ICD-10 Solutions

Documentation Gap Analysis

Conclusive, Action-oriented ICD-10 Documentation Gap Analysis for Health Information Management Organizations

Knowledge of ICD-10-CM/PCS is essential for all medical coding. Identify organizational opportunities for clinical documentation improvement and proactively implement education programs and solutions to ensure the integrity of your revenue cycle. 

Obtaining sufficient documentation to support code assignment is one of the biggest challenges facing HIM organizations with ICD-9-CM coding and meeting these requirements will only become more demanding with ICD-10-CM/PCS, which requires an even greater level of specificity in documentation.

Through an intensive medical record review, UASI provides an action plan to identify and correct documentation gaps and/or provide specific areas of focus for your Clinical Documentation Improvement (CDI) program.

Reimbursement Impact Analysis

ICD-10 Reimbursement Impact Analysis with Well-Supported Financial Projections for Health Information Management Organizations

ICD codes are integral to reimbursement methodologies – particularly MS-DRGs – and the change to ICD-10-CM/PCS could have hidden reimbursement consequences for healthcare organizations.

To minimize financial impact, UASI medical coding professionals evaluate potential shifts and changes in the case mix index by comparing MS-DRG assignments based on ICD-9-CM codes to those based on ICD-10-CM/PCS codes in a representative sampling of inpatient cases. Results are analyzed to identify variances and provide well-supported financial projections for transitioning to ICD-10-CM/PCS.

Targeted Training on Documentation Gaps

Customized Training to Address Identified Documentation Gaps for Health Information Management Organizations

Obtaining sufficient documentation to support code assignment is one of the biggest challenges facing HIM organizations with ICD-9-CM coding and meeting these requirements will only become more demanding with ICD-10-CM/PCS, which requires an even greater level of specificity in documentation.

On-site or remote via webinar, UASI provides training tailored to the findings of your ICD-10 documentation gap analysis to assist clinicians, CDI specialists, and medical coders in understanding the documentation required to leverage the increased specificity in ICD-10-CM/PCS.

Targeted Application-based ICD-10 Training Support

Practice Coding in ICD-10-CM/PCS for Medical Coding Professionals

Balancing the extensive training required to master both ICD-10-CM and ICD-10-CM/PCS with day-to-day coding operations presents a real challenge for medical coding professionals. How do you maintain productivity while becoming proficient with the new systems?

On-site or remote via webinar, UASI performs on-the-job application-based training to reinforce ICD-10 fundamental concepts and provide the opportunity to practice coding cases and applying ICD-10-CM/PCS coding guidelines. Coding staffs that have completed initial ICD-10 training will receive coded case examples accompanied by the code assignment rationale and applicable coding guidelines.

The result is an accelerated productivity recovery period so you can achieve your account receivable goals.

Coding Workforce Solutions

Experienced Medical Coders for Health Information Management Organizations

Following the transition to ICD-10-CM/PCS, current productivity levels achieved by experienced, credentialed coders will no longer be valid expectations. Moving to ICD-10 based code sets in other countries has shown a permanent loss of productivity resulting from specificity and documentation requirements. Healthcare organizations will have to make significant investments in coding staff to transition to ICD-10-CM/PCS in order to compensate for lost productivity.

With proven experience in high volume, high quality coding, UASI is uniquely positioned to provide workforce solutions tailored to your organization – ranging on-site and remote coding staff augmentation to complete coding outsourcing.

ICD-10 Coding Accuracy Reviews

Action Plans for Improved Medical Coder Accuracy Rates

During the initial implementation of ICD-10-CM/PCS coding accuracy will need to be monitored closely. Ongoing compliance reviews will also be needed beyond the implementation date.

UASI will determine the accuracy of ICD-10-CM/PCS coding to target errors that affect the assignment of MS-DRGs/APCs or compromise your database integrity. Our ICD-10-CM/PCS coding experts will provide a comprehensive review of coding quality and deliver action plans for coder and physician education based on the review findings.