DRG/Clinical Documentation
Accurate documentation in the medical record drives three very important measures
of performance:
- Proper reimbursement and increased revenues
- Improved quality ratings
- Better compliance with complex reimbursement and coding rules and regulations
CMS (Medicare) is in the process of making the largest change since 1983 to the
way it reimburses Inpatient Medicare. These changes will make accurate and complete
documentation even more important. As a result, medical providers of all types –
from academic medical centers to integrated health delivery systems to community
hospitals – must be able to assess the potential implications of the new system
and make sure they are adequately prepared for it.
An approach centered on results.
The Claro Group's team of healthcare consulting professionals has worked with hundreds
of hospitals and health systems to implement structured programs for obtaining complete
and accurate documentation during the patient stay; programs that have generated
significant tangible results:
Our DRG/Documentation Program drives significant benefits in Reimbursement Quality
Ratings, and Compliance through the improvement of
1 key factor that influenced all of these:
Documentation
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#5-6% increase in CMI
$1.5M+ in Net Revenue |
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15%-25% improvement in Mortality Variance
4%-8% in Severity of Illness |
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Strengthened compliance with CMS rules and regulations |
Please contact us for more information about The Claro Group's Healthcare Provider
Solutions.
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