ICD-10 Data Analytics
Are you aware of your ICD-10 transition risk areas that may lead to significant productivity loss? Identify and reduce financial, clinical, and documentation risks related to the ICD-10 transition with QuadraMed’s ICD-10 Data Analytics Service.
We’ll analyze your health system’s reported claims and indentify specific Major Diagnostic Categories (MDC)/Medicare Severity Diagnosis-Related Groups (MS-DRGs) that present the greatest potential for revenue loss under ICD-10. We’ll also determine your most often reported diagnoses—grouped by MDC—and then determine your minimum, maximum, and likely payments under ICD-10 codes. In addition, the claims data is used to determine risks for productivity loss, areas for improvement in clinical documentation, and to help you gain the upper hand in renegotiating managed care contracts that are based on MS-DRGs.
Benefits:
- Improves documentation. If you don’t already have a documentation improvement program in place, receive an immediate return on investment by doing so now to address the deficiencies identified through the coding and documentation audit.
- Reduces productivity loss. Prepare for the transition with distinct data that you can use to educate coders and streamline system or process changes using what you learned from the Data Analytics.
- Improves contract negotiations. Don’t let payers get the upper hand. Use the Data Analytics results to negotiate what’s right for your health system.
- Mitigates the effects of ICD-10. Take this first step to identify your financial, clinical, and documentation risks.