The folks at Nuance shared with MHW some positive news this week.
Despite widespread industry concerns regarding the transition to ICD-10, Nuance Communications, Inc. just announced that its clinical documentation improvement (CDI) clients have not only sustained financial performance and quality through the transition to ICD-10, but actually improved performance metrics over ICD-9.
Highlights from the study include:
- An average 2.33% increase in CMI post-ICD-10 across all Nuance CDI clients
- Up to 3% improvement in documentation of comorbid conditions/major comorbid conditions (CC/MCC) that are often missed in patient charts and important for quality of care
- Average 88% review rate on Medicare cases, exceeding the 80% benchmark considered success in the Nuance CDI curriculum
- 93% physician response rate and an agreement rate of 81%, exceeding benchmarks
- Exceeded the 15% impact clarification benchmark, with four groups demonstrating an increase of 2.1%, highlighting teams were keeping up on activities that drive precision in documentation
“This is a notable accomplishment since many provider organizations expected revenue integrity challenges from the initial coding transition and the incremental 5,500 codes from the Centers for Medicare & Medicaid Services (CMS) coming in October 2016,” a release from Nuance reads. “Hospital and health system leaders anticipate increasing pressures on the clinical documentation process as new codes continue to be introduced and their physicians face ever-increasing demands on their time.”