DocEdge Opportunity Framework
The Problem
Case managers and Clinical Documentation Improvement (CDI) Specialists have little direct access to attending physicians. Attending physicians are not always aware of the rules and regulations that govern patient status and documentation standards and Physician Advisors are usually in remote offices, rather than on the floors interacting with attending physicians. As a result Case Managers and Clinical Documentation Specialists are not able to receive timely responses to their patient status and documentation referrals resulting in operational inefficiencies that can quickly overwhelm resources and affect profitability.
Our Solution: DocEdge: a powerful and easy-to-use application to manage the Referral and Query process.
DocEdge Communicator physician dashboard
DocEdge® Communicator is a HIPAA compliant cloud based app technology that allows for efficient and effective communication between Case Managers, Clinical Documentation Specialists, Physician Advisors and attending physicians. Easy to follow templates guide Case Managers and Clinical Documentation Improvement Specialists to provide accurate and concise clinical information so that Physician Advisors and attending physicians can make thoughtful and appropriate responses with just a few taps on their mobile device expediting provider responses and ensuring the most accurate and complete documentation appears in the medical record.
DocEdge Communicator Templates include:
- Case Manager to Attending Physician:
- Initial status referral
- Continued stay referral
- Two midnight exclusion referral
- Re-certification referral
- National coverage determination / Local coverage determination referrals
- Home health certification referral
- Case Manager to Physician Advisor:
- Initial status referral
- Continued stay referral
- Physician responsible avoidable delay referral
- Physician to Physician:
- Sign out
- Transition of care
- Interdisciplinary Rounds:
- Interdisciplinary rounds physician referral
- Interdisciplinary rounds follow-up
With the use of DocEdge Communicator, Case Managers, Clinical Documentation Specialists, Physician Advisors and practicing physicians will reduce the administrative burden required to drive improvement in hospital revenue, compliance and outcomes.
With DocEdge® Communicator we are querying more often. The application is easy to use and physicians are more responsive. DocEdge® has opened the lines of communication between CDI and physicians.
A COMPREHENSIVE APPROACH
Initial Status Referral sent from a case manager to a hospitalist
DocEdge Communicator allows Case Managers, Clinical Documentation Specialists, Physician Advisors and physicians to communicate easily through our HIPAA compliant web based mobile app, improving clinical documentation, CC/MCC capture rate, patient satisfaction and revenue while reducing length of stay, unnecessary resource utilization, and readmissions.
Case Managers, Clinical Documentation Specialists, Physician Advisors and practicing physicians can communicate instantaneously using our web based technology. The documentation can then be automatically entered into the electronic medical record or other software systems where it will be used to positively impact patient length of stay and throughput, patient satisfaction, CC/MCC capture rate, coding and revenue generation.
Benefits of the DocEdge Communicator Solution include:
- Reduce length of stay, unnecessary resource utilization, and readmissions
- Improve clinical documentation and support integrity of the clinical record
- Improve cash flow through reimbursement rate
- Increase communication between all personnel
- Decrease the administrative burden while increasing focused time with patients
WHAT SETS US APART
Provident’s depth of experience in clinical services, healthcare operations, compliance, data analysis, and revenue cycle makes us uniquely qualified to provide valuable analysis and guidance.
Our team members have professional backgrounds working in provider organizations, law firms, and government agencies. We have unmatched knowledge of organizations across the healthcare spectrum, from single hospitals to healthcare systems, academic medical centers, and physician practices.