CDI Software And Defining Medical Necessity

CDI Software And Defining Medical Necessity

Hiteks’ Insight: Real-Time Revenue Rescue includes clinical documentation improvement software which combines back-end coding logic with front-end physician queries in real-time as the doctors are completing their Notes. Our ConcurDI is Documentation Improvement for the health system which cannot get through all its records through traditional CDI programs. Hiteks Solutions is a 6-year old company with a mission to give patients the quality of treatment they need while ensuring that their physicians receive the compensation they deserve. Our software is being used by hundreds of hospitals and thousands of physicians and nurses throughout the country.

The Best Quality Care In A Problematic Billing System

The United States boasts the highest quality healthcare in the world. We have the best technological resources and the top ranked hospitals and universities with the most progressive and experienced physicians and researchers on the planet. But most average Americans could tell you without batting an eye that our healthcare system is not without its flaws. One of the greatest obstacles we face is in the sheer complexity of defining the cost of medical service and the interactions between insurance, doctors, hospitals and patient financial responsibilities.

The Evolution Of A Complex Value Based Care System

Recent memory shows a spike in costs for healthcare. It is for this reason that physicians have begun to follow a value-based care (VBC) system. But determining the value of care is not as simple as it one may think it should be. While the system largely bases cost and value on patient outcomes, it must also factor in the use of hospital resources, the amount of time the doctor spends with the patient, and the amount of experience the doctor has. One of the most crucial factors that many physicians often overlook is the degree to which further treatment is necessary.

Rising Costs Lead To Rising Pressure On Physicians

With the rising cost of care that is putting pressure on hospitals throughout the country, physicians have a greater responsibility to be increasingly conscious of their use of hospital resources. They must construct a clear treatment plan that strictly utilizes resources that are necessary, based on the patient’s diagnosis, which the physician also has to define. Throughout this process, the physician has to document all of this with enough detail to convince insurance companies that their use of resources and time that the physician spent with the patient was completely necessary. In the event that the physician does not document his or her diagnosis and treatment plan with enough detail, it will usually cost not only the physician, but also the hospital for which he or she is working.

The Solution

Hiteks’ Insight: Real-Time Revenue Rescue will put an end to this problem. Our software automates the documentation process, so that at no point can an insurance company claim that a diagnosis was overly vague, that a treatment plan was poorly defined, or that any hospitalization or treatment was medically unnecessary. With Hiteks’ clinical documentation improvement software, physicians need only follow an easy-to-use and clearly laid out system. Now hospitals and physicians will receive the correct compensation. And patients will be able to count on receiving the best possible treatment for their particular circumstances.

Want to learn more about Hiteks’ Insight: Real-Time Revenue Rescue software? To find out about our AdvocateMD, ConcurDI, and VigilantQA packages, give our office a call at 212-920-0929. You can also reach us online at www.hiteks.com.

What Will Customers Demand From Their Software In 2017?

Over the past decade, we have witnessed the rise of artificial intelligence at an unprecedented rate of technological advancement. No longer is AI a feature of science fiction films. We are now face to face with the task of establishing standards and expectations for the AI technology that already exists. Along with AI’s entrance into the mainstream came the popularization of bot-based technology and adaptive software.

Some of these technologies have simply not yet reached a standard that is ready for mass production. For example, you may recall when Internet trolls corrupted Microsoft’s Tay chatbot with hate speech to the point that its makers had no choice but to remove it 24 hours after launching. Meanwhile, we’ve also seen other new technologies enter the market that are actually reshaping entire industries. For example, workflow management and clinical documentation improvement software (CDI) has transformed the healthcare industry to the point that it could become a standard for all hospitals in coming years.

The challenge, thus, is to determine what features of a new software will be most crucial to establishing longevity in a highly competitive field. What will we as a society demand from our artificial intelligence in the years to come? We submit that these three features will be crucial:

Adaptiveness

Our expectations are going to evolve along with the resources that we have available to us. It will not be long before we begin to expect our software to adapt to complex changes in circumstances, and to provide suggestions and predictions for us. For example, one of the most advantageous features of CDI software in healthcare is its ability to organize a sophisticated collection of patient information and provide a diagnosis, treatment plan, and code for billing, which the software draws from a collection of several thousands of options instantaneously.

Omnichannel Integration

The Internet of Things has raised the stakes for software as a whole. No longer will we consider applications that are incompatible with other technologies acceptable. In order for an automation technology to last, it must integrate with its counterparts, to the point that it centralizes everything into one cohesive, easy-to-use organism. Such is the case for Hiteks’ ConcurDI software, which is being showcased nationally to Clinical Documentation Improvement Specialists. Instead of having several separate apps under the same umbrella, Hiteks’ Insight: Real-Time Revenue Rescue software integrates workflow management, documentation, coding for billing, sepsis surveillance, and more into one central application integrated with the data from the EHR and in some cases, communicating back to the EHR to store the audit of responses solicited from the clinical users.

Exceptional Security Features

Hackers pose more of a threat than ever before. Cybersecurity goes far beyond American political campaigns. Hackers have dipped their hands in literally any industry that stores its information online. Hackers have infiltrated cars, homes, and even hospitals, holding their victims for ransom or worse. This, then increases the need for better security features, because lack thereof will eventually lead to customers taking their business elsewhere because it’s too much of a risk to their assets and privacy.

Hiteks Solutions provides front-end, point-of-care solutions for physicians, nurses and Quality Improvement staff in as many as 15 different states throughout the US. To learn more about how we are influencing the medical industry, give us a call at 212-920-0929 or reach out to us via email at info@hiteks.com.

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