CDI improves ICD-10 coding and reimbursement accuracy, survey finds

Clinical documentation improvement programs can help healthcare organizations with better ICD-10 coding and reimbursement accuracy, according to a new Black Book survey of more than 900 health leaders.

Here are six survey findings.

1. ​​Ninety percent of hospitals with more than 150 beds currently outsourcing their CDI processes reported significant increases (more than $1.5 million minimally) in appropriate revenue and proper reimbursements in the third quarter of 2016 after implementing CDI programs in this past year following ICD-10 transition, the survey found.

2. The survey also found 88 percent of hospital and physician financial executives are actively trying to link care with analytics and outcomes to support healthcare consumerism and shift to value-based payments through vendor solutions.

3. Eighty-five percent of hospitals saw quality improvements and increases in case mix index within six months of CDI implementation, according to the survey.

4. The number of community and large hospitals contracting for external CDI services help since the Oct. 1, 2015, transition deadline for ICD-10 has doubled since the second quarter of 2014. At present, 46 percent of hospitals with more than 200 beds now outsource CDI audit, review and programming, increased from the 24 percent, the survey found.

5. Eighty-seven percent of hospital financial officers claim biggest motivators for adopting additional CDI situations is "to provide improvements in case mix index, resulting in increased revenues and the best possible utilization of high value specialists," according to a news release.

6. The survey found 94 percent of hospitals have failed to execute a positive impact CDI strategy and/or those using a less-than-effective coding results plan to partner with a CDI vendor to assist them with the post ICD-10 fallout in 2017.

 

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