Melinda Tully’s stories
ICD10 and CDI training result in smooth transition & improve quality and finances.

How well did your healthcare organization handle the transition to ICD-10? It was a challenging period for many. We’re pleased to report that Nuance’s clinical documentation improvement (CDI) clients not only sustained their financial performance and quality during the transition from ICD-9 to ICD-10, but actually saw improvements. A recent study of 350 Nuance clients […]

Numbers And Finance

I sometimes like to think of Clinical Documentation Improvement (CDI) as investigative reporting for healthcare.  Similar to a crime scene that requires specialists with a keen eye to piece together information, in today’s healthcare environment, it takes expertise, tools, and training to accurately capture a patient’s story from ED admission all the way to discharge. […]

With the Centers for Medicare & Medicaid Services and The Joint Commission increasing documentation scrutiny, and all major payers moving toward using core measure results to benchmark and conduct contract negotiations, providers must consider how clinical documentation improvement (CDI) can positively impact quality.  Although CDI and the engagement of clinical documentation specialists (CDSs) can significantly […]

We’ve all heard by now the frightening statistics on the drop in coder productivity when Canada switched from ICD-9 to ICD-10.  According to the American Health Information Management Association (AHIMA), in April of 2002 Canadian medical coders completed 4.62 inpatient charts per hour using the Canadian version of ICD-9.  At the start of ICD-10 in […]

The analogy of a punctured hose that springs a new leak each time one hole is plugged is an apt depiction of the challenges currently facing healthcare executives and, in particular, CFOs. Massive changes, including a switch to pay for performance and increased specificity in documentation and related coding standards, are causing healthcare organizations to […]

Among the wealth of challenges associated with the transition to ICD-10 is an expected dip in coder productivity, and this dip holds the potential to impact healthcare providers organizations’ bottom-line. Computer-assisted coding (CAC) is one tool that is being regarded as a “quick-fix” for this potential productivity and financial-related loss. While CAC undoubtedly holds an […]

Clinical documentation improvement (CDI) has become a strategic imperative at hospitals and health systems across the country as providers look to not only address case mix accuracy, but also “bullet proof” documentation against repayment demands, capture severity of illness, and respond proactively to the Value-Based Purchasing (VBP) mandate. One health system in South Florida, Baptist […]