5 Mai 2016
The main reason for the transition from ICD-9 to ICD-10 documentation Was Greater precision. HOWEVER, if the diagnosis is Documented by clinicians at a lower level than what ICD-10 supports, it May result in submission of financial claims That are lower. Such documentation will aussi because a patient's medical record to Lack details, resulting and in incomplete information for future providers. In order to help resolve problems thesis, a clinical decision support (CDS) system can be designed for ICD-10 awareness qui Improves coding and data capture helps deliver ICD-10 specific clinical documentation improvement (CDI). Here are Some highlights from a recent paper published in ADVANCE by Dr. Strongwater.
Why do you need a system for CDS ICD-10?
The biggest advantage of a CDS system is That It rides on top of the EMR system Where It can align clinical decision making with evidence-based best practices, THUS Strengthening the documentation at the very moment it is That Recorded into the EMR. With capabilities to align clinical documentation with ICD-10 at the time of recording and alerting clinicians of the opportunity to please use more specific ICD-10 codes; the CDS system is a great help to clinicians as It Does not require em to memorize and remember the current expanded ICD-10 code set.
The CDI helps in Creating a more specific medical record of the patient and allows for submission of a cleaner and full claim to help with the provider receiving send Their just due.
Required CDS capabilities for ICD-10 CDI
In order to be accurate with icts CDI, the CDS system must have the Ability to not only read, goal aussi interpret structured documentation as well as unstructured free text note in the patient's EMR, along with the capability to collect and interpret information coming from test labs and imaging departments. While the Ability to read clinical documentation at the training recording is significant, it is more significant for the CDS to analyze this documentation to ict knowledge of the patient and the clinician to issue corrections in real time. A great addition Would Be a pop-up providing good suggestion box dans le EMR screen, if there is a need for more details or a change in the code reimbursable. This pop-up box shoulds-have the correct code or Higher level of detail That can be captured by the clinician from here Itself.
One of the biggest advantages of the CDS system is alleviating the need for clinicians to master ICD-10 codes. HOWEVER, What Would Enhance help the system-even more Would Be the Ability to generate a report indicates qui That documentation suggestions Were ignored by the clinician. Would this help not only the billing department close Any ICD-10 gaps That Remain, goal aussi Would help in procedure improvements and help the facility to adjust to ICD-10 completely.
Value of the CDS system
The EMR qui just records and acts as a repository mechanism for a patient's medical data is elevated to Become a real time advisory system by Adding the CDS system. This allows for streamlining the processes, Improving patient safety and result in less time and lower costs taken. The CDS system Delivers value by providing good suggestions of best practices along with a full clinical record of the patient, THUS Delivering quantifiable clinical and operational benefits to the organization.