Newborn Documentation
We ensure your Mother and Baby documentation, coding, and reimbursement reflects the true acuity of your patients.
We provide comprehensive education, reports, and customizable tools to link “clinical” and “code-able” language; ensuring the chart is documented and coded correctly for both Medicaid and Commercial payment models.
Our experts will work with your team on clinical documentation and timely progression of care, aiding you to become a leader in patient safety, core measures and denial prevention.
What We Do
When your Mother’s and Babies’ hospital chart accurately reflect their true acuity, it drives the severity-adjustment for quality metrics and impacts your reimbursement. We have proven expertise in the unique documentation & coding requirements of APR-DRG (Medicaid) and MS-DRG (Commercial) payment models to ensure full payment for the care provided.
Timely and efficient progression of care without delay is priority and impacts patient safety and quality indicators. Our team specializes in the hospitalized care of Mother and Baby and understands the clinical, operational, and social challenges as it relates to patient progression of care and timely discharges.
Our Approach
Assessment
Using our proprietary database, we generate meaningful comparable reports and provide chart audits of final coded discharges to quantify your documentation and progression of care opportunity.Interventions
We collaborate with your leadership team and medical director to address identified process barriers and develop workflow changes. We push electronically meaningful reports to leaders and front-line trending performance against national standards to measure improvement.
Documentation Improvement• Develop customized ‘code that matter’ tools linking clinical and code-able language
• Provide tailored education to your physicians, coders, and leadership
• Educate front-line staff in real time chart assessments for opportunities
Progression of Care• Ensure evidenced-based road map for care goals
• Implement daily rounds & discharge readiness visual boards
• Establish care coordination/discharge planning role and responsibilities
• Set up best-practice solutions for discharge barriers
Results & Sustainability
To hold the gains, we help establish a management system to ensure daily surveillance for documentation and timely progression of care opportunities. And, we mentor leaders in process improvement to review performance, respond to new barriers, and celebrate successes.
Case Example
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