Health Information Management Services
Our Value Proposition To Our Clients.....
In order to maximize the delivery of effective healthcare, facilities require exceptional processes for collecting, maintaining, leveraging, and disclosing patient health information. But as you are aware, there are times when things don't go as expected...
At other times, there’s a task the HIM leadership or privacy officer just hasn’t had time to tackle – policies and procedures, defining the legal health record, EHR governance or an overarching record inventory, retention and destruction policy.
DML consultants can assist you with these important tasks:
As a result of our services, your organization will experience:
A Reduced anxiety
More effective and efficient health information processes
Higher levels of customer and employee satisfaction
Reduction in accounts receivable (unbilled)
Conformity to accreditation standards
Both Congress and CMS (Centers for Medicare and Medicaid Services) are taking aggressive strides to accelerate the acceptance of evidence-based health care and lighten the load of a strained national budget. However, CMS is adopting recovery audits (or RAC audits) as the first real tangible effort to push hospitals and physicians down a path of redefining the clinical practice of medicine.
DML has developed a new service to assist facilities with identifying potential records that may come under the question of the auditors, call RAC Preparation.
We work with your facility management to select a random sample of charts within specific DRG categories and evaluate them asa RAC auditor would. Therefore, you will have a greater understanding of the type of discrepancies these auditors will look for within these charts. Of course the records cannot be modified or changed at that time, however being forewarned is forearmed!
DRG & APC Reviews:
DML Consulting offers design and implementation of continuous auditing and monitoring programs. We perform DRG, Same Day Surgery, Emergency Department and APC reviews.
Reports may be customized to meet your facility's or physician practice needs and specifications.
Compliance and Reimbursements
DML Consulting follows the coding process through a structured methodology which has worked well for our large US clients. Our coding services help our clients to experience an increase in returns and a reduction in the number of denials as we comply with the ICD-9-CM Official Guidelines for Coding and Reporting, AMA Guidelines from CPT-4 Code Manual, & CMS (HCFA) Guidelines [CCI (Correct Coding Initiatives)] and [LCD(Local Coverage Determination)].
The World Health Organization (WHO), the public health sector of the United Nations, which focuses on international health and outbreaks, began work on the tenth edition of the International Classification of Diseases (ICD-10) coding system nearly 30 years ago in 1983. Even with such a strong lead time, the final version was not completed until 1992. That’s right, it took nearly a decade to develop ICD-10. And yes, the final, ready-to-use version of ICD-10 has existed for more than twenty years.
As previously reported, the United States transitioned to ICD-10 codes on October 1, 2015. On the contrary, Australia jumped on the adoption bandwagon pretty quickly. Half of their states implemented ICD-10 in 1998 and the remainder followed in 1999. Canada quickly followed suit in 2000. From there, many other European countries as well as Thailand, Korea, China, and South Africa all adopted ICD-10 either in its original, modified, or translated form. Even Dubai hopped aboard the ICD-10 train in 2012 (see more about country adoption here).
As the full adoption of ICD-10 proliferates across the US, the preparation process will likely take multiple years for most covered entities to fully embrace ICD-10 compliance. Every utility, system, report, program and interface in an organization involving ICD-9 diagnosis or procedure codes must be adapted for ICD-10 standards.
DML's Expertise Covers All Aspects...
As organizations begin grappling with how to integrate ICD-10 throughout every aspect of their business, DML Consulting offers expertise across many needed fields—clinical, financial, claims, analytical, and particularly, information technology. Our team's deep comprehension of ICD-10 issues allows us to offer clients comprehensive guidance on how to complete this difficult transition. We understand health plan operations, systems, data, and most importantly, ICD-10 code sets. Our experts can assist healthcare organizations in understanding the potential effects of ICD-10 on their business. We have guided health plans' early efforts to prepare for ICD-10, gaining hands-on experience and valuable insight into effective transition methods.
We offer assistance in the following operational areas:
DML can help coordinate each stage of ICD-10 implementation, from identifying affected areas and determining resource needs through budgeting, planning, testing, execution, and the critical post-implementation transition period.
If you would like to speak with someone about your needs and obtain more information, please use the Contact Us page or email us at email@example.com.
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