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Certified Analytics Platform Enables Electronic Quality Measures Reporting

Organizations that participate in various Centers for Medicare and Medicaid Services sponsored programs must use a certified health IT product to electronically submit performance data. Acuitas Health partnered with Health Catalyst to develop a solution that would enable the organization to meet the electronic clinical quality measures (eCQMs) reporting requirements.

Featured Outcomes

  • 2,080 hours saved annually in some practices.
  • Eliminated the need to maintain two different quality reporting systems.

Analytics-Driven Clinical Documentation Improvement Efforts Positively Impact Reimbursement

Albany Med’s clinical documentation improvement specialists provide high-quality care to complex, acute-care patients; however, Albany Med was experiencing lower reimbursement rates due to gaps in clinical documentation. The organization created a seamless process for clinical documentation with the use of an analytics application as driven by clinical leadership.

Featured Outcomes

  • 50 percent relative improvement in appropriate coding, as demonstrated in the reduction in the potential opportunity in the emergency department (ED).
  • 10.8 percent relative improvement in DRG group captured for ED visits.

Machine Learning Automates Outpatient Coding

Accurate service line reporting is necessary for healthcare organizations to understand the total cost of care. Read how MultiCare employed machine learning for its outpatient coding efforts and restored its service line reporting.

Featured Outcomes

  • Successfully restoring service line reporting, enabling the organization to better understand the total cost of care, and supporting future participation in value-based care and risk-sharing agreements.
  • Ability to avoid additional labor costs that would be required to perform dual coding, saving more than $1 million annually.

Improving Accuracy of Clinical Documentation Positively Impacts Risk Adjustment Factor and HCC Coding

Improving accuracy of clinical documentation can impact risk adjustment factor and HCC coding, significantly enhancing reimbursements for health systems. Read how Allina Health leveraged its analytics platform and applications to help improve HCC coding efforts and more accurately reflect patient complexity.

Featured Outcomes

  • 10 percent increase in RAF for the target population in one year.
  • 72 percent relative improvement in four key problem list diagnoses.

Application of Analytics to DNFB Improvement Effort Continues to Deliver Impressive Results

Financial challenges rank as the number one issue hospitals face. As a result, these organizations are constantly looking for strategies to improve outcomes, manage costs, and boost revenue. Learn how Thibodaux Regional Medical Center sustained and improved its discharged not final billed (DNFB) efforts.

Featured Outcomes

  • $1 million in additional annual reimbursement, attributable to improvements in the accuracy of clinical documentation and case-mix index.
  • 66.7 percent relative reduction in DNFB dollars, significantly improving cash flow.
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