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| ISH Services |
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| Data Integrity |
Data
Integrity is a key factor in both cost and risk
management for healthcare organizations. Challenges
arise when there are multiple information sources,
manual management of critical business data, and
little or no integration between purchase data and
billing data. Accurate charge capture needs to happen
consistently in real time.
Increased government scrutiny requires accuracy
in hospital pricing and billing practices. Missed
charge opportunities and inaccurate charging can
have a dramatic impact on the revenue stream.
Our ISH team of data management specialists can
aid your organization in data organization and
clean up in several key areas:
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MMIS
• Clinical Information Systems
• Billing Systems
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Success Factors within Data Integrity Processes
Include: |
| Item
Master Cleanse
Organizations invest in cleansing their item
master data because they are either embarking
on an improvement initiative, or they are experiencing
operational issues. Compelling reasons include
the desire to:
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• Improve access to supply spend information
and reporting
• Implement a new Materials Management System
• Implement a new OR system
• Integrate and improve the use of a Materials
Management and/or OR system |
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each of these reasons is valid, the reality is that
most organizations do not realize the full ROI from
their data cleanse investment. For this reason,
ISH has developed a series of planning workshops
and implementation programs designed specifically
for organizations that want to ensure the full ROI
is realized from their data cleanse investment. |
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Data
Management and Best Practices |
| Cleansing
your item master file is the first step towards
building or cleansing associated fields. We have
the tools and processes for cleansing, building
and standardizing: |
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Preference Cards
• Procedure Files
• Charge Description Masters
• Instrument set lists |
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| Successful
cleansing and building processes require the front-end
decision on which records to build, data coding
standards, the process for review and audit, and
the process for long-term maintenance. We have developed
specific Design Workshops to facilitate
the decision process. We have expert resources to
lead and participate in the actual Cleanse,
Build and Standardize Process.
ISH Charge Master Review and Optimization
Program provides a new, standard charge master
with line item crosswalks from current charge
master to new charge master.
The ISH Charge Master Review and Optimization
Program service typically includes the following
eight phases:
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• Initial Charge Master Review
• Charge Master Structure Meeting
• Charge Master Development
• Initial Charge Master Acceptance
• Hospital Charge Master Mapping
• Charge Master Presentation
• Final Charge Master Delivery
• Follow Up
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| The benefits
of the ISH Charge Master Review and Optimization
Program service include: |
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Consistent charge structures among facilities
• Consistent charging practices among facilities
• Facilitate movement of personnel between
facilities
• Clean basis for inter-hospital comparison
and analyses |
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ISH
Charge Master Review and Optimization Program
allows the facility to stay compliant and achieve
reimbursement at the “optimal” level.
Let us partner with you by providing you the ISH
Charge Master Review and Optimization Program;
and watch your bottom line grow!
ISH CDM Program is a comprehensive
review of a hospital’s charge master to
ensure Medicare billing compliance through complete
and accurate HCPCS/CPT and UB-92 revenue code
assignments. All items on the charge master that
have been used in the last nine to twelve months
will be included in the review.
Benefits:
Our ISH CDM Program review will result in more
accurate and timely claims processing and reimbursement
through improved coding and charging practices,
decreased risk of noncompliant coding, billing
and charging practices, and overall improvement
in bottom-line net income.
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