Medical Coding Outsourcing and CDI Improves Data Integrity

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• Accurate medical billing and coding and clear
  documentation of medical claims can ensure
  on-time reimbursement for physicians.
• According to the latest industry polls by Black
  Book, outsourcing medical coding, transcription,
  and clinical documentation improvement (CDI)
  efforts has evolved into a winning strategy for
  many healthcare organizations seeking to enhance
  their case mix and data integrity.

The survey results appear favorable for medical
coding companies as well as medical transcription
companies.
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• The key findings of the survey that involved
  1,277 respondents from 220 hospitals and 789
  physician groups include

85 clients who outsourced their
computer-assisted coding (CAC) and CDI tasks
experienced quality improvements and increases in
their case mix index
87 hospital financial officers reported increase
in case mix index as one of their main motivators
for undertaking a CDI initiative
74 confirmed that outsourcing contributed to
coding accuracy ratcheting up since ICD-10
implementation
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Up to 70 outsourcing clients plans to extend
current contracts until 2020, a sign of high
satisfaction with their decision to outsource
92 of outsourcing clients expressed satisfaction
with their vendor relationships and reported that
outcomes exceeded their expectations
Nearly 90 medium to large hospitals that
outsourced CDI tasks saw reimbursement increases
of at least 1.5 million
Voice-to-text transcription services are also
proven to be effective to reduce clinical
documentation burden of healthcare providers
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Within one year of adoption, 83 hospitals said
that their transcription costs fell by half or
more, while improving transparency of their
dictation and transcription processes
90 reported that outsourcing streamlined their
operations without negatively impacting clinical
workflows
94 of physician groups and practice associations
said that CDI is a critical area of focus to help
meet the many challenges of value-based care in
the outpatient setting
20 hospitals that do not have an end-to-end HIM
system, CAC, CDI, or transcription solution from
a single vendor are seriously considering doing
so in 2018
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• Good data governance will result in reliable
  data, which is crucial for making patient care
  decisions.
• A successful CDI program is possible with
  outsourced end-to-end medical coding services
  that ensure appropriate and timely reimbursements
  from payers.

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