Official Coding Guidelines released for Financial Year 2023
Its that time of year! Summer is winding down and we are preparing for the October 1 coding changes. The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) released the Official Coding Guid . . .
August 19, 2022
Outpatient CDI in the ED
The emergency department (ED) is often the first place a patient is seen before being transferred to the inpatient setting, and is an important part of any hospital inpatient stay. The September 2021 Association of Clinical Documentation In . . .
April 27, 2022
- Release Notes: 7.0
- Release notes: 6.1
Expanded CDI integration potential, clarified Profee capabilities, new reporting fields and filter parameters in accuracy dashboards..April, 2022 Release 7.0
Added CDI workflow, more dashboard configurations, faster report generation, enhanced Risk Manager rules, and more.February, 2022 Release 6.1
Relevant External Articles
Outpatient CDI: Risk Adjustment and HCC Capture
Hierarchical Condition Categories or HCCs have been used by the Center for Medicare and Medicaid Services (CMS) as part of a risk-adjustment payment model for the Medicare Advantage program in since 2004. The CMS-HCC model is the most known . . .
May 30, 2022
Words That Completely Change Vascular Procedure Coding
These thirteen words change everything we understand about vascular procedure coding in ICD-10-PCS and will severely hamper data collection.
May 26, 2022
ReviewMate provides your company with one centralized platform where audits take place and will replace any manual processes your auditing team currently uses. Shareholders in the audit process will be able to transparently view how audits are going, how far along the audit is in the process and run reports. According to time studies, ReviewMate saves about 30% of an auditors' time by automating some of their processes.
Save hours and even days per week by keeping all of your data, sources, and communication consolidated into one browser-based web-app. There is a wide variety of tools to help auditors, as well as out-facing utilities for clients and coders. ReviewMate automatically generates "Coder Report Cards" for individual coders to login and view their performance directly. Additionally, all findings are generated into reports for clients made exactly how your report needs to be.
Auditors will find that their processes will take less time by automation of reporting, reconciliation, and communication. Auditors can communicate with coders within ReviewMate through tasks making the reconciliation process seamless. Having coding references imbedded in ReviewMate eliminates the toggling back and forth between groupers and auditing tools. Also eliminated is the requirement to enter demographics and codes into a grouper to make sequencing decisions or price an account.
There are multiple ways to get data (demographics and coded data) into ReviewMate. You can: 1) Manually enter the data into the screens. 2) Manually upload an Excel template containing the data for your sample into the tool. 3) Electronically send the templated sample data via an FTP. 4) Create an electronic interface to accept incorporated data in a particular review. 5) From a universe of data, electronically interface to a data “pool” where samples can be created using a randomizer or a variety of rules to start a review.
ReviewMate is hosted on secure servers which are SOC2 Type 2 and SOC 3 Type 2 certified and HIPAA and HITECH audited, designed to secure and protect critical healthcare data, and electronic protected health information (ePHI) and records.
Pricing is based on a subscription model stratified by how many reviewers and managers access the system, in addition to features necessary. Two different models are available: 1) Static monthly subscription based on your known volumes (usually for hospital systems). 2) Static monthly subscription plus a per-record fee so that you only pay for what you use (usually for firms who have variable work from month to month).
Most of our reports are customizable. Users can create an unlimited number of templates for their reports and can change the look and feel of reports down to color, text and formatting. Fields and sections of the reports can be automatically populated directly from findings within ReviweMate
APR-DRGs can be incorporated into ReviewMate for 3M partners or if a license is obtained from 3M.
No. ReviewMate is completely browser-based and cloud-based. Users just need an internet connection from any modern internet browser to be able to access everything in your firm's system.
Yes. ReviewMate has many ways of running reports for audits. Different users can access reporting and use the system as a “help yourself” type of software. There are even many ways to create templated reports for your firm for consistent reporting directed toward coders, clients, or other auditors.