New tech for revenue cycle, ICD-10, more

AHIMA exhibit floor full of innovative technology for managing clinical and financial data
By Mike Miliard
10:15 PM

Among the many new products being showcased at AHIMA in San Diego this week: analytics focused on revenue cycle enhancement, tools for computer-assisted physician documentation, and, of course, IT to help smooth the transition to ICD-10.

MedeAnalytics (Booth 1730) will be showcasing its new Revenue Integrity analytics tool, which aims to offer insight into the "mid-cycle" – the point between patient access and the business office, where clinical operations can impact revenue.

Built upon MedeAnalytics' big data platform, Revenue Integrity can help improve revenue capture, minimize audit risk and pave the way for ICD-10, company officials say. Its analytics tools include dashboards for a single view into revenue improvement areas, real-time benchmarking data to improve physician response to intervention strategies and more.

"As the healthcare industry continues its transition to a fee-for-value reimbursement model, clinical operations will become a crucial part of a hospital's bottom line," said MedeAnalytics CEO Andrew Hurd, in a press statement.

"Performance in the 'mid' revenue cycle, where the ability to optimize revenue is most prevalent, will become the focal point for hospitals and health systems," he added. "CFOs and CMOs will need complete visibility into their mid-cycle performance to maximize opportunities for revenue capture."

Meanwhile, M*Modal (Booth #821) has launched computer-assisted physician documentation for its cloud-based Fluency Direct speech recognition technology.

By offering real-time feedback to physicians as they dictate clinical documentation in electronic health records, CAPD identifies common documentation deficiencies and generates feedback to the doc, asking for additional information or clarification when appropriate.

M*Modal officials say this helps to eliminate costly and time-consuming queries later in the care cycle for clinical documentation improvements or coding.

By integrating with physician workflows, the technology aims to promote complete and accurate patient records from the start. Moreover, HIM departments can configure CAPD to set feedback guidelines to meet the documentation requirements of initiatives such as ICD-10.

"Patient records must be accurate and complete, for ensuring proper diagnosis, and for driving downstream processes like coding and reimbursements," said Matt Jenkins, senior vice president of business development for M*Modal, in a statement. "With CAPD, physicians get immediate feedback as they dictate or type, helping to ensure they’re creating quality documents."

AGS Health (Booth 1610) brings its own wares to San Diego, offering ICD-10 and revenue cycle technology aimed at large physician practices and hospitals.

Its technology has been paying dividends for large providers such as the 700-bed medical center which, by identifying clinical documentation improvement opportunities, saw a 6 percent increase in reimbursable inpatient charges – to the tune of $225,000 in potential monthly collections, officials say.

AGS has also amassed a team of 500 coders; its in-house ICD-10-CM Training Academy, which is staffed with an in-house team of AHIMA-certified ICD-10 trainers.

Officials say AGS coders can help hospitals struggling with staffing issues to move more than half of their coding needs to its remote coding services; by doing so, one organization that did was able to reduce its DNFB from more $10 million to less than $50,000.

"As a premier provider of revenue cycle management, we understand the critical role that coders play within the entire RCM process," said AGS CEO Devendra Saharia, in a press statement.

For a full list of vendors at AHIMA, click here.