Kameron Gifford, CPC 6/19/2013
How much does your company spend outsourcing chart audits
and education? What if you could “dump” all of those medical records into a
program that would identify only the records with deficient or incomplete documentation?
What if that same program could then design and build an individualized,
interactive mobile platform targeted to those deficiencies? A single secure
dashboard that can track and monitor compliance and progress all in one place.
What value could this create for the Senior VP managing 17 markets in 6 states
or the Managing Director responsible for 91 centers? How could this positively
affect provider buy-in and add transparency to risk adjustment initiatives?
Ultimately, how much money could this disruptive innovation save your
organization?
I am a certified coder, who specializes in risk adjustment
coding and clinical documentation improvement. This unique skill comes with its
own unique set of challenges. Due to the Government’s recent assault on our
industry my services are in great demand. This in itself is great news, except
that the current process of auditing is inefficient and redundant.
The “digital” age has completely modified our entire
culture. Consumers want more, bigger, faster, better, smarter and all for less
money. Technology has transformed and altered society to a point of dependence.
We can all relate to that “terrifying moment when we reach for our cell phone
and it’s not there. Who would have predicted 20 years ago that this “phone”
would replace our alarm clocks, travel agents, mail, books, televisions and
computers?
Until recently, the healthcare industry has been isolated,
shielded from the chaos of disruptive innovation that has transformed every
other industry. But today that separation barley exists, and we are seeing more
and more tech companies entering the healthcare space. This collaboration
yielded the first electronic medical record and delivered the first computer
assisted coding programs. But the healthcare industry has yet to be profoundly touched by any of these inventions.
As an industry, we must take heed to what lies ahead. We
must learn from the error of those around us and continually strive for
something better. We must promote “the right way” and stop allowing the court
system to influence the practice of Medicine in America.
How can we use new
technology to assist us in our compliance and due diligence responsibilities in
terms of HCC Coding and Documentation? How can we engage and excite our providers?
How do we build an “on-demand” teaching system that focuses on improving
documentation specific to risk adjustment rules? What if we designed a mobile teaching
platform available to all clinicians at the point of care. What value would
this add on the back end for auditors and educators as a way to “sort” massive
amounts of records and triage providers in order of need? What if the government
stopped finding “fraud” and was unable to demand recoupments fines and
penalties?
The entire delivery of care as we know it, is about to be disrupted. Contact ERM today to find out how you can be part of it.
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