Ardent Health Services Uses ICD-10 Code Benchmarking to Improve Training and Claims Specificity

The anticipation for the ICD-10 mandate created stress throughout the healthcare industry as it prepared to learn how to maximize revenue with thousands of new codes. Tackling ICD-10 is a constant educational process – one that needs to be fueled with data to ensure proper clinical documentation improvement (CDI).

Ardent Health Services, which has three health systems and 14 hospitals in Texas, Oklahoma and New Mexico, recently shared their experience on how they leverage analytics to execute on their CDI strategies.   One key challenge that they discussed was the lack of focus when addressing large amounts of data. Ardent Health Services needed to pinpoint educational opportunities for both coders and CDI teams and monitor the progress of documentation efforts, specifically with diagnosis-related groups (DRGs)

With MedeAnalytics Revenue Integrity Ardent is able to identify documentation trends, especially around specific diagnoses to help them narrow their focus. The major takeaway was the ability to provide real-time feedback from their health integration integrity (HII) team. The team supplements the CDI team by conducting chart reviews after coding but prior to final billing.  Lastly, the solution offers monthly detailed reports on DRGs that are presented to leadership teams to benchmark and track progress.

Through the use of code benchmarking and education, healthcare organizations can continue to succeed with ICD-10. To learn more about Ardent Health Services success, listen to the webinar here. To better understand how Revenue Integrity Solution can benefit your healthcare organization, click here.

Posted in

MedeAnalytics

MedeAnalytics is a leader in healthcare analytics, providing innovative solutions that enable measurable impact for healthcare payers and providers. With the most advanced data orchestration in healthcare, payers and providers count on us to deliver actionable insights that improve financial, operational, and clinical outcomes. To date, we’ve helped uncover millions of dollars in savings annually.

Leave a Comment





Get our take on industry trends

Use SDOH + Analytics to power better outcomes for underserved population

Use SDOH + Analytics to power better outcomes for underserved population

May 11, 2021

Whether you’re a payer, provider or patient, on the front lines of care, sitting in front of a computer or receiving treatment, you’ve been affected by the pandemic. Of all the groups who participate in healthcare in one way or another, perhaps no single group has suffered more over the last year during the pandemic than the underserved— those people without ready access to needed healthcare services.

Read on...
Use data to take meaningful action this Nurses Week 

Go beyond recognition: Use data to take meaningful action this Nurses Week

May 10, 2021

Since 1994, America has observed National Nurses Week annually from May 6-12. This year more than ever before, it’s critical that healthcare organizations go beyond recognition and start taking action to more effectively support and serve nurses.

Read on...
The future of digital health part 4: Convergence of AI and analytics for healthcare payers

The future of digital health part 3: AI, machine learning and robotics

May 4, 2021

This post is part three of a new series featuring healthcare visionary and thought leader Andy Dé. In this series, Dé discusses how COVID-19 has triggered remarkable digital transformation and uncovers five, long-term innovation implications that providers, healthcare leaders, and payers need to consider.

Read on...
The future of digital health part 4: Convergence of AI and analytics for healthcare payers

The future of digital health part 2: Digital patient engagement and virtual healthcare delivery

April 27, 2021

Protecting the health, well-being and safety of healthcare practitioners and first responders is paramount — and will accelerate adoption of Digital Patient Engagement (DPE), enabled by Virtual Healthcare Delivery (VHD) solutions (also known as “Hospital at Home.)”

Read on...