The Challenges Of Physician Documentation Software (And Why It’s Still Worth It)

Computer Assisted Physician Documentation Software

With the spreading trend of clinical documentation software becoming mandatory in healthcare facilities across the nation, some physicians are fighting back against the cause. As is the case with any transition, there are always a number of bumps along the way. We are in the midst of a culture clash between generations. And in a field as sensitive as medicine, resolving such a clash comes with its fair share of challenges. But when it’s all said and done, the fact of the matter is that technology is an asset that we cannot afford to take advantage of. And with enough effort, we can and should get everyone on the same page. But first, it’s important to recognize why this transition into physician documentation software is so difficult for some doctors.

Disrupting The Narrative

Including software into the equation of physician patient interactions can feel like an interference, especially at first. There’s a certain rhythm that physicians craft and develop over the many years of their careers. On top of that, they also tend to think about issues in a certain linear, narrative fashion. The doctor asks the patient a series of questions, the answers of which determine what the following questions will be. But when software determines a percentage of those questions automatically, it disrupts the interaction. This, in theory, can be at the expense of the quality of care.

Why To Overcome The Narrative

Firstly, while such a disruption is reasonable in that change is confusing, it’s not a worthy enough complaint to reverse the movement. This is simply a transition that takes some to grow accustomed to. But it’s thanks to changes like these that humans collectively can now live far healthier lives than those of past generations. In the spirit of moving forward, it’s worth the trouble to make the effort to learn and adapt.

Some Worry The Benefits Of Free Text Will Fade

Also, the routine is different writing something down versus typing something in. Doctors tend to organize things in such a way that makes sense to them. By requiring them to use a device that organizes information in such a way that’s different than what they’re used to can cause them to perform their jobs poorly. Because it is outside of their comfort zone. Additionally, free text allows doctors to take note of aspects of the patient that do not fit a category. For example, if a physician determines that a patient is more frail than he or she appears, this is something that requires a side note. These are the kinds of human aspects that may move become less accounted for with the onset of new technological norms.

How Physician Documentation Software Addresses The Human Aspect

Side notes such as the one described above will not fade to the back of the line. On the contrary, that which does not fit a category will be considered extra pertinent information. The greatest challenge is convincing physicians to adopt a new system. That entails convincing them that this system is better than the one that they are used to. But the evidence is there. And with the proper training and education, we can work towards a more succinct future.

Hiteks Solutions offers quality Computer Assisted Physician Documentation (CAPD) software. We operate out of New York City but deliver to clients all throughout the country. For more information on our various packages, give us a call at 212-920-0929.

Hiteks’ CDI And HCC Risk Adjustment Improvement Software

What Is CDI Software And Why Does It Matter?

CDI stands for Clinical Documentation Improvement. CDI software is what physicians use to ensure that they never miss or forget important information when examining a patient. It also makes it easier to code the information before sending it to the billing department. Over the years, physicians have noticed a recurring issue with data in hospitals. Each time healthcare professionals document information incorrectly, they run the risk of receiving inaccurate reimbursement. In general, the final number is usually far lower than what it should be.

What Is HCC Risk Adjustment Software And Why Does It Matter?

HCC stands for Hierarchical Condition Category. This is the coding process that physicians use to document all of the important details of patient care. Coders then pass this to the billing department. They then interpret the codes and determine the final amount owed to the physician/provider. Reimbursement and billing is an extremely important factor in healthcare. Especially in recent years with new health insurance policies.

Today’s coding system dates back to 1997. The Centers for Medicare and Medicaid Services (CMS) mandated it as a means of improving documentation. Their goal was to keep a closer eye on exactly how much healthcare professionals should be making for their services. But the coding system grew to be incomprehensibly extensive and complex. It got to the point that doctors began to commit silly errors during the documentation process.

A Step By Step Explanation On How Hiteks Is Fixing An Important Problem In Healthcare

Hiteks’ CMI and HCC Risk Adjustment software fills the void that has prevented physicians from receiving proper reimbursement for far too long. That’s because Hiteks’ software allows for better clinical documentation, which studies show leads to a higher Risk Adjustment Factor (RAF) and Case Mix Index (CMI) score. Higher RAF and CMI scores lead to positive adjustment of capitation payments to a plan. And then finally, this leads to higher monetary rewards to the plan’s providers. We have correlated HCC capture with higher CMI, which is why we are certain that our software will make your healthcare facility function more cohesively with fewer silly error. In other words, Hiteks is making sure no one ever misses a step that could result in the improper billing of patients.

Hiteks Real-Time Solutions is a New York City based CDI and HCC Risk Adjustment Improvement Software provider. We provide software for clients all throughout the country with the goal of making American hospitals better. To learn more about our packages, products and services, give us a call today at 212-920-0929.

We Can No Longer Ignore The Severity Of Sepsis

With gruelingly bad news from around the world saturating your a Facebook newsfeed saturated, it’s easy to lose sight of the issues in front of you. We grow outraged over wars halfway across the planet while forgetting about the sick people we have living in our own neighborhoods. Many do not realize that over a million people living within the United States are hospitalized every year due to sepsis. This happens despite the fact that the U.S. enjoys one of, if not the best quality healthcare in the world. Of those million unique annual hospitalizations, half of the people who suffer from sepsis do not survive. Additionally, sepsis is known to cause additional complications to the body, such as lung infections and respiratory distress, which also can result in hospitalization and possibly death.

We Can No Longer Ignore The Severity Of Sepsis

The mortality rate is far too high for the people of the United States to ignore this any longer. It’s time we step up to the plate and find a way to keep people safe from the rapid onset of sepsis and septic shock. The first step is to improve our monitoring of patients. We have a moral responsibility to get these people the proper immediate attention in cases of emergency. Patients should have the comfort of knowing that they are in good hands if they reach a healthcare facility. They should know that no matter what happens, that the doctors and nurses of their hospital will know immediately whenever there is any change in status.

It just so happens that the technology to make this possible already exists and is 100% available. There’s no waiting for the technology to arrive because it’s already here. Hiteks’ Real Time Solutions include the best sepsis surveillance software on the market. With our technologies, you will be able to respond to sepsis with greater immediacy than ever before. By choosing Hiteks, patients can feel safe and can look forward to recovery. Give your patients the confidence in your services that they deserve to have.

Hiteks also offer case mix index optimization, real-time medical scribe software, a medical diagnosis calculator, and much more, all of which is within ICD-10 compliance. The Hiteks missions is to make hospitals become more well oiled and smoother running machines than ever before. One step in making that mission a reality is making sure hospitals have the resources to monitor patients at risk of sepsis all the way down to the second.

To learn all about Hiteks’ sepsis surveillance solutions, along with the rest of their clinical documentation improvement software and to find the package that works best for you, give us a call now at 212-920-0929. Or, if you prefer, please contact us online and we will reply with all a thorough response as soon as possible.

Why CMI Software Raises Revenue For Hospitals

The Importance Of Thorough Documentation In Healthcare

The proof is here and healthcare facilities cannot afford to ignore it any longer. The business end of medicine is a factor that hospitals have a responsibility to address. If they don’t pay close attention to the cost of care, they could do miss out on essential aspects of billing. If a physician performs quality care, he or she has the right to compensation. But the only way to ensure that one is fully compensated for the services performed is if she or he is sufficiently thorough with clinical documentation practices. In today’s interconnected society, the best means of doing so is with case mix index optimization technology.

The Purpose Of CMI

The purpose of the case mix index (CMI) is to maximize reimbursement for each step of doctor to patient care. Clinical documentation improvement software provides physicians with the resources they need to never miss a step. With modern technology, doctors can directly show the nature of the care that they perform. This allows them to seek the proper returns that they deserve for performing care.

The Speed Of Our CMI Software

With the immediacy of CMI optimization software, doctors visualize the nature and severity of cases more effectively at the point of care. Equally important are the documentation specialists who can now analyze the doctors’ notes immediately after they recorded them. They can also now determine codes for doctors’ notes and assign them to fees at the point of care.

Documentation specialists can also determine whether any information is missing or poorly recorded. They can address the issue as soon as it arises. In the past, by the time a specialist would find any mistakes or omitted billing information, so much time would have already past that recovering would be painstakingly slow. Too many times have they not been able to even recover all information, which weighs heavily not only on the individual healthcare professionals involved, but also on the revenue of the facility as a whole.

Are you a healthcare professional? Do you have concerns over the way your place of work handled documentation and billing? Are you concerned about the state of your facility’s revenue? The future is bright and it’s finally here. The answer to your problems is Hitek’s Real Time Solutions. For more information on our unbeatable case mix index optimization software, give us a call ASAP at 212-920-0929.

How Hiteks Will Change The Healthcare Industry As We Know It

There is a reason why the government began to mandate the use of EHR software in hospitals and other healthcare facilities nationwide. The reason is that digital technology an unquestionably more efficient and effective means of operating any business. That’s especially so for businesses within the healthcare industry. The industries that manage to take full advantage of new technologies gain the potential to become a well-oiled machine. That is, provided it has the right software and prepares its workforce to use it effectively.

Coding Is Crucial Due To Complex Health Insurance Policies

In a nation where insurance policies can be gruelingly complex, documentation is key. Now that EHRs are the mainstay, efficiency and accuracy is much higher. Physicians can now document patient conditions for quality and Case Mix (inpatient) and HCC Scoring (ambulatory) faster and more effectively. By entering the data into a system that automatically reconciles between different parts of the chart, coders can draw from well organized patient billing information. This will maximize revenue for the facility as a whole.

What Hiteks’ Software Algorithm Do

Hiteks’ Real-Time Communications software is not just used to improve revenue. It also allows physicians and nurses to be more attentive to their patients. Hiteks offers VigilantQA for Sepsis Surveillance with state of the art proprietary algorithms. Our technology can also plug in existing algorithms from the providers. The algorithms recognize complex medical data combinations and thresholds for multiple clinical specialties. That includes infections disease, heart disease, and nephrology. Now you won’t have to lose valuable patient care time to synthesize data. With our software, you’ll be able to rely on our engine to identify patient conditions that require attention.

Our Technology Organizes Everything For You

With Hiteks’ front end solution, AdvocateMD (powering Epic NoteReader and related modules), you can streamline the process of coding diseases and diagnoses. Every year hospitals lose months to deciphering, transcribing and translating masses of patient information into data codes. Coders constantly have to seek out physicians or nurse practitioners to ask clarification on notes. This slows the billing process and gets in the way of patient care. That burden will no longer exist, thanks to Hiteks. Our technology will automatically organize everything.

Hiteks’ Real-Time Communications Solutions are vendor neutral and are currently integrated with Epic and Meditech EHR Systems. We operate out of New York City and are open for business. To learn more about our AdvocateMD or VigilantQA programs, contact us on our contact page or call us at 212-920-0929 for additional information.

3 Health Care Jobs For Which You Need Under 2 Years Of Schooling

For as long as people are in need of medical attention, health care will always be a booming industry. If you’re in a phase of your life in which you’re debating over where to bring your smarts and services, rest assured that there will always be employment waiting for you in a hospital. The real question is which health care job is best for you personally.One factor to consider, is how technology will is applied to each field. With advancements in CDI software, everything is now a bit more manageable. What kind of commitment are you willing to give to your training? What kind of base salary are you looking for? And most importantly, which job do you find most interesting? In this article, we will give you a rundown of the pros and cons for each.

Registered Nurse (RN)

Nursing is a growing field, however there still remains a shortage in the country. This is a job in which you will have incomparable liberty in your schedule. You’ll typically only have to work three 12-hour shifts and the rest of the week will be yours. The average wage is around $65,000 per year. You will be responsible for providing anything from ongoing inpatient care to advanced emergency cardiac life support.

You only need an associate degree, which means your schooling will be no longer than two years. You’ll also have options to expand your career in the future. A potential downside is that your job will consist much more of patient care than it will of decision making and critical thinking about treatment options. In any case, now when you record patient information, you can use special software that makes the entire process substantially simpler and more efficient.

Radiology Technician

Another option is to become an x-ray tech. You can expect to make a solid $55,000 a year. That’s plenty for you to live comfortably while still saving. You will work with physicians to provide radiological imaging, which means you’ll have to have an extensive knowledge of the anatomy and many diseases. You’ll learn how to give C-T scans, MRIs, and other kinds of x-rays, while operating various types of medical machinery. You can also complete this schooling inside of two years with an associate degree.

Health Information Technician / Medical Coder

If you’re interested in learning about medicine and expanding your knowledge but are not thrilled about performing direct patient care, you can become a coder. You will earn between $36,000 and $40,000 a year. You’ll develop an extensive knowledge of medical terminology, all ICD-10 codes and you’ll learn about the intricacies of the U.S. health care billing system. In years past, this has been a gruelingly difficult and time consuming job due to the complexity of the U.S. version of ICD-10, which has some 70,000+ different codes.

Not to mention the fact that they change every year or so. However, with recent advancements in CDI software, namely the Hiteks ICD-10 compliant ConcurDI, a medical documentation improvement software that functions in real-time and comes with a medical diagnosis calculator capable of providing case mix index optimization, severity of illness analysis and a risk adjustment factor score on a case to case basis. As a result, everything about a coder’s job has become remarkably easier and more accessible, making this arguably one of the most appealing jobs on this list.

If you have any questions regarding Hiteks’ medical medical documentation improvement software, give them a call today at 212-920-0929.

4 Challenges Of Medical Coding And Why It’s Worth The Effort

Nothing worth doing is ever all that easy. Medical coding, which is the system used for medical and billing purposes in healthcare, is no exception. It’s a challenging career path that demands a tremendous amount of attention to detail. You must have a regimented commitment to mastering the craft. However, if you’re willing to go the length, you’ll find a stable and stimulating job waiting for you on the other side. And now, thanks to modern technologies like Hiteks’ ICD-10 compliant ConcurDI Real-Time Medical Documentation Improvement Software, equipped with Case Mix Index Optimization capacities and a Medical Diagnosis Calculator that can automatically calculate the risk adjustment factor score on a case-by-case basis, coding is easier than ever. There’s never been a better time to be a coder. But before you jump into the deep end, here are a few things you need to know about the job.

Distinguishing grey areas:

One of the trickiest aspects of the job is applying a binary mindset to complex scenarios. Rarely is a patient’s condition as simple as it looks on paper. The coder’s job is to take a vague collection of symptoms, medical history and past treatments. The coder then has to translate that into a concrete collection of codes. Then they send that translation to the billing department for processing. These are the kinds of things that require the presence of a trained professional to apply reason where there is nuance.

Learning the codes:

ICD-10, in the United States, has over 70,000 separate codes. That number will likely increase within the next couple months. Hence why training to become a medical coder takes longer than just a single course. Instead, it’s a two year immersion in medical terminology and the adjacent coding that goes with it. It can be fascinating for those interested in medicine, but it is not an endeavor to be taken lightly.

Immaculate attention to detail:

The hardest phase is the beginning, when you’re still familiarizing yourself with the codes and terminology while also having to think critically so that you can organize them accordingly. It’s enjoyable working to solve the puzzle. The process of combining different information drawn from descriptions and doctors’ notes, ultimately arriving at a final code is stimulating. Just keep in mind that it will be a bit tricky in the beginning.

Keeping up on changes:

Understanding an assortment of codes, conditions, anatomy, and other technical terminology is difficult. The fact that it is in constant evolution adds an additional obstacle. ICD-10 codes are regulated and updated practically every year. That creates a wide margin for human error. This is why the assistance of Hiteks’ Real-Time software can make such a significant difference for all parties involved. With our software, coders will be able to do their jobs more effectively and efficiently. This will cut out the margin for human error and speed up the process.

Coding is for those who have an interest in working in the medical industry and have a knack for detail. It’s a great line of work and it has never been a more accessible career than in 2016. To learn more about how Hiteks is changing how we think of medical coding, give us a call today at 212-920-0929.

ICD-10 Compliant Hospital Gains Millions

A hospital in Florida reportedly has successfully managed to reduce its mortality rate by nearly 50%. It made over $70 million in reimbursements within one year’s time. This is all thanks to their compliance with ICD-10. They claimed this has led to a dramatic improvement in the integrity of their medical quality management.

This was an initiative that integrated workflow-driven software for diagnosis and documentation optimization. As result of this initiative, they have started a revolution in healthcare. The next phase will be additional accuracy and speed in how patients’ clinical statuses are translated into coded data.

The hospital has reportedly just completed an expansion this month that reaches across eight separate affiliated hospitals. This underscores the speed in which the software is influencing how facilities organize workflow. In time, ICD-10 optimization software will soon become a norm throughout each of its eight affiliates.

Florida isn’t the only place where ICD-10 improvement software is transforming the medical field. It’s happening all throughout the country. Workflow is becoming more organized and functional in healthcare than ever before. Cerner is also not the only EHR to integrate this technology. Epic has been listening to its clients and working collaboratively with organizations like Hiteks to implement Real-Time Communications to provide Diagnosis and Problem-List Calculators within its documentation process. These Calculators simplify the selection of qualifiers for ICD-10. This clarifies coding and quality functions and decreases clinical complications.

About Hiteks:

Hiteks and its Real Time Communications Solutions operate out of New York City and has been open for business since 2011. Hiteks provides the very latest in software architecture and its technology stack combines a state of the art modular design with extensive validation. We support some of the highest quality health care in the world, which is why our facilities only use the very best and latest in technology. Today, the best solution is a Hiteks Real-Time Solution.

Integrated with Epic, Hiteks offers real-time software to power NoteReader and Quality programs. If Florida is reaping millions, then so will New York. Meanwhile, those who lag behind will miss out, and it will be at the expense of the satisfaction of the workers, the well-being of the patients, and the revenue of the facility. Join the movement and give us a call today at 212-920 0929. Let’s see what we can do for you!

How To Use Diagnosis Calculators The Right Way

There have always been issues with the efficiency of communication between coders and physicians. But in 2016, these complications will be a thing of the past. Especially in the field of medicine. With Hiteks’ Real-Time Communication software, health care professionals can now consolidate all of those tedious hours. No more wasting times translating doctor’s notes to codes.

This will not only allow physicians to devote more attention on patients in the short period of time they have with them. It will also increase revenue by allowing physicians to focus on the most pertinent information. Software that’s integrated into the EHR can now streamline the physician’s needs. Coders can now fully document pertinent complications at the point of patient care.

We’re not quite at the point where humans don’t have to do anything at all. There still remains a certain responsibility to our dear physicians, coders, and health care professionals. Even with modern technology, medical facilities run best when informed, competent, motivated and detail oriented individuals are in control. Here’s what it takes, on the parts of clinicians and coders in order for this Real-Time Communication software to work best.

Payer Understanding:

All professionals involved in using the technology should understand the requirements of the provider documentation. That includes sections like Patient History, Physical Exams, Assessments, and Terminology.

Patient Details:

Severity of illness, complexity and nature of projected treatment and care, and the mortality risk of said care, should all be very well documented. While the software makes it easier to record information, thorough attention to detail should still be priority.

Software Training:

Hiteks’ Real-Time Communication is customizable and remarkably easy to use. But that doesn’t change the fact that it is a new technology. That means training and management reinforcement is necessary to ensure that it’s used properly. The goal is to improve the correspondence between health professionals. Not hurt it.

In general, you want Hiteks Real-Time Communications software to make things work more smoothly. That means all parties involved still need to play their part to keep the ball rolling. With the right resources combined with the right technology, the world can be a safer place. Here’s to the future. Give Hiteks a call today at 212-920 0929.

What’s Happening In October With ICD-10

New Codes For Conditions

As of October 1, 2016, the Coordination and Maintenance Committee will introduce 3,651 new codes to the ICD-10 repertoire. They will also apply 487 revisions to already existing codes. Remarkably, about 97% of those changes will be in the section for cardiovascular issues. These new codes are meant to add greater detail to patient status and condition. With the new changes, there will be a total of 75,625 codes in the ICD-10 PCS system. Coordination and Maintenance Committee members reportedly discussed adding even more codes during a meeting in March. Most of these changes are at the request of special interest groups. This is in response to the fact that coding tends to simplify inherently complex matters regarding patient conditions. As a result, new CDI software is transforming the medical field.

New Codes For Diagnosis

Aside from the additions that the committee will make to coding for conditions, they will also add a number of new codes for diagnosis. Most notably, they’ve applied various new codes related to the Zika virus. Zika has been spreading at a rapid pace, creating growing concern. Researchers drew a direct connection between Zika in pregnant women and microcephaly in their newborns. As a result, physicians want to be as detailed as possible with sick pregnant women. That’s why there’s been a recent expansion in coding.

You can watch the full meetings on Youtube by clicking here.

The Dilemma In Adding New Codes

Expanding the coding the system is a difficult matter with advantages and disadvantages. On the one hand, coding should not be a simple matter. It’s important to be exact with these issues, not only to help streamline processing and billing, but also so that physicians can make more informed decisions. On the other hand, as the committee continues to amend and adapt the system, training has grown increasingly challenging. With over 70,000 codes to sift through, making the correct assessment and selecting the appropriate codes became more of a challenge than ever.

How Technology Makes For A Better Coding System

It’s for that reason that the utilization of technology is the logical next step in this evolution. With the help of Hiteks’ HCC coding software, the issue regarding the complexity of the system is solved. We offer an EPIC clinical CDI software that has a diagnosis calculator. Our software provides its users with a risk adjustment factor score within seconds. It’s with our state of the art physician concierge software that physicians and coders can organize, categorize, and utilize those tens of thousands of codes more effectively than ever.

Hiteks is a pioneer in the clinical documentation improvement industry. We operate all throughout the New York City area. Our mission is to make sure that physicians and coders can be as detailed, effective and efficient as their industry demands of them. We believe a more intricate and detailed system is necessary in the world today, and that with the our software, we can stay one step ahead of the latest diseases and health concerns. To learn more about our AdvocateMD, ConcurDI Real-Time CDI and VigilantQA software, give us a call at 212-920-0929.

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