Nuance Quality and Risk Adjustment DS

Transcript

1 Healthcare Solutions Data Sheet Nuance Quality and Risk Adjustment Improve care quality and risk adjustment at the point of decision making. Patient-focused, just-in-time intervention management engages providers. Healthcare organizations face a compelling combination of challenges: providing comprehensive care and disease management across the Help providers improve continuum of care while maintaining financial viability in a dynamic, documentation quality without value-based environment. And with the new care and payment models compromising patient care supported by Medicare Advantage plans, Accountable Care Organizations, Integrates seamlessly with your – and others, providers shoulder more accountability and financial risk today. electronic health record (EHR) so physicians can focus on patients With a shift toward outpatient care, effective population health management and not the technology strategies become even more essential to your success, but many providers Helps ensure providers document – lack the resources to proactively identify and assess high-risk patients as requirements for HCC coding and well as the ability to improve the quality of clinical documentation. achieve accurate RAF scores Ensures no conditions are missed – Optimizing patient outcomes amid a changing landscape by recapturing suspected HCCs ® The Nuance Quality and Risk Adjustment platform offers patient-focused, Drives better care and appropriate – just-in-time intervention management that enables: reimbursement through complete capture of diagnosis, – Proactive targeting of chronic conditions with high-risk patient scheduling complications, and comorbidities – Efficient presentation of opportunities to providers (CC/MCC) Improved documentation of care – – Automates extraction of diagnosis – Enhanced communication between caregivers codes to save time and ensure the – Improved HCC capture rates right codes make it to the claims— Greater accuracy of Risk Adjustment Factor (RAF) scores – the first time, every time In-workflow intelligence delivers context-aware, personalized clinical guidance at the point of decision making. This approach ultimately leads Experience makes the difference to better planning, treatment, and patient care, as well as appropriate Nuance’s heritage builds on decades reimbursement. of clinical expertise, technology innovation, and experience with - With Nuance Quality and Risk Adjustment, physicians and coders can cap EHR workflows that are designed ture a broader picture of each patient’s chronic conditions, looking beyond to improve provider engagement. the obvious to create a more coordinated, proactive, and compliant practice. We have direct and successful experience in the HCC coding Engaging and supporting your providers environment, including proven with a comprehensive approach strategies for provider change management, compensation, and The journey to value-based care is different for every organization, and leadership planning. requires a strategic partner that can provide enterprise-wide value throughout your journey. Nuance Quality and Risk Adjustment solutions make sense of both structured and unstructured health information and bring that highly curated insight to providers, engaging them in their own workflows.

2 Data Sheet Healthcare Solutions Nuance Quality and Risk Adjustment Automating complex risk adjustment coding processes is enabled A win for patient care: streamlining through machine learning, natural language processing (NLP) technology, risk adjustment coding through sophisticated rules engines, and a rich medical taxonomy. These combine better documentation to help improve documentation quality by identifying inaccurate or missing Uncover missed condition codes – condition codes in patient data, as well as by making evidence-based code and documentation gaps recommendations. In short, clinicians and professional coders can quickly – Engage physicians with in-workflow close coding gaps at the point of care. solutions and actionable clinical guidance Nuance Quality and Risk Adjustment solution features Increase coding accuracy and – efficiency to improve productivity Automated chart Artificial intelligence (AI) drives the proactive by 2-3X review evaluation of patient data, including structured and – Identify high-risk patients and unstructured data and prior claims, evidence of improve care planning and chronic/risk-adjusted conditions, and other quality outcomes improvement opportunities. Improve risk score accuracy – Computer-assisted physician documentation (CAPD) In-workflow by 15-20% advice brings in-workflow clinical guidance to accurately – Ensure more accurate identify and document all relevant conditions at the reimbursements and reduce denials point of care to find suspected HCCs, to add greater specificity, and to search for alternative diagnoses. To learn how Nuance Quality and Extracted codes facilitate charge capture workflow so Risk Adjustment can ease the clinical appropriate codes are included in the claim. documentation burden for your care Analytics Population health and HCC specialists can review teams and improve the accuracy opportunities and launch campaigns to improve and coding of risk adjustment performance, patient outcomes and improve the accuracy of RAF workspace please call 1-877-805-5902 or visit scores, as well as monitor and improve overall program nuance.com/healthcare . performance. Coding teams can also automatically identify and extract diagnosis codes from patient documentation to facilitate charge capture. Process Through training, demonstrations, and coaching, our improvement experienced consultants help your team establish a mutual understanding of the program and implications and education services of value-based care, including Medicare Access and CHIP Reauthorization Act (MACRA) and CMS Star Ratings. We will help facilitate the establishment of a governance/steering committee to help keep your program on track. Change Change management strategies and meaningful incentive programs encourage provider acceptance management and provider and participation to support MACRA and new payment alignment models in alignment with organizational goals. Program health Measure your team’s success in having a positive impact on risk adjustment and quality scores checks and continuing through quarterly performance reviews and ongoing education education. About Nuance Communications, Inc. Nuance Communications, Inc. is a leading provider of voice and language solutions for businesses and consumers around the world. Its technologies, applications and services make the user experience more compelling by transforming the way people interact with devices and systems. Every day, millions of users and thousands of businesses experience or call 1-877-805-5902. Nuance’s proven applications. www.nuance.com/healthcare For more information, visit . and Twitter , What’s next Facebook Connect with us through the healthcare blog, Copyright © 2017 Nuance Communications, Inc. All rights reserved. Nuance and the Nuance logo are trademarks and/or registered trademarks of Nuance Communications, Inc., or its affiliates in the United States and/or other countries. All other brand and product names are trademarks or registered trademarks of their respective companies. HC_4180 SEP 2017

Related documents

RIE Tenant List By Docket Number

RIE Tenant List By Docket Number

SCRIE TENANTS LIST ~ By Docket Number ~ Borough of Bronx SCRIE in the last year; it includes tenants that have a lease expiration date equal or who have received • This report displays information on ...

More info »
Listing of Data

Listing of Data

International Council of Shopping Centers International Council of Shopping Centers 1221 Avenue of the Americas New York, NY 10020 - 1099 International Council of Shopping Centers © 201 5 by Copyright...

More info »
The Health Consequences of Smoking   50 Years of Progress: A Report of the Surgeon General

The Health Consequences of Smoking 50 Years of Progress: A Report of the Surgeon General

The Health Consequences of Smoking—50 Years of Progress A Report of the Surgeon General U.S. Department of Health and Human Services

More info »
mar19 medpac entirereport sec

mar19 medpac entirereport sec

MARCH 2019 Report to the Congress: Medicare Payment Policy REPOR G RESS T TO THE CON Medicare Payment Policy | March 2019 Washington, DC 20001 425 I Street, NW • Suite 701 • (202) 220-3700 • Fax: (202...

More info »
Controller Tool Help

Controller Tool Help

Controller Tool Help No. LIT-1201 1147 Code 13.0 Release Software 2018 December Issued for the most up-to-date Exchange of this document. Refer to the Knowledge website version 21 Getting ... Started ...

More info »
Fusion9 Tool Reference

Fusion9 Tool Reference

1 Contents Tool Reference Manual Fusion 9 July 2017

More info »
ppacacon

ppacacon

111 TH C ONGRESS " ! LEGISLATIVE COUNSEL P RINT 111–1 2d Session COMPILATION OF PATIENT PROTECTION AND AFFORDABLE CARE ACT [As Amended Through May 1, 2010] INCLUDING P ATIENT P ROTECTION AND A FFORDAB...

More info »
MP 5: Government Transactions

MP 5: Government Transactions

GOVERNMENT TRANSACTIONS Methodology Papers: U. S. National Income and Product Accounts September 2005

More info »
catalog 2019

catalog 2019

2019 ® HARLEY-DAVIDSON GENUINE MOTOR PARTS & ACCESSORIES

More info »
Pro Tools Reference Guide

Pro Tools Reference Guide

® Pro Tools Reference Guide Version 9.0

More info »
Skills volume 1 (eng)  full v12  eBook (04 11 2013)

Skills volume 1 (eng) full v12 eBook (04 11 2013)

OECD Skills Outlook 2013 FirSt rESultS FrOm thE SurvEy OF ADult SkillS 2013

More info »
jun18 medpacreporttocongress sec

jun18 medpacreporttocongress sec

JUNE 2018 Report to the Congress: Medicare and the Health Care Delivery System T TO THE CON REPOR G RESS Medicare and the Health Care Delivery System | June 2018 Washington, DC 20001 Suite 701 • 425 I...

More info »
ECI Historical Listing    Volume III   March 2019

ECI Historical Listing Volume III March 2019

Employment Cost Index National Compensation Survey – Volume III Historical Listing April www.bls.gov/ect 2019 (December 2005=100) 2019 -March Current Dollar, March 2001 The estimates from 2001 to 2005...

More info »
Medicare

Medicare

Department of Health and Human Services (DHHS) Medicare Centers for Medicare and Provider Reimbursement Manual Medicaid Services (CMS) Part 2, Provider Cost Reporting Forms and 10 - Instructions, Chap...

More info »
March 2016 Risk Adjustment Methodology White Paper

March 2016 Risk Adjustment Methodology White Paper

March 31, 2016, HHS -Operated Risk Adjustment Methodology Meeting Discussion Paper March 24, 2016 Centers for Medicare & Medicaid Services Center for Consumer Information & Insurance Oversight

More info »
ERP 2019

ERP 2019

Economic Report of the President Together with The Annual Report of the Council of Economic Advisers M a rc h 2019

More info »
Diagnosis Related Groups in Europe

Diagnosis Related Groups in Europe

Diagnosis Related Groups...pb24.5_Diagnosis Related Groups...pb24.5 23/10/2011 11:32 Page 1 European on Health Systems and Policies Series Observatory Diagnosis-Related Groups in Diagnosis-Related Gro...

More info »