Revenue Cycle Management Solutions
Optimise every stage of your coding and billing process to maximise revenue capture.
Enhance your Health Information Management with the HIM Companion Suite
The iMedX HIM Companion Suite is built from the ground up as a Clinical Coding and Revenue Cycle Management companion toolset offering the following:
- Modular suite of solutions
- Each is designed to assist a different operational challenge
- Built and refined on coder and HIS requirements to support coders at all levels from coding queries to real-time coding validation and quality assurance
- Can be adopted in conjunction with current products and integrated
- Web-Based, Cloud and SaaS applications
HIM Companion Suite hones daily tasks, fosters professional growth, and enhances clinical coding outcomes.
The End-to-end Revenue Cycle Journey
iMedX Health information solutions focus on the end-to-end revenue cycle journey so that hospital health information services functions operate at optimum performance.
Central to this journey is a Health Information Services Strategy, where the four elements of accurate specific coding, specific clinical documentation, revenue protection and assurance, and workforce engagement work in unison to deliver high quality outcomes.
Accurate Specific Coding
- Coding professional development
- Coder training and education
- Coder mentoring
- Tools and frameworks
- Quality management controls
Revenue Protection and Assurance
- Quality and optimisation audits
- Pre-Billing revenue
- Billing reviews and optimisation
- Process development and standardisation
Workforce Engagement
- Culture assessments
- Operational structure design
- Communication & engagement strategies
- Decision making frameworks Health information leadership coaching and mentoring
Complete, specific clinical documentation
- Documentation effectiveness reviews
- Strategy and business case development
- Clinical documentation specialist support and mentoring
- Clinician engagement
- Education material, tools and frameworks
- Program reviews
Tangible Outcomes
Tangible outcomes achieved at other hospitals.
- Up to 16 days improvement in coding turnaround*
- Up to $300K in missed revenue identified for financial reimbursement
- Improved coding error rate <10%
- Up to 1 hour per day reduction in documentation queries, per coder and per clinician*.
* Results may vary from hospital to hospital depending on case mix, record selection, and current state effectiveness.
Our Services Include
Clinical Coding & Process Support Services
Enabling sustainability of coding throughput and productivity to meet objectives, through expert coding experience and best practice coding process knowledge.
Coding and process support delivers on:
- Long- and short-term clinical coding contracts to cover any coding needs both onsite and remote.
- Coding process, resource and role fit reviews.
- Form review, analysis and design to improve clinical documentation for coding.
iMedX Clinical Coders have more than 5 years experience coding all casemix and with multiple PAS and EMRs.
Clinical Coding Auditing Services
Quality and targeted audited programs, providing governance oversight and ensuring compliance, accuracy and ultimately correct financial reimbursement.
Auditing programs are provided to:
- Inform strategies to improve the quality of clinical coding – this can be established through all audit types.
- Identify areas for coding education.
- Identify clinical documentation issues.
- Identify missing casemix for revenue or NWAU optimisation – achieved via our optimisation audits.
Coding Education Services
Education and mentoring programs upskilling coders to increase coding throughput, stabilise the department, ensure coding accuracy and deliver employee value as well as better coding outcomes.
Coding Education programs deliver on:
- Professional evaluation of the coding workforce effectiveness.
- Customised program design and delivery of coder education.
- Continuous improvement coaching model.
- Coding tools & frameworks to use for professional development.
- Quality management of coding practice.
Advisory Services
Creating sustainable change around the HIS department function and hospital interoperability to enable maximum financial reimbursement, data integrity and patient safety.
Delivering on:
- Problem identification and analysis.
- Business case development.
- Current state analysis of preadmission to funding journey, identification of pain points.
- Strategy creation, workflow management, operating model design, development of influence and culture change agendas.
- Clinical documentation improvement.
Best Practice End-to-end
Preadmission Documentation
- Start of medical record.
- Patient history, diagnosis, tests and procedures all need to be documented completely.
Progress Notes/Care Plans
- Care plans are often verbalised by clinicians to nurses without proper, formal documentation.
- Care plans & progress notes need to be well documented to carry out effective coding
Complete Medical Records
- There is often a lack of clinical documentation needed to code timely and accurately.
- Hospital processes often don’t support the completion of a medical record.
- Accurate coding is dependent on complete discharge summaries, pathology reports, and operation reports, often these are inadequate.
Operation Reports
- The legibility & specificity of the report of written documentation can sometimes be poor as well as incomplete.
- Coders prefer typed reports, as this helps with legibility and specificity.
Discharge Summaries
Timeliness and comprehensive content is crucial as it affects:
- Coding accuracy which impacts reimbursement
- The accuracy of the full episode of care
- Patient care & safety
Training & Development of Billers
- Expert knowledge on business rules of each contract
- Throughput vs level of accuracy needed.
Ready to optimise your revenue cycle?
Get in touch today to discover how iMedX can help boost accuracy, reduce denials, and improve your bottom line.