Hiteks and Rush University Medical Center Implement ConcurDI for Epic’s NoteReader CDI To Enhance Physician and CDI and Quality Workflow

New York, NY, May 29, 2018 – Hiteks Solutions Inc. and Rush University Medical Center today announced that they have implemented ConcurDI For NoteReader CDI in Rush’s production Epic environment across their hospitals.  Hiteks collaborated with Rush in 2017 with the implementation of Hiteks’ AdvocateMD Powering NoteReader to prove that they could speed the delivery of Clinical Documentation Improvement (CDI) and Quality queries directly to physicians in an automated approach that doesn’t slow doctors’ workflow and enhances efficiency of CDI and Quality functions by providing real-time, configurable queries to prioritize charts for reimbursement and quality review.

With the power of NoteReader CDI, physicians can get feedback on diagnoses which require greater documentation or on a combination of signs, symptoms, lab results, medications and vital signs which may indicate a condition that has not been mentioned by the physician.  The additional timely physician feedback improves severity-adjusted quality scores, claims codes and reduces denials to improve overall care management.

In June 2017 Hiteks joined Epic’s App Orchard to provide more access to its Insight platform for physician decision support and analytics tools that can be accessed by any of Epic’s clients.  Rush selected Hiteks’ Computer-Assisted Physician Documentation (CAPD) service, which includes a proprietary Search, A.I. and sub-second NLP technology that is real-time, configurable and well supported, due to its level of integration with Epic.

According to Shafiq Rab, MD, MPH, FCHIME, CIO and Senior Vice President at Rush University Medical Center, “Hiteks is able to streamline our physician workflows so that all the information required to better understand the patient’s condition as it relates to quality and CDI queries is available within 1 screen and immediately after a draft or finalized note is created. Hiteks’ participation in the App Orchard Program allows us to benefit from the work that Hiteks has done to reduce complexity of interfaces and promote further interoperability between systems so that the net benefit is derived from our physician users and patients under our care. Furthermore, we have implemented this system to ensure efficiency, not staff replacement, with the automated rules defined and controlled through configuration by our CDI and Quality experts.”

Focus on High Impact Alerts for Quality To Improve Patient Care

By enabling speedy queries with fewer false positives Hiteks and its clients have measured over 50% reduction in overall queries compared to a process involving only manually issued queries. Hiteks provides a fast and accurate analysis of the patient’s chart in milliseconds to provide immediate feedback to documenting providers.  Hiteks’ proprietary Search and non-legacy technology are architected in a way that enables it to be configured for new clinical terms, note types, negation and section headings quickly and easily.  In addition, Hiteks focuses its solutions on detecting incomplete documentation from a quality standpoint, ensuring that both quality care (i.e. Sepsis Surveillance) can be improved, along with revenues. Hiteks supports a fully compliant and customizable query configuration environment specific to the needs of each individual customer which bypasses typical software code change required by legacy systems.

According to Gerry Petratos, MD and CEO of Hiteks: “Working with Epic’s Development Teams and its CDI and clinical users, we have helped hospital systems achieve a high compliance with Quality and CDI related suggestions on the front-end to speed physician access to computerized suggestions.  These suggestions are based on query logic controlled by the CDI and Quality staff’s expertise, and delivered through Hiteks’ modern software approach, without forcing a uniform set of rules or query language onto an organization.  All physician specialties are included, including Pediatrics, OBGYN, Surgery, Emergency, as well as quality areas like Sepsis, and prioritized diagnoses like Pneumonia, Acute Renal Failure, Acute Respiratory Failure, Pediatric Asthma, Malnutrition and Obesity.  Others are prioritized based on our agreement with the CDI/HIM and Quality staff to either go straight to the documenting physician without disrupting the physician workflow, or in silent mode go to the CDI staff first to review.  Finally, the information that Hiteks returns to the physician and the physician responses can be tracked to measure the CDI and coding impact, usage statistics and workflow metrics.  We plan to implement ConcurDI For NoteReader CDI at an additional 13 hospitals in June along with ambulatory settings over the summer, followed by a steady growth of users for the rest of 2018.”

About Rush University Medical Center

Rush is an academic health system whose mission is to improve the health of the patients and the diverse communities it serves with nationally recognized health care, education, research and a commitment to community partnerships. The Rush system comprises Rush University Medical Center, Rush University, Rush Copley Medical Center and Rush Oak Park Hospital, as well as numerous outpatient care facilities. Rush University, with more than 2,500 students, is a health sciences university that comprises Rush Medical College, the College of Nursing, the College of Health Sciences and the Graduate College.

About Hiteks

Hiteks is a leading provider of hosted EHR integrated Search, A.I. and NLP software solutions to enhance decision support by enabling real-time feedback to clinicians at the point of care.  Hiteks’ software reviews all the relevant structured and textual data automatically and provides accurate feedback to the EHR in less than one second in a configurable environment. For more information, please visit www.hiteks.com.

Contact Information:
Dave Thomas, Hiteks Solutions, Inc., (212) 920-0929, dave@hiteks.com

Increase Physician Productivity with Scribes plus A.I. & CAPD

While the impact of Medical Scribes on physician workflow and documentation has been well documented with several articles over the past few years (see below links), the impact of A.I. and CAPD is just now being realized and measured.



Since A.I. and CAPD (Computer Assisted Physician Documentation) are the latest technology enhancements to physician workflow, Hiteks has embarked to measure the impact in a controlled study of its Insight: Real-time Revenue Rescue platform on workflow and documentation.  This 2018 study is being organized which includes the following considerations, including access to Hiteks’  A.I. and CAPD software tools AdvocateMD and ConcurDI powering Epic NoteReader and NoteReader CDI, respectively, at no charge during the course of this study:

Inclusion Criteria: Institutions using Epic versions 2015 or 2017 and who have employed Medical Scribes as part of their workforce for at least 12 months

Study methods: Measuring the before-and-after impact of using Hiteks powering Epic’s NoteReader and/or NoteReader CDI software tools in these 4 areas:

  1. Reimbursement per physician
  2. Query rate per physician
  3. Down-coded charts
  4. Number of encounters per hour per Scribe

Since 2014, Hiteks Solutions Insight: Real-time Revenue Rescue software has been providing physicians advanced real -time Clinical Decision Support inside the Epic EHR.

You could think of this study is a little like… John Henry vs. the Steam Powered Hammer.  

For more information, please contact info@hiteks.com or call us at 212.920.0929.

What Differentiates Hiteks’ Insight™ Platform From Other CAPD Software Solutions?

Hiteks Solutions Inc. is a clinical documentation improvement (CDI) software company based in New York City. We focus on highly accurate Artificial Intelligence (A.I.) sub-second clinical natural language processing (NLP) inside the EHR. Our Insight™ solutions are currently the fastest, most accurate and widely adopted A.I. / NLP solutions to be integrated with EHR systems. Our vision, speed, accuracy, configurability, security, proprietary knowledge bases & support have allowed us to connect with healthcare providers throughout the country. We have over 100 hospitals and large medical practices as clients in over 15 states. Here’s why so many healthcare facilities are choosing Hiteks’ ConcurDI, which powers Epic NoteReader CDI in Epic version 2017:

1. Comprehensive Coding Rules

Instead of having to rely on untimely and incomplete knowledge from back-office staff who perform manual reviews, physicians now have all reimbursement information at their fingertips as soon as they complete their notes. This includes the following up-to-date insurance-specific information, which is based on Hiteks’ experience and proprietary reference knowledge of millions of rules:

  • NCCI Edits
  • ICD Rules
  • PQRS Rules
  • MIPS Rules
  • Specialty Bundling
  • A.I. Insight RecognitionTM

2. The #1 fastest fully integrated Epic EHR solution:

10x faster than any other NoteReader CDI solution currently on the market, Hiteks’ ConcurDI has a 2-second average response time (1 second Hiteks response + 1 second added for network latency). Competitors’ system response times are typically over 10 seconds and support only “silent mode” because they are not accurate enough for real-time, often causing providers to move onto their next patient without responding to the CDI clarification. With our CDI solution, providers will never have that problem.

3. Requires no manual HIM review:

Providers can simply click and the documentation process will be complete. We have tested and continuously improved the knowledge base associated with the algorithms that are finding the evidence in support of a CDI query.

5. Over 90% specific and sensitive, which is more than competitor solutions:

Hiteks’ ConcurDI utilizes Coding Rule Specificity and has built in medical necessity knowledge, which identifies incomplete clinical terms and suggests possible specificity modifiers during documentation. It also identifies areas that lack appropriate justification for a reimbursable diagnosis or procedure. This leads to fewer false positives and false negatives, as well as less alert fatigue and 30-50% fewer pending queries to answer.

6. Employs multiple processing formats:

Hiteks is the only vendor to offer a CDI solution with execution in Synchronous and Asynchronous modes.

–  Synchronous: Provides immediate (<2 seconds) response time to physicians who are in the process of completing a note. This enhances claims coding capacity and compliance while reducing time spent on revenue cycle. Synchronous in NoteReader CDI allows providers to significantly reduce the amount of time spent on returning to their patient’s chart to manually review CDI Queries.

–   Asynchronous: Provides validation of queries for CDI/HIM/Quality in “Silent Mode” which is especially useful for testing and refining real-time Synchronous logic.

 7. Encryption and storage of all data exchange:

This ensures the protection of all patient health information (PHI). Unlike legacy vendors who use Microsoft platforms, Hiteks leverages more secure Linux systems.

8. Intuitive configuration customization without the need for software code adjustment:

Hiteks’ User Customization Menu allows Hiteks users to add their own local terms or abbreviations for their clinical specialization by searching through SNOMED terminology in the Terms section. ConcurDI is deployed as a service API for CDI Designer, which allows client personalization through custom GUI configuration without having to use Epic “Silent Mode”. Hiteks also has a default configuration that can be used out-of-the-box.

9. 100% customer satisfaction guaranteed:

Clients can expect a guaranteed return on investment (ROI), as we use clinical benchmarking, metrics and analytics to constantly improve our clients’ operational and financial performance.

For more information on ConcurDI, Hiteks’ state of the art CDI solution, which powers Epic NoteReader CDI and is one of our CAPD solutions in the Insight: Real-Time Revenue Rescue™ suite, email us today at info@hiteks.com or call us at 212-920-0929. Customers who sign up prior to the end-of-year may be eligible for as much as 50% off the first year’s service or longer depending on the length of their contract. Hiteks provides a 100% Customer Satisfaction Guarantee in our services, or your money back!

Why CAPD Solutions for Coding Rules Are A Necessity For Hospitals

Until recently, a complex and time consuming patient documentation system had forced physicians to either prolong their time spent with patients or rush through the point of care without thoroughly recording their notes. This led to tireless miscommunications in workflow, referrals, and treatment, causing a debilitating number of HIM and insurance claims queries and denials, often resulting in delays or lack of physician compensation. The recent implementation of an expanded ICD-10 coding system has only exacerbated these concerns of thoroughness and accuracy. Moreover, a trend of hospitals employing physicians is shifting the risk to large group purchasers. For these reasons, clinical documentation improvement (CDI) has long required the attention of innovative minds to find new approaches to achieving high compliance with reimbursement requirements and efficiency as the core to revenue cycle improvement.

Hiteks Solutions Inc., a medical informatics software company specializing in Computer Assisted Physician Documentation (CAPD) and Quality Care optimization, has released a software solutions suite as part of the Insight: Real-Time Revenue RescueTM platform that is quickly causing this void in our healthcare system’s documentation and Quality Surveillance to become a thing of the past. AdvocateMDTM and ConcurDITM, which power NoteReader and NoteReader CDI, respectively, are two of the six solutions in Hiteks’ growing suite. They optimize the Health Enterprise Revenue Cycle and provide meaningful suggestions to physicians in real-time at the point of care, enabling medical facilities to streamline workflow and cut the number of physician queries per year to a fraction of what they had been.

Noteworthy Features Of Hiteks’ CAPD Solutions

Easy For Physicians To Use

With the exhaustingly complex documentation system that physicians are legally bound to follow, finding a user-friendly interface for physicians without sacrificing thoroughness and accuracy has become crucial. Other CDI solutions only focus on the CDI Specialist as the primary user and place lesser emphasis on the user experience for physicians. ConcurDI however, is the most intuitive physician-centric CAPD solution available. It is specifically optimized to help physicians focus on key areas within the note that they are writing in real time. It walks physicians through any evidence of inconsistent documentation, discrepancies in coding rules and gaps in medical necessity. All who use it quickly become educated on the latest documentation requirements with only a very brief amount of time spent learning the software’s functions.

Insightful and Constructive Feedback

The software’s feedback function collaborates with its users in real-time by suggesting more thorough specificity with regards to history, possible diagnoses and procedure consistency with what was actually performed. All of this occurs as the physician dictates or types the information into the EHR at the point of care.

Lightning Fast Processing

Among the more remarkable aspects of Hiteks’ solutions is their sub-second response time per note. Most other companies’ solutions require 10-60 seconds for processing. Waiting ten seconds every time a physician wishes to consult his or her device for information or guidance ultimately defeats the purpose of utilizing a fast-acting software solution. But with Hiteks’ ConcurDI, which employs multi-tenant architecture that enables multiple users to simultaneously leverage the scalability of the platform, wait-time during implantation is virtually non-existent.

Hiteks’ ConcurDI, powering Epic 2017 and later versions, is the primary CAPD solution for hospitals and medical offices throughout the country. InsightTM tools have been powering Epic NoteReader since 2014 and now power NoteReader CDI in Epic 2017. To learn more about ConcurDI, or any of Hiteks’ other solutions in their Insight: Real-Time Revenue Rescue™ suite, please contact us online via info@hiteks.com or by phone by calling 212-920-0929. We’d also like to encourage you to schedule an informative demonstration of our product suite, which you can easily do by simply filling out a form with your contact information. Finally, customers who sign up before the end-of-year may be eligible for as much as 50% off their first year’s service or longer depending on the length of their contract. We provide a 100% Customer Satisfaction Guarantee in our services, or your money back!

In Case You Missed The ACDIS Round Table Discussion

The Association of Clinical Documentation Improvement Specialists

You may recall that as of around this time last year, Clinical Documentation Improvement (CDI) professionals now have to educate themselves on as many as 2,600 changes to the ICD-10 system. Earlier this week, on Wednesday, November 2nd, the Association of Clinical Documentation Improvement Specialists (ACDIS) held a conference in which they discussed the challenges of adopting new codes into the medical workplace. More specifically, they addressed the difficulty of educating physicians on the recent changes.

Among the changes were new stroke scale scores. There were also new codes for diabetes, hypertension, heart disease, pancreatitis, and many more. It’s crucial for CDI professionals to learn these new codes so that they can effectively query doctors. Above all, the purpose is to allow documentation to become more exact in its approach. This should allow doctors to have a better idea of the status of their patients as soon as they see them.

But they didn’t just talk about the challenges of the changes in this conference. They also went over the advantages. They focused on the opportunities that these changes will provide to clinicians and CDI professionals. Now, assuming we can integrate the changes swiftly and effectively, all healthcare professionals will soon be able to communicate more precisely what the nature of patients’ illnesses.

By the end of the conference, all participating members should have been able to independently complete the following tasks:

Adapt CDI Practices To Meet The Latest Official Coding And Reporting Guidelines:

Like everything in medicine, we have a responsibility to constantly look to improve. With our efforts to move forward we must also strive to adapt with the times. With conferences such as the one that took place yesterday, we can learn to be more effective in our jobs.

Assess The Latest CDI Queries Regarding Whether They Require Updates:

Employees in medical facilities should not only be able to respond to new changes. They should also have enough familiarity with the new coding changes to spot when certain sections have not yet made the necessary changes. The goal is to make these new codes common knowledge amongst everybody. And that entails the spreading of information in pursuit of cohesive literacy.

Identify CDI Target Areas:

As mentioned, we must always strike to improve. That means always keeping an eye out for areas in medicine that are not as good as they could or should be. By working together, we can encourage everyone to be more proactive in their search for a better, more effective medical industry.

Develop Strategies For Reviews And New Opportunities Moving Forward:

In addition for retaining a certain eye for improvement, it’s also crucial that we know how to implement those changes. That’s why this conference included a section on how to develop reviews that make clear how ideas for the future can be put in motion.

Hiteks Solutions Inc. offers the best in clinical documentation improvement software. Our goal is ensure the Association of Clinical Documentation Improvement Specialists that they can have confidence in their changes. In pursuit of getting all healthcare professionals on the same page, Hiteks is here to make the transition easier. Our software makes the coding and communication process between all participants smooth and easy. For more information on our various packages, give us a call at 212-920-0929.

How Hiteks Excels Where IBM’s Watson Fell Short

You may recall the IBM supercomputer Watson obliterating Ken Jennings in Jeopardy! some years ago and thinking we’ve reached the pinnacle of artificial intelligence. But new research on Watson’s inability to independently learn new information reveals its limitations in the medical field as decision support software. Medical technology publication Healthcare Informatics recently published a piece describing how engineers must manually upload information to the computer’s database. With the rise of machine learning, Watson’s dependence on human overseers leaves it now comparably among the most basic forms of artificial intelligence in the field.

The Root Of The Problem

The problem lies in the sheer enormity of information in the medical field. Not to mention that terminology and clinical documentation protocols continue to evolve without standard instructions for the protocols. Now more than ever, with the implementation of ICD-10 compliance and other clinical terminologies important for Quality like SNOMED, coding systems that contains tens of thousands of codes overall, the prospect of loading and organizing all relevant logic that incorporates the knowledge bases in the medical field individually is time consuming and thus unsustainably expensive due to labor costs.

For these reasons, using Watson as a resource for clinical decision support and knowledge discovery ultimately runs contrary to the fundamental advantages of artificial intelligence. Because Watson must depend on humans to adapt to this vastly expansive assortment of information that is often in flux, it is ultimately unfit for the job when compared to newer approaches which do not rely on domain experts but rather advanced knowledge engineering.

Why Hiteks’ Machine Learning Capable Solutions Suite By Insight Is Distinguishable From Watson

Meanwhile, medical informatics company Hiteks Solutions has picked up where IBM left off. Hiteks’ Insight: Revenue Rescue Suite approaches knowledge base development in a practical way that initially does not try to eliminate the need for a physician, nurse or CDI Specialist. Hiteks’ CDI software utilizes the latest in machine learning artificial intelligence to offer gentle suggestions at the moment the documentation is created in the EHR to improve CDI and quality which improves billing and provides a strong ROI for introducing the Hiteks software. Our cutting edge medical software evolves automatically without the need for human intervention. As a result, we have managed to enhance virtually all aspects of health care that once caused relentless tension and frustration for patients, providers, hospital billing and insurers for years.

Enhanced Patient Care

With Hiteks’ AccessRX, providers now have the resources to anticipate how contraindications for medications may affect each patient before and during the point of care. This leaves providers better equipped to prescribe the correct medication and dosage the first time around. This would not be possible with Watson, as it lacks the capacity to learn independently a patient’s chart and anticipate its effects based on the patient’s medical history.

Enhanced Clinical Research

Imagine if a physician diagnoses a patient with a rare disease for which important and useful research is still ongoing. It would be in the patient’s best interest to have access to those who are interested in developing a cure and would presumably be willing to consent to participating in a study in pursuit of the cure. Until now, researchers were unable to reach most patients who were eligible for their clinical research studies because they simply did not know where they were. With Hiteks’ AccessCT, which learns automatically who is eligible by drawing from a central EHR database, suggests participants for studies on a national scale. Again, this would not have been possible with the capacity for machine learning.

Streamlined Health Administration

ICD-10 was implemented as a means of improving the available financial claims data from a provider, which requires clinical documentation improvement (CDI) by providers to ensure their documentation is compliant. But due to its expansiveness, such improvement can only take place with the assistance of a software that can store and analyze it in real-time. Hiteks’ CDI software, ConcurDI does just that, and it does so within less than a second. Without it, abiding by ICD-10 protocol manually would take months, leading to complications in provider compensation and patient reimbursement by insurers. What’s more, ICD-10 is subject to change as new research comes out. To depend on humans to adapt with each evolution in the coding system would once again be overly time consuming and ultimately defeat its original purpose.

Learn more about Hiteks’ Insight: Real-Time Revenue Rescue suite, powering hospitals across the nation with lightning speed machine learning, by dialing 212-920-0929.

Hiteks Joins with Epic’s App Orchard and Wolters Kluwer’s Sales Teams

Hiteks Joins with Epic’s App Orchard and Wolters Kluwer’s Sales Teams to Optimize Patient Care with Simplified Access to Hiteks Real-Time Analytics Apps that Provide Immediate Decision Support within Physician Workflow

Hiteks has entered into two important new collaborations to simplify and reduce prices for accelerated access to its cutting edge physician applications. They have the industry’s fastest real-time, POC, clinical sub-second natural language processing (NLP) and artificial intelligence solutions which comprise its Insight: Real-Time Revenue Rescue platform. The initial applications from the Insight platform include the following:

The first collaboration this summer started with Epic of Verona, Wisconsin. Hiteks joined Epic’s App Orchard program as one of its early vendors to provide more seamless access to its physician decision support and analytics tools that can be accessed by any of Epic’s health system clients. Hiteks and Epic have been partnering since 2013 to integrate the artificial intelligence and Natural Language Processing capabilities of Hiteks’ Insight: AdvocateMD which powers computer-assisted physician documentation (CAPD) through the Epic NoteReader module for clinical documentation improvement. By embedding that CAPD tool within Epic, physicians can get feedback at the point of care as provider organizations work to improve severity-adjusted quality scores and better understand reimbursement and risk adjustment factors to improve care management.

Hiteks has the most Epic hospitals using NoteReader and now will launch their NoteReader CDI web service within the App Orchard to promote more seamless access to another important physician documentation tool which allows for automated CDI queries and text-insertion to improve documentation through a single click. The overall impact for Epic’s physician users will be availability of the latest artificial intelligence and NLP technology to enhance decision support, population health and individual patient outcomes.

The second collaboration this summer was with Wolters Kluwer Health. Besides re-selling of a web service that supports Sepsis Surveillance, Hiteks was able to strategically position its products with others at Wolters Kluwer to effectively ease purchasing decisions and prices for potential clients. The result is that organizations who need to comply with strict IT purchasing to reduce vendors and optimize quality of service, can now access Hiteks without having to deal with speech engine vendors who have legacy technology. Hiteks’ advanced platform architecture enables reduced costs and higher accuracy and speed to outperform other solutions on the market. Wolters Kluwer chose Hiteks for these reasons now are able to extend access to Hiteks’ engine to even more health care providers.

Focus on High Impact Alerts for Quality To Improve Patient Care

Besides enabling less alert fatigue through high accuracy of its system, Hiteks also provides the fastest analysis (less than 1 second) of the patient’s chart to provide immediate feedback to documenting providers while they are still looking at that same patient’s chart. Hiteks’ proprietary and non-legacy technology are architected in a way that enables it to be configured for new clinical terms and Note Types much more quickly and easily than the speech engine vendor technology, which has been acquired from legacy companies many years ago.

In addition, Hiteks focuses its solutions on detecting incomplete documentation from a quality standpoint, ensuring the improvement of both quality care and revenues. Competing vendors only look at revenues, missing the opportunity to intervene with targeted alerts to providers at the point of care. Hiteks advanced its knowledge base of Explicit and Implicit Diagnoses through multiple years of feedback from thousands of clinical users and by having skilled physicians on its management team.

According to Gerry Petratos, MD and CEO of Hiteks: “Working in collaboration within Epic’s Development Teams and the Wolters Kluwers teams, Hiteks’ real-time analytics software helps improve our clients’ ability to respond immediately to documentation improvement and quality conditions. High compliance from physicians only comes from real-time feedback to data or documentation detected in the patient’s chart. Quality conditions like Sepsis, along with other prioritized diagnoses (Malnutrition, Pneumonia, Heart Failure, etc.) within physician’s clinical documentation related to clinical specificity impact charge capture that effects coding accuracy, revenue, and the overall productivity of clinical teams.

Hiteks has guaranteed the success of operational financial performance by incorporating clinical benchmarking and analytics into our clients’ data metrics from physician behavior to improve clinical outcomes. This data underpins an organization’s ability to achieve a positive financial impact of high-value care, with improved quality and clinical outcomes at a lower total cost of care. Hiteks’ participation in Epic’s App Orchard program allows us to efficiently access the appropriate Epic interfaces and work with Epic’s Development Teams so that implementation is simplified to minimize the IT burden with the savings passed on to clients.”

For more information about Hiteks’ Insight: Real-Time Revenue Rescue suite, dial 212-920-0929 today.

The Future Of CAPD And ICD-10 Processing Software

Hiteks has teamed up with leading EHRs to deliver a suite of real-time Computer-Assisted Physician Documentation (CAPD) software set to open the doors to the highest functioning healthcare billing system in history.

Healthcare is changing. Fee-for-service and value-based care, coupled with the adaptation of new ICD-10 compliance standards, has left insurance companies in a position to deny coverage to those who fail to follow the proper coding system protocol. But because of its complexity and expansiveness, clinicians are overwhelmed, as they struggle to adapt to a system that pools tens of thousands of codes into a single documentation and billing system. The demand for thorough clinical documentation improvement (CDI) software has never been greater. Here’s a brief explanation of how Hiteks is addressing this problem to bring CAPD functionality directly to physicians in their workflow, bypassing many of the queries or inappropriately coded charts.

HCC Risk Adjustment

AdvocateMD powers Epic NoteReader and serves as the flagship solution of Hiteks’ expanding Insight: Real-Time Revenue Rescue suite. Hiteks automatically codes all relevant HCC risk adjustment, MCC, CC, and DRG diagnoses in real-time. It is a software solution that utilizes artificial intelligence to minimize the amount of time spent on documentation by optimizing notes, monitoring quality, and providing immediate (within one second) feedback to providers. Feedback includes specificity of diagnoses, suggested treatments, and what information in the provider’s notes is missing or requires further investigation and/or documentation.

Hiteks allows providers to cover their bases more thoroughly prior to presenting their notes to the billing department. This, in effect, lessens the number of coding queries, which has been an issue that has delayed processing for years. The result of AdvocateMD in the medical workplace will be faster and more accurate compensation to physicians, as well as better and more immediate coverage for care and prescriptions to patients.

Workflow And Case Mix Index Optimization

Hiteks’ CDI software, ConcurDI powering Epic NoteReader CDI, also acts as a centralized source of information and data. This streamlines workflow, allowing for better communication between providers, which leads to higher provider and patient satisfaction. Through a single click providers now have the ability to add documentation into their EHR to optimize Case Mix Index (CMI) and Risk Adjustment Factor (RAF), keeping the CDI, HIM and CFO functions happy.

Hiteks Solutions is a collection of physicians and technology specialists who have a vision of a more cohesive healthcare community. To learn more about Hiteks’ Insight: Real Time Revenue Rescue suite and how it’s changing the way physicians and other healthcare providers think of HCC Risk Adjustment, Case Mix Optimization, CDI, ICD-10 compliance, and Enhanced Surveillance and Quality Monitoring, contact them via email at info@hiteks.com or by phone at 212-920-0929.

Prime Healthcare Chooses Hiteks to Implement Real-Time Sepsis Surveillance at 25 Hospitals Nationally

(New York, NY – May 16, 2017) – Hiteks Solutions Inc., a medical informatics software company focused on EHR integrated clinical workflow solutions, was selected by Prime Healthcare Services, a nationally recognized health system with 44 hospitals in 14 states, to be the software provider for the improvement of Prime Healthcare’s real-time active sepsis surveillance and other quality conditions.

Sepsis, due to its rapid onset and the diverse assortment of variables that influence the nature of how to treat it, is the single most lethal illness in American hospitals and is actively monitored and reimbursed by CMS for provider compliance with Core Measures reporting bundles. Hospitals that show compliance with sepsis Core Measures have also been shown to reduce morbidity and mortality in patients who succumb to sepsis and related conditions (i.e. severe sepsis, septic shock).

According to Hiteks’ CEO Gerry Petratos, MD, MS: “Computerized methods have previously been shown to have a positive impact on sepsis quality care and clinical workflows due to the enhanced ability to identify potential cases through data algorithms applied to clinical records.” Hiteks continuously applies its clinical Natural Language Processing to find infection sources, and artificial intelligence software to identify lab results and vital signs from real-time data feeds from the EHR system. Once a combination of the triggers are found which meet the SIRS (Systemic Inflammatory Response System) criteria, Hiteks issues alerts, which have been found to be over 90% predictive of a sepsis case, to the performance improvement team who in turn will contact the charge nurse and/or hospitalist in charge of that patient. These alerts provide advice on the current status and next steps such as initiating a sepsis protocol or administering fluids or antibiotics. Prime Healthcare and Hiteks extract data from MEDITECH and Epic to provide data availability from the EHR system which enabled the Hiteks software to be applied as a hosted service.

According to Prime’s Performance Improvement team, “We were looking for the best solution on the market to enhance patient safety. The solution needed to integrate into our MEDITECH and Epic environment with a high predictive value for sepsis, severe sepsis and septic shock. In addition we wanted to ease the resources required to manage the process of active surveillance, intervention and abstraction to surpass the 75% threshold required to meet the CMS Core Measures. Hiteks proved to be the right vendor and it has been a positive experience working with the team to achieve our clinical, quality and reporting goals.”

Clinical Challenges in Sepsis Surveillance

According to Hiteks’ Chief Medical Officer, Martin J. Coyne, MD, MS: “The greatest challenge with sepsis is in determining the timing (known as Time Zero) of the specific diagnosis in a family of Sepsis conditions from which the patient is suffering. This varies between latent/early sepsis, sepsis, severe sepsis, or septic shock. Physicians must make this determination in a timely manner, typically within a 3-hour window which requires a sepsis protocol to be initiated to improve the chances of cure. Depending on the nature of the patient’s illness, physicians must adapt the mixture of fluids, antibiotics, vasopressors, and in some cases steroids accordingly. But due to sepsis having such a rapid onset, the window of time in which physicians must be able to make this determination is too small (3 hours) to make on his or her own.” Hiteks continuously processes structured lab (Lactate and Creatinine) and vital sign (Temperature, Heart Rate, Blood Pressure) data, along with mentions of infection sources (Pneumonia, Appendicitis, etc.) and chronic co-morbidities in physician notes to more quickly diagnose sepsis within the 3-hour window.

Hiteks introduces textual identification of infection sources in combination with the Systemic Inflammatory Response (SIRS) criteria to enable a high true positive rate when it comes to Sepsis surveillance. In addition, Hiteks uses chronic diseases identified in the notes to adjust lab result thresholds (i.e. Lactate, Creatinine) so that these do not create false positives. This has improved patient safety and helps healthcare systems to benefit from automated surveillance to increase quality scores due to the higher likelihood that Hiteks can identify cases sooner. Finally, Hiteks reduces the resources required to abstract data for Core Measures reporting, saving time and money to achieve an accurate compliance rate with CMS.

About Hiteks Solutions:

Hiteks is a leading provider of hosted EHR integrated software solutions with its Insight: Real-Time Revenue Rescue platform enabling real-time feedback to clinicians at the point of care. Hiteks is implemented in over 60 hospitals in over 15 States, and is doubling its clients this year. HIteks’ software reviews all the relevant structured and textual data automatically and provides feedback to the EHR in less than one second. For more information, please visit www.hiteks.com

About Prime Healthcare:

Prime Healthcare is an award-winning national hospital system with 44 acute-care hospitals providing more than 43,500 jobs in 14 states. Fourteen of the hospitals are members of the Prime Healthcare Foundation, a 501(c)3 public charity. Based in California and one of the largest hospital systems in the country, Prime Healthcare is committed to ensuring access to quality healthcare. It has been recognized as among the “100 Top Hospitals” in the nation 38 times and among the “15 Top Health Systems” three times, and is the only “10 Top Health System” west of the Mississippi. For more information, please visit www.primehealthcare.com.

Hackensack Meridian Health Implements Hiteks’ Real-Time Physician Insight Technology to Optimize Diagnoses and Quality Care

NEW YORK – April 26, 2017 – Hiteks Solutions Inc., a medical informatics software company focusing on EHR integrated clinical workflow solutions for physicians, announces that Hackensack Meridian Health has chosen Hiteks to power Epic’s NoteReader module, which prompts physicians to add suggested Diagnoses and Medications directly from the physician’s Notes. Hiteks also helps translate clinical diagnoses into ICD-10 compliant terms that are compatible with back-end claims coding solutions to improve revenue cycle.

Hiteks’ Insight solution integrates with the EHR clinical Notes workflow to immediately suggest new and more specific diagnoses in physician documentation. This not only reduces the amount of time physicians must document for each patient, but also allows for more accurate concurrent coding of HCC, MCC/CC, and Quality diagnoses. The benefits of clinicians using Hiteks’ powered solutions include fewer coding queries, higher CMI and RAF scores due to the enhanced clinical specificity in the record, and fewer false positive, non-specific and redundant alerts for quality issues. By optimizing the clinical documentation process, physicians can focus on patient care instead of looking up or responding to clinical specificity queries and quality alerts.

According to Dr. Lauren Koniaris, CMIO at Hackensack Meridian Health, “Hiteks software is integrated into the clinical workflow and enables physicians using the software to have higher compliance with its suggestions. The Epic integration is truly a time saver and seamless experience for the clinicians.”  Hiteks initially implemented its solution at Hackensack University Medical Center within Epic Care version 2014, and then upgraded its configuration for Epic Care version 2015 in Inpatient, ED and Ambulatory systems. Dr. Sarah Timmapuri, Chief Quality Informatics Officer and a practicing Cardiologist at Hackensack Meridian states that “the impact we are having on physician documentation across our enterprise workflow is significant. We’ve found that doctors who use NoteReader have significantly fewer queries and greater control and reconciliation of the problem list. Hiteks identifies new diagnoses otherwise kept hidden in Physicians’ Notes along with Echo and other procedure and pathology reports. In addition, it helps ease Problem Oriented Charting by helping to maintain the Problem List.”

Dr. Gerry Petratos, CEO of Hiteks since 2011, states: “Hiteks’ mission as an innovator has always been to constantly find ways to get the right information directly to physicians with high accuracy and speed. That’s why we’ve developed a state-of-the-art documentation surveillance solution which helps identify deficiencies and missed financial opportunities as early as possible to be able to correct them through a single click by a physician. This automation frees up significant time for administrative HIM staff to be able to review the entire chart and focus on applying coding rules that are not as easy for a computer to accomplish, such as lack of diagnoses and adding medical necessity justification for any particular diagnosis.”

In the ambulatory setting, Hiteks offers further specificity in the diagnostic process, which it draws from an amalgamation of variables from the History of Presenting Illness (HPI), the patient’s medical history and any relevant information regarding the nature of the patient’s illness. Hiteks’ solutions support risk-adjustment for outpatient payment models by optimizing Hierarchical Condition Categories (HCC).

In 2013 Hiteks began its collaboration with Hackensack Meridian Health to create a suite of applications with high return on investment for both financial and patient safety metrics. Hiteks differentiates from other solutions with its speed, accuracy and configurability by incorporating a modern clinical Natural Language Processing (NLP) engine with artificial intelligence and insurance algorithms that allow physicians to document more efficiently, thoroughly, and immediately while improving their compensation and quality scores. Hiteks enables enhanced EHR usability by providing immediate feedback to physicians at the point they are finishing their documentation, while the patient is still being seen. Maintaining an updated problem list also helps reduce the alert fatigue that comes from EHR alerting functions by suppressing alerts when a particular diagnosis, sign or symptom is present.

About Hiteks Solutions:
Hiteks is a leading provider of hosted EHR integrated software solutions with its Insight: Real-Time Revenue Rescue platform enabling real-time feedback to clinicians at the point of care. HIteks’ software reviews all the relevant structured and textual data automatically and provides accurate feedback to the EHR in less than 1 second. To contact Hiteks please visit www.hiteks.com.


Contact us for information on our products and services.
For those who schedule a demo, we offer a complementary yoga mat to promote good health and wellness.