The Creative Group/Creative Health Concepts: Coding & Documentation

Major Changes To The Healthcare System are Underway

Changes due to healthcare reform require a transformation of how hospitals and providers review EMRs and encounters.

Hospital Executives must implement and sustain improvements to clinical documentation in response to:

Medicare Severity Diagnosis Related Groups
RAC
Present-on-Admission and Hospital Acquired Conditions
ICD-10





Poor Documentation		Case Mix Reduction

Inaccurate Coding		Excessive Denials

Failure of MCC/CC Capture		Revenue Reductions

Lack of Efficient CDE Program		Increased Audits & Reimbursement

Lack of Expert CDI Team		Take-backs

State and Federal Reforms		Poor Quality & Compliance Results


	On-site Certified Coding Team Physician Leadership Virtual CDI Experts Upon Demand

	Concurrent Review of Physician Documentation Analyze and Trend Performance Create Physician Report Cards

	Approach and Advise Physicians Present at Organized Physician Meetings (e.g. Grand Rounds) Develop Standard Documentation Templates

	Align Case Management, UM, HIM and Quality Management Establish Internal Regulatory Documentation Task Force Coordinate Steering Committee Ensuring Appropriate Communication and Continual Improvement