CDI, Quality, and Coding are engaged in initiatives that passively involve providers to optimize severity reporting for individual patient encounters—e.g., queries, education.
Instead of focusing on individual claims, ClinIntell looks at the entire population of claims. This ensures that ClinIntell’s insights are grounded in statistically sound principles.
Our analytics produce insights and opportunities that are specific to your inpatient population, taking the form of both performance and actionable data down to the level of individual providers.
Providers are empowered by data to play a more active role in improving severity reporting of their patient populations and are not solely reliant on impact achieved via the documentation query process.
Population-based severity metrics are used to set organizational goals around quality and revenue based on realistically achievable opportunities. The impact of a now-collaborative severity reporting team can be assessed monthly towards achievable goals.
Note: Educating providers on accurate documentation of specific conditions based on an approved clinical definition allows for more appropriate severity reporting whenever patients meet the applicable clinical criteria, and not just when a query is generated.
ClinIntell’s reports are based on an analysis of the specific patients attributed to a specialty or provider, making them highly customized and superior to benchmarking.
Dr. Terrance Govender, VPMA