Take the Doc out of Clinical Documentation

Take the Doc out of Clinical Documentation

Boost morale and the bottom line with next-gen clinical documentation and coding
By Rodney Haynes, Executive VP and COO, OnPoint Healthcare Partners

Your providers’ time is the most valuable of anyone on your care team. Is the time they spend on lower-level data-entry tasks in line with their value? Or are they working in the electronic health record (EHR) system instead of seeing more patients?

Optimizing providers’ time is critical to the quality of care, provider work/life satisfaction, and the organization’s financial health. That’s truer today than ever before, thanks largely to the pandemic’s impact on retention, retirements, hiring challenges, and more.

But most medical practices and healthcare systems aren’t set up for success. In fact, according to a 2020 study published in the Annals of Internal Medicine, doctors spend more than 16 minutes per patient visit on electronic health records. When the office closes for the day, many physicians spend even more time (often two or three hours each night) finishing their clinical documentation at home. That means diminished patient visits and increased burnout for your physicians.

This data-entry burden doesn’t just lead to unhappy providers. It can also lead to incomplete clinical documentation – often impacting the quality of patient care and the organization’s ability to receive accurate payments.

Happier Providers, Richer Data, More Accurate Coding

OnPoint can help. IRIS™, our clinical documentation solution:

  • Reduces the burden on providers
  • Increases accuracy by providing real-time clinical decision support for hierarchical condition category (HCC) code capture
  • Improves the quality of the clinical note in each patient encounter

How Our Clinical Documentation Solution Works

OnPoint’s clinical documentation solution combines the best of artificial intelligence (AI) with a team of certified risk adjustment coders (CRCs) and trained clinical intelligence (CI) staff to provide seamless documentation and coding support at every stage of the visit.

  • Pre-visit prospective coding: OnPoint aggregates clinical data from multiple sources to complete a comprehensive chart review—looking back at clinical data over the previous two-plus years. This process frees providers’ time to focus on high-value clinical work like care planning, patient outreach, and engagement activities.
  • Point of care clinical decision support: We support providers’ coding review and disposition of each code by surfacing clinical information from the chart review. The information comes complete with clinical clues and context for potential new conditions.
  • Post-visit retrospective coding: OnPoint recaptures year-over-year HCC codes through a robust one- or two-stage certified coder review of each completed visit note for documentation completeness and accuracy of CPTs, ICD10s, and HCCs.
  • Accurate submission to health plans via 837 files: Enhanced clinical documentation specificity ensures all relevant conditions are portable (via EDPS), submittable to health plans, and bulletproof on audit.

Driving Results

OnPoint clinical documentation and coding solutions are driving step-function impact in risk adjustment factor (RAF) accuracy, clinical documentation improvement (CDI) initiatives, revenue capture, and enhanced quality of care in members.

To learn how we can do the same for your health system, please fill out the form below: