurable results.
Rural health transformation succeeds when leaders can connect investments to measurable improvements in access, quality, cost, and sustainability. Doing so…
Why Medicare Advantage member churn is a lagging indicator
By the time a Medicare Advantage member switches plans, the conditions influencing that decision may have been developing for months.…
