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Optimizing Mid-Cycle Revenue
Lack of communication between coders, physicians and CDI specialists, along with disparate vendor inconsistencies have made ICD-10 problematic. The dynamics of ICD-10 have created significant changes in documentation requirements and code assignment, presenting healthcare organizations with new challenges in the documentation and coding processes. Give your organization the complete picture of your mid-cycle revenue performance from a retrospective view through claims analytics and auditing with VitalAuditor™.
Dashboards for quick review and reporting
Design your own KPI Dashboard based on a number of key performance indicators important to your organization. Track, monitor or use to drill down into detailed reports for claims analysis and audit results for professional, inpatient and outpatient.
Automated claims selection and assignment
Integrated with your organization's 837 claims data, VitalAuditor automatically presents auditors with their work assignment each day. Claims can be viewed at an entity level or are assigned according to facility-specific rules so you're unique auditing goals may be achieved.
VitalNCoder™ is a sophisticated, yet easy to use encoder that provides the best of both book-based and tree-logic code selection processes and access to ever-changing coding guidelines, rules and regulations. VitalNCoder offers a built-in Diagnosis Related Groups (DRG) and Outpatient Claims Editor (OPPS) making rightful reimbursement possible.
Workflow and claim assignment
Expand your communications with the rest of the compliance, documentation and coding team by building customize workflow meeting your entire organization's needs for both inpatient and outpatient claims with either concurrent or retrospective review.
Robust management reporting
Categorization of root cause issues identified in the claims analysis and auditing process, enabling the creation of targeted education and training road maps for physicians, coders and clinical documentation specialists.
- Financial impact
- Documentation efficiencies