HIM, Transcription, Clinical Documentation Improvement and Coding
Health Information Management Services and Leadership Solutions
Deploying a strong combination of experienced health information management (HIM) leadership and competent, credentialed front-line workers is a fundamental tenant of success for HIM departments. Outsourcing is an effective solution to compensate for HIM department deficiencies, including incomplete patient records and miscoding, which negatively impact reimbursement and quality measures. Alternatively, interim leadership can help address vacancies in key HIM leadership positions (e.g. HIM Director).
nThrive can help rejuvenate your HIM team through full outsource of the entire team or by providing seasoned interim HIM leaders to drive accountability and leading practices. Our proven results speak for themselves; with one health care provider organization added $13 million in additional revenue through outsource of their coding and CDI management and staff. Turn to nThrive’s HIM interim management and HIM department outsourcing to:
- Improve quality, efficiency and cash flow
- Reduce operating costs, financial risk and staffing challenges
- Deploy a short-term management solution and create a transition plan for permanent leadership
- Deliver leading-practice HIM productivity standards and quality monitoring
- Reengineer HIM processes around key outcomes impacting revenue cycle outcomes
Case Study: Clinical Documentation Improvement Helps Fuel Turnaround at NCH Healthcare
In large part due to nThrive’s CDI and Coding outsourcing solutions, NCH Healthcare’s CMI increased to add $13M in additional revenue.Click here
Clinical Documentation Improvement Solutions
The new era of healthcare requires renewed focus on getting the patient record as accurate as possible. Clinical documentation improvement (CDI) is key to achieving this goal. Quality measure initiatives, healthcare reform-related financial penalties, and missed revenue optimization are issues that warrant a coordinated effort to improve clinical documentation. Understanding and addressing the root causes of poor clinical documentation is critical to patient record accuracy and revenue cycle success.
Through a combination of technology, consulting, outsourcing and education solutions, nThrive can address your CDI issues on multiple fronts ─ many of nThrive’s CDI clients experience up to a 20 percent increase in their case mix index (CMI). nThrive CDI solutions can help you:
- Improve physician documentation with specialty-specific education, physician scorecards and profiling data
- Enhance Case Mix Index
- Mitigate denial risk
- Improve quality reporting outcomes to boost reimbursement and patient loyalty
Case Study: UNM Hospitals Turns the Tide on Clinical Documentation
University of New Mexico Hospitals realized a direct financial gain of $1,844,670 in the first five months of 2015 due to nThrive clinical documentation improvement recommendationsClick here
Medical Coding Solutions
Medical coding backlogs, miscoding and staff shortages pose significant challenges for health care organizations, leading to increased claim denial rates, weak cash-flow and diminishing reimbursement. To meet financial and compliance goals, accurate and efficient coding is a must. Today’s high performing coding organizations are built on a foundation of knowledgeable staff, tight collaboration with CDI specialists and physicians, and enabling technology to enhance efficiency.
nThrive’s comprehensive range of proven medical coding solutions, services, consulting, technology and education can raise the performance level of your coding organization to deliver outstanding quality and accuracy. Many nThrive coding customers experience coding accuracy percentages in the high 90s. Our coding solutions can help you:
- Enhance collaboration between coders, CDI specialists and physicians
- Reduce discharged not final billed (DNFB) levels
- Ease coder recruiting and retention challenges
- Reduce lost reimbursements, coding backlogs and noncompliance risk
- Improve AR days and cash flow
Case Study: A Coding Wellspring for Val Verde Regional Medical Center
Val Verde Regional Medical Center reduced its AR days by 36 percent just 120 days after bringing nThrive coding outsource team onboardClick here
Medical Transcription Solutions
Medical transcription is the crucial step in building a patient medical history and the primary method of medical information communication from physician to physician. It’s the strong deciding factor that influences payor reimbursements.
Our medical transcription solutions help transform dictation into meaningful clinical information for enhanced patient care. We are recognized nationally for setting new standards of excellence and integrity in the transcription community. In 2012, 2013, and 2014, nThrive (formerly Precyse) was named Best in KLAS for transcription services ̶ a success built on a winning combination of unparalleled customer service, smart use of technology, and transparent billing. nThrive’s demonstrated and quantifiable results improve quality, enhance physician satisfaction, accelerate the revenue cycle, reduce costs and minimize capital outlay through the delivery of accurate and timely data.
- Maximize throughput and improve transcription quality
- Support physicians’ preferred methods of dictation
- Accelerate billing cycles with improved turnaround times
- Utilize pure domestic or client-approved international resources available with the same service level agreement