How Much Revenue Are You Leaving on the Table?
Cardiovascular coding errors could cost your organization millions in lost revenue. Schedule a demo of hbRecon to discover how a coordinated audit between the clinical registry and coding data can uncover missed billing opportunities, identify cases to be rebilled, and implement new processes to enhance cardiovascular coding accuracy and increase facility reimbursements.
Improve Accuracy, Increase Revenue & Enhance Collaboration — All on One Platform
Align Datasets in One Location
Integrate clinical registry, coding, and financial datasets in a unified and reconciled platform.
Review All Data Side-By-Side
Perform synchronized data analysis and reconciliation with push-button reports during data entry.
Reduce Under and Overbilling
Automatically identify potentially miscoded DRGs and assign higher or lower-weighted DRG codes where appropriate.
Increase Clinical Data Accuracy
Leverage secondary audit opportunities of clinical registry data to ensure alignment with updated coding rules.
Leverage Evolving Data Analytics
The hbRecon data model continually evolves with new registry datasets and coding scenarios to find new reimbursement opportunities.
Enhance Cross-Departmental Communication
Overcome silos between clinical and coding departments to improve communication and documentation processes.
Maximize Accurate Revenue Capture in Three Phases
Phase 1.
INTEGRATION OF CLINICAL REGISTRY, FINANCIAL & CODING DATA SOURCES
The clinical registry, financial & coding data sources must be integrated & aligned in the heartbase hbCOR platform via interfaces and/or extracts from the clinical data registry platform & the financial billing and coding system.
Phase 2.
HBRECON REPORT INVESTIGATION, REVIEW, & SUBMISSION
Once the data is aligned and integrated, the hbRecon toolkit can be immediately run against all complete & coded registry data. Heartbase will provide feedback and insight on a weekly basis during the investigation phase. Data is presented in a wide array of reports from DRG Summary Reports to ICD-10 Procedure & Diagnoses Detail Reports. Users have the flexibility of reviewing all relevant clinical registry and financial & coding data in one location.
Phase 3.
RECONCILIATION & PROCESS REVIEW
Cases are reviewed by the clinical team, and then submitted for secondary review by the hospital coding and compliance teams. This process will vary site to site, network to network. Ultimately there are four primary objectives: 1) Review Documentation & Coding, 2) Recode & Re-bill as Indicated, 3) Identify Outliers with Complex Coding, & 4) Reabstract Clinical Data, as necessary.
CASE STUDY: MISSING IMPELLA $57,000+ Unclaimed Revenue
Close the Gaps in Coding Coverage
Discover a simple solution to uncover missed billing opportunities and maximize revenue capture.
