Why ConcurDI: Hiteks’ Real-Time CDI Is The Answer To A Growing Paradox In Medicine

Learn all about Hiteks’ integrated Epic NoteReader CDI solution: ConcurDI. Hiteks’ is an innovative Real-Time Solutions company focused on Clinical Documentation Improvement software that always has the physician at heart. To learn more about us, have a look at our homepage.

The Rapid Evolution Of Medicine

We are witnessing a transition in the healthcare industry. As the medical community continues to release new research and innovative technology, the standard for quality of care grows at an exponential rate. What is possible today was but a distant objective ten years ago. The expectations we have for our physicians have vastly evolved in a relatively short span of time. Simultaneously, a complex and unstable health insurance system that some say is approaching a phase of instability has caused the cost of such high quality care to soar.

The Paradox Caused By Our Health Insurance System

The paradoxical demand for high quality care at an affordable rate continues to grow. Finding a solution has been intimidatingly complex. And yet, it is crucial to the future of our healthcare system. The first step is to develop a more efficient physician documentation system. This will allow for faster and more effective physician to patient care and shared decision-making. In order to keep up with the industry’s changing climate, physicians must document their interactions more thoroughly. At the same time, they must cut the time spent on recording information to a fraction of where it’s been. Similarly, patients need to review and respond to this documentation.

The Solution

It was a tall feat and we have technological innovators like Hiteks to thank for filling the void. Hiteks has birthed real-time Clinical Documentation Improvement (CDI) software that will allow physicians to navigate the evolving nature of the healthcare and health insurance industries like never before. We call our solution ConcurDI from our Real-Time Revenue Rescue Insight platform. It’s the latest in CDI software and it’s already the solution to physicians’ problems in hospitals across the country.

ConcurDI: The Latest In NoteReader CDI Solutions

ConcurDI is vendor neutral and is integrated with Epic and other EHRs. By utilizing this innovative Hiteks Solution, physicians will be able to significantly reduce queries and denials. They will also be able to increase Risk Adjustment Factor (RAF) and Case Mix Index (CMI). They will have the capacity to streamline crucial information that they record about their patients to their colleagues, allowing all physicians to work more cohesively towards bringing their patients back to health. The result will be greater efficiency due to a foolproof centralized workflow system while simultaneously raising satisfaction amongst patients.

Enterprise Clinical Natural Language Processing (cNLP)

This gives physicians the ability to create their documentation, allowing them to place more attention on their patient and less on their paperwork. The cNLP feature of ConcurDI automatically sifts through bulk of physician narratives about patients and locates ICD-10 opportunities while separating poorly specified information. Hiteks’ cNLP is the only medical-focused NLP platform in the industry, having been designed and created from the group up by Hiteks’ medical informatics-trained engineers.

If you would like to learn more about Hiteks’ ConcurDI, powering real-time NoteReader CDI technology, you can reach us at 212-920-0929.

3 Limitations Of Current CDI Efforts

Traditionally, Clinical Documentation Improvement (CDI) has had ambitious intentions. But ultimately, it hasn’t met the standard that our patients and physicians deserve. Gigantic voids in patient data documentation and coding practices have left physicians with insufficient information to perform proper care on their patients. It’s also left coders with insufficient information to pass to billing. And finally, this ultimately results in physicians receiving inadequate compensation for their services. The doctors of the United States devote over a decade to learning to do their jobs right. That’s why it’s time that we show our appreciation. Here are the three biggest limitations of the current CDI efforts, and what Hiteks is doing to fix them.

Resources:

As of now, the current standard CDI efforts leave physicians and coders with limited resources. They are unable to prioritize the encounters and sections of a patient’s medical chart because organizing resources is a complex and time consuming endeavor. Physicians have had no immediate means of knowing what supplies and resources are available to them at the point of care. Hiteks’ Real-Time CDI software automates that entire process. This way physicians will have all of the necessary resources readily available as soon as they need them.

Workflow:

A healthcare facility involves a lot of moving parts. With a well oiled machine, everyone would know their role, allowing optimal care and billing practices. Unfortunately, without a central database, workflow always tends to lag. Hiteks’ software takes the streamlining of workflow to new heights. It connects clinicians and their compliance with queries by minimizing the disruption of regular workflow. This way everyone remains on the same page at all times.

Communication:

Healthcare professionals learn in their training the importance of thorough documentation. The only problem is that different physicians will often make conflicting analyses and offer conflicting treatments to patients. And this doesn’t just apply to doctors, but to all professionals participating in the treatment of a patient. With poor communication, health professional run the risk of misdiagnosis, improper dosage or administration of medications, and all around poor treatment of patients. Hiteks’ provides the means for all health professionals to communicate through a central platform so that nobody gets left behind on a patient’s status. Enhanced communication also allows all participants to learn from one another, ultimately leading to a more informed, skilled and faster working staff.

Hiteks has nothing but the best of intentions for healthcare providers. With the help of our software, all members of your facility have greater access to more resources while enjoying streamlined workflow and clearer communication with colleagues. To learn more about how Hiteks is raising the standard for CDI efforts, give us a call at 212-920-0929.

Hiteks Delivers VigilantQA With Its Professional Package

Healthcare billing in the United States involves a rigorously complex chain of events. It requires cooperation between a range of individuals and departments. This inherently means that there’s a high margin for error. Moreover, healthcare billing standards remain in constant flux due to an imbalanced political climate. As it stands, if either Medicare or Medicaid notices that one or several physicians have been improperly billing patients or insurance companies, the entire facility for which the physicians work runs the risk of falling victim to potentially detrimental audits, clawbacks and legal action. What starts as a careless mistake often metastasizes into a series of inappropriate measurements and indicators. And this can lead to poor patient satisfaction and reduced revenues.

How Doctors Can Inadvertently Bankrupt Their Employers

During patient examination, a physician must determine the nature and severity of the patient’s visit. The doctor must determine how many of the patient’s systems he or she should check. He or she must base this decision on a series of variables, namely the patient’s medical history, how many visits he or she has had in the past year, and whether he or she is showing any signs of distress in particular regions of the body. How many systems that the doctor examines determines what’s called a level. And it’s this level that determines how much the hospital can bill the patient. Then the billing department sends this bill to an insurance company.

The problem is that the level selection process is tremendously complex. Physicians frequently misjudge how many systems they should check. As a result, they can sometimes spend an inappropriate amount of time on each patient. If a physician makes an incorrect judgment when selecting a patient’s level, he or she may end up spending too much time with the patient, thus charging an insurance company an inaccurate amount of money. This, in turn, can lead to poor patient satisfaction and sometimes more severe consequences.

How Hiteks Plans To Protect Hospitals From Their Employees

With the Hiteks’ VigilantQA Software, we aim to vanquish that margin of error. We want to protect physicians from themselves, and thus protect the hospitals that employ them. Our plan is to do so by eliminating the possibility of improper diagnosis and/or inaccurate level selection. We believe that doctors should have real-time reminders and support that’s consistent with the billing system criteria. We also believe that each and every patient should get the time and attention that he or she deserves. With our VigilantQA Surveillance for Sepsis and other Patient Safety Indicators, equipped with automated diagnosis improvement and CDI software, doctors will know precisely how much time they should be spending with each patient and what to focus on.

Hiteks’ software comes in three packages, which we distribute all throughout the nation. To learn more about our products, give our office a call today at 212-920-0929.

What Will Customers Demand From Their Software In 2017?

Over the past decade, we’ve witnessed the rise of artificial intelligence at an unprecedented rate of technological advancement. No longer is AI a feature of science fiction films. We’re 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. It reached 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 is determining what features of new software will be most crucial to 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 expect our software to adapt to complex changes in circumstances. Soon we’ll want our software 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.

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.

4 EHR Trends to Look Out For in 2017

Electronic health records systems (EHR) have advanced substantially over the last few years. More advancements are on the rise for 2017. Hospitals are continuing to upgrade their EHRs because the demands of Meaningful Use requirements (MU) and value-based care initiatives continue to grow. Hospitals will want to incorporate some of these elements into the systems they use. Physicians and nurses want EHRs that will make their lives simpler. And the newest technology can help make this happen. Hiteks Real-Time Clinically Aligned Revenue Cycle Solutions are compatible with any EHR and focus on advanced documentation improvement functionality in a suite of tools which start with the physician, then the CDI Software Specialist and Quality Improvement staff to close the loop on complete communication.

Increased cloud-computing

Healthcare is no exception to being one of the many industries that is making the switch to software applications on the cloud. It’s less expensive for facilities to implement and update EHR plugins and analytics tools on the cloud. It’s also not necessary to frequently buy new hardware when you’re using the cloud. Moreover, EHRs will become mobile-friendly. Healthcare workers need constant accessibility, and the easiest way to do this is from their mobile device. Having a smartphone or tablet in hand makes their lives much simpler when making patient rounds. They also don’t want to be inconveniently tied down to a computer throughout the day. To make this happen, many EHRs will have updated interfaces for complete mobile friendliness. This will lead to more convenience and efficiency for doctors and nurses.

MU criteria of the EHR Incentive Programs

There’s a strong force that’s continuously shaping the direction for MU criteria in the EHR Incentive Programs. The developer of these criteria is the Health Information Technology Policy Committee (HITPC). This committee advises the Office of the National Coordinator (ONC), as well as the Department of Health and Human Services (HHS). These agencies are rigorously following HITPC’s recommendations, and will likely continue to in the future. Furthermore, the third stage of the Meaningful Use program is proposed to begin in 2017. Five policy areas will be the focus of the MU criteria, some of which one of Hiteks’ Real-Time Solutions have already addressed:

• Improving care coordination: Real-Time Physician Diagnosis Optimization and Problem List Management
• Engaging patients and families in their care
• Ensuring suitable security and privacy protections for personal health information
• Improving public health: Real-Time CDI Specialist for Documentation Improvement
• Improving safety, quality, efficiency, and eliminating health disparities: Real-Time Sepsis Surveillance

Monitoring meaningful use progress

The federal government will continue to monitor adoption, certification, progress, and EHR use and misuse. One likely outcome is that there will be new coding guidelines in the near future. Experts also suggest there will be trends including increasing use of natural language processing and more prevalent use of telehealth (virtual appointments). Furthermore, better clinical decision support and greater use of wireless remote outpatient monitoring are likely trends to see in 2017. However, it’s important to note that there could be unforeseen health IT technology breakthroughs that could change EHRs in ways we can’t quite yet imagine.

Building trust in healthcare data exchange

The greatest opportunity for healthcare organizations in 2017 may be building trust. It’s on the list of marketing communication trends for 2017. There’s a relationship between trust, data, and value-based care. Unfortunately, studies reveal there is a continued decline in trust. And it’s time for health technology and services companies to bridge the gap. Proper health data exchange requires share-friendly policies and shared incentives. Most importantly, it also requires trust between healthcare stakeholders. Without trust, stakeholders won’t be willing to make data easily accessible, which will create numerous problems.

Electronic health records are the key to creating health information organizations and networks nationwide. So, being aware of the possible trends for 2017 can prepare healthcare workers, and patients, for a more convenient future. Hiteks Real-Time solutions are compatible with any EHR using Clinically Aligned Revenue Cycle software to improve reimbursement and quality care. Call us today and let us know how we can help tailor our Real-Time Solutions to your needs: +1 (212) 920-0929.

Is Artificial Intelligence the Future of Healthcare?

Massive advancements and ground-breaking discoveries in the artificial intelligence (A.I.) field are changing the landscape for many industries. However, and as strange as it may seem since implications are to potentially enhance health and save lives, the applications of A.I. in healthcare appear to be less common.

Apparently, the presence of high-tech in the healthcare industry seems to be limited to the equipment used in the O.R., the software in the IT department of every hospital and private practice and other gadgets for new innovative procedures.

And so, it looks like A.I applications that will be soon incorporated to the healthcare landscape are those related to patient engagement and communications. Right now, many doctors are relying on software and apps to communicate with patients, provide a higher quality of service and keep patients engaged.

[Related Topics: real-time cdi, epic notereader, notereader]

The creation of online patient portals boosts patient involvement and allows caretakers and patients to benefit from the information available on these easily accessible sites, whilst allowing physicians to establish thought leadership in patient discussions, as well as spotting possible health issues during the screening process.

Other tools gaining popularity amongst physicians are mobile apps. Both doctors and patients seem to be captivated by these user friendly apps that are in everyone’s pockets and allow both parties to benefit from many different functionalities from the palm of their hand. From booking doctor appointments to renewing prescriptions, there are apps helping increase patient engagement and improving communications with qualified physicians. However, few, if any, of these apps are leveraging A.I.

But with the rise of A.I. and machine learning in other industries it seems like the A.I. players of the healthcare industry are losing the race. In spite of tools like our Real-Time CDI software, the incorporation of A.I. in healthcare software and heavy-weight machine learning is developing at a slower pace compared to other industries. However, things will change sooner than later now that adoption of some research-based support tools (i.e. IBM Watson) are stepping into the A.I. health-tech race.

A.I. powered research protocols and new programs for oncologists might help win the battle against cancer in the near future. Additionally, a new generation of “cognitive assistant” with analytical reasoning capabilities and a wide range of clinical knowledge will be the answer to increase productivity and efficiency since repetitive work will be taken care of by these new technologies.

Also, the increasing usage of chat bots will help keep patients engaged and improve doctor-patient communications, making the most of online consultation and remote treatments.

As providers of real-time solutions for the healthcare industry we look forward to the development of better A.I. powered tools that can benefit health care professionals on every level. Hiteks´ Real-Time Communications for providers is a perfect example of how Hiteks will contribute to the A.I. field. To learn more about Hiteks and the solutions we offer, please call us at +1-212-920-0929

Hiteks – To Continuously Exceed Customer Expectations in 2017!

As 2016 begins to wind down, Hiteks reflects on what´s been a great year. Whether you remember 2016 for the political decisions, sporting achievements, or, the passing of your favorite celebrities, it is safe to say that we can all look back at a very interesting year.

Hiteks is determined to continue exceeding our clients’ expectations in 2017.

We take our clients’ needs and wants very seriously and that does not just mean answering your questions in a timely manner – that of course we do! We have an in-house, expert team, who are committed to providing you with the following services as standard:

  • Interactive and hands-on training with our expert staff
  • Continuous education concerning existing products as well as new releases and industry “hot topics” in Clinically Aligned Revenue Cycle such as:
    • Risk Adjustment through HCC Coding
    • ICD-10 Modifiers through a Diagnosis Calculator
    • CDI worklist for the CDI Specialist
    • Sepsis Surveillance for Quality Improvement and CDI
  • CDI process tips as well as tricks and practices of the industry
  • The helping-hand that you may need, with encouragement, support and an occasional surprise

“I do not have as much time as I would like. Is it possible to do much more, even with limited time and staff?”

If you are continuously asking yourself this question, then Hiteks Clinically Aligned Revenue Cycle Solutions are for you!

The entire industry of CDI is changing, growing and expanding. CDI teams are exploring new techniques beyond MS-DRG to include severity of illness, risk of mortality, mortality reviews, clinical validation, and outpatient reviews. They also want to expand beyond Medicare to review Medicaid, commercial and all other payers.

“I know that I cannot review all payers, for all the areas of review, every day because I don´t have enough staff members! Or do I…?”

Information in your EMR, labs, documentation, and other clinical data can help determine which cases are more likely to present with a documentation improvement opportunity and should be reviewed first with limited time. With Hiteks your team receives automatic, prioritized lists of cases for review based on the critical data you already own.

Hiteks is built to combine leading edge technology with extensive clinical and healthcare administrative experience. Its founding partners have had experience in developing and managing state of the art healthcare enterprise software as well as providing sophisticated analytic components.  These complementary skills and viewpoints have enabled the Hiteks team to address the most important problems that healthcare systems deal with today.

Contact Hiteks today at (212) 920 0929 and find out more about their notereader, CDI, and sepsis surveillance solutions.

Inside The Hiteks ConcurDI: Real-Time CDI

Hundreds of hospitals all across the nation are signing up to bring Hiteks to their facilities. Why? Because healthcare is one industry that deserves a clear and easy-to-use workflow system. In no other profession is sound communication more important. That’s why we believe it’s time to move our standards and expectations forward. By using Hiteks’ ConcurDI Real-Time CDI workflow solution, we can make doctors and nurses more effective. Here’s a brief look into some of the advantages doctors and nurses would have upon using our software.

Fewer And More Efficient Queries To Physicians And Higher Risk Adjustment:

An excess of documentation queries can lead to excruciatingly slow and tedious processing and audits, in some extreme cases, can even lead to worsening of patient health. Seeing as how doctors often must see dozens of patients per day, it’s only natural for them to overlook the full specificity of a diagnosis in their documentation every once in awhile. But these small errors can complicate the entire flow of information between all of the necessary people. But with Hiteks’ workflow solution, that won’t happen because physicians are provided a real-time point of care reminder to supplement the relevant data, effectively minimizing the margin of error.

More Up-To-Date Problem List Management:

If each physician must work independently, the chances of one person’s problem list differing from someone else’s is too high. In 2016, with all of the technological resources we have at our fingertips, this is unacceptable. With Hiteks, everyone will manage the same problem list for each patient. So that anytime anyone makes a change or update, everyone will be aware of it.

Safer Patient Care:

Quality patient care depends largely on how well informed the physician is. Because better information, which our software automatically checks and organizes, leads to more accurate understanding of the severity and nature of patient illnesses, which translates to better treatment, the result is better treatment outcomes and safer care. Our customers can attest to this.

Hiteks offers an EpicCare- powered NoteReader solution for physicians along with a CDI Specialist solution for real-time queries that are conducive to both inpatient and ambulatory patient environments. The above information describes our Basic Package, which is now available as a special offer. We also offer a Professional Package and an Enterprise Package. To learn more about what Hiteks can do for you, give our office a call at 212-920-0929.

How Risk Adjustment Software Helps Insurers Adapt To Modern Times

The Affordable Care Act, enacted in January 2014, has changed the face of healthcare in the United States. The bill is best characterized with the three Rs: Reinsurance, Risk corridors, and most importantly, Risk adjustment. Here’s how the risk adjustment program embedded in the Affordable Care Act (ACA) has changed how health insurers conduct business in America.

The Problem That Brought Us Here

The United States is a nation with a capitalist mentality. Historically, we have embedded our values in private enterprise. Government intervention, even for healthcare, is limited to senior citizens. There are many advantages to encouraging competition in the marketplace. But it also entails that the enterprise prioritizes self interest. This can create problems when it comes to health insurance.

For decades, insurers were notorious for denying applicants who had previously suffered illnesses. That included anyone who’d received treatment for conditions that could potentially become expensive for the insurance company in the future. But as a result, people who needed health insurance the most were often denied coverage, simply because they’d had a preexisting condition.

How Risk Adjustment Aims To Fix The Problem

Risk adjustment prohibits insurers from denying applicants the right to insurance due to preexisting conditions. Furthermore, insurers must relocate money that they earn from lower risk clients in order to help fund those with higher risk. This theoretically should eliminate the incentive of denial due to preexisting conditions. Instead, it’s more beneficial for companies to compete based on the quality of their care, and remain open to all applicants. Not just the ones who pose the least financial burden on the companies.

Hierarchical Condition Category (HCC) Risk Adjustment In 2016

The Centers for Medicare and Medicaid Services (CMS) first introduced HCC Risk Adjustment to us back in 1997. But never before has it been so relevant. It is a form of medical coding for billing that helps identify individuals who have chronic or more severe illnesses and conditions. They then assign a score based on the findings, which they determines the cost of care. This is all based on the International Classification of Diseases – 10 (ICD-10) system of codes. A risk adjustment factor score once was the dread of those who were too sick to receive care. Now it’s an opportunity to determine an appropriate plan of action for each patient moving forward.

How HCC Risk Adjustment Software Helps Us Adapt

Hiteks Solutions is a clinical documentation improvement (CDI) software company. We offer mobile device packages to healthcare facilities that allow them to determine an HCC Risk Adjustment score in real time. Our Real-Time CDI technology is appearing all across the nation, allowing insurers and healthcare providers to stay better in touch with patients, coders, documentation specialists.

We are headquartered in New York City but have clients all throughout the nation. Wherever there’s a need for improved documentation practices, we want to be there. For more information on our products, give us a call today at 212-920-0929, or feel free to reach out to us on our contact page.

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