Clinical Documentation Improvement (CDI) experts Laura Jacquin, RN and Denise Tinkel, RRT, MHA, CCDS, recently spoke with Becker’s Hospital Review about how CDI can help reduce denials and alleviate clinician administrative burden. Read on for their insights on the benefits of CDI and how to ensure your program is measurable and sustainable.
As ischemic heart disease continues to be the leading cause of death in the United States and worldwide, myocardial infarctions (MI) are frequently seen as reportable conditions when coding inpatient encounters. Lisa Romanello, RN, CCDS, CDIP, Director at Prism, co-authored a whitepaper offering an overview of the types of acute myocardial infarctions and their accompanying… Read More
The healthcare policy turmoil that defined 2017 is enough to give anyone whiplash, political affiliation and occupation aside. Yet aside from a handful of regulatory changes, such as the rollback of some bundled payment initiatives, federal healthcare policy has not actually changed in the past year. The ACA is still in place; Medicaid expansion lives…. Read More
As healthcare services migrate from inpatient to outpatient settings, a greater portion of most health systems’ revenue is tied to clinical care — and thereby the clinical documentation — performed in the ambulatory space. Yet few organizations have implemented consistent documentation practices throughout their enterprises. Laura Jacquin, RN, Partner at Prism, shared with Becker’s Hospital… Read More
Mastering Hierarchical Condition Categories (HCC) is key to success under new reimbursement methodologies that rely on risk adjustment, quality, and value metrics such as the Quality Payment Program (QPP). In the November issue of HIM Briefings, Prism Partner Laura Jacquin, RN offers insights and strategies for organizations to consider for mastering HCCs.
As patient care continues to move from the inpatient setting to outpatient, the challenge of securing comprehensive documentation that articulates the services rendered and the patient care provided now needs to extend across the care continuum. In the October issue of HIM Briefings, Prism Partner Laura Jacquin offers strategies for organizations to consider when implementing… Read More
Finance leaders, physicians, and clinical documentation specialists can partner to build an effective clinical documentation improvement initiative. In the latest issue of hfm, Prism Partner Laura Jacquin and client UHS share how the health system developed a CDI program that resulted in substantial ongoing payment gains, and how other providers can do the same through… Read More
In a recent webinar, Prism and ProHealth Care discussed what healthcare executives can do now to improve hospital performance despite political uncertainty. Read on to learn about some of the biggest challenges and opportunities for healthcare providers today, as well as specific actions they can take to eliminate waste, improve operational efficiency and enhance organizational… Read More
Accurate medical coding is important now more than ever. Payers rely on codes to measure the quality of care provided to their beneficiaries, and coded data is also used to validate the medical necessity of rendered services. CDI specialists are uniquely positioned to unify efforts to report claims data that accurately reflects the clinical scenario… Read More
Becker’s Hospital Review connected with thought leaders at Prism Healthcare Partners on the most pressing issues in revenue cycle and clinical documentation improvement (CDI) for hospital and health system executives to address in 2017. Laura Jacquin and John Storino weigh in on top areas to achieve significant and lasting impact, including patient access, leveraging resources… Read More