Clintegrity Facility Coding Solutions for Healthcare

Code, group, and edit in a single interface, from anywhere, at any time

A proven, single platform coding solution

With today’s complex and evolving compliance requirements, your coding professionals need an easy-to-understand facilities coding application that provides critical clinical, financial, and regulatory information essential for accurate reimbursement. Clintegrity Facility Coding combines an intuitive web native workflow with reference materials to provide a world-class coding platform. As part of our single, platform solution, Clintegrity Facility Coding aligns hospital and physician coding, reimbursement, and compliance tools. This helps ensure data and coding consistency between physician and facility encounters, even when using separate billing systems. This also increases efficiency and streamlines the coding process for your HIM staff, as does the ability to code, group, and edit in a single interface, from anywhere, at any time.

A reliable, knowledge-based approach

Clintegrity Facility Coding facilitates increased coding accuracy and productivity. Our coding solution maintains, and builds upon, your coders’ ability to identify and utilize codes for Diagnosis Related Groups (DRGs) and Ambulatory Payment Classifications (APC) reimbursement. In addition, your HIM staff will access the same official ICD-9 and ICD-10 codebooks and work from the same coding guidelines. This helps ensure data integrity and reduces errors that can lead to costly Recovery Audit Contractor (RAC) and other audits.

  • Improves coding accuracy and enables appropriate reimbursement. Our approach to coding increases accuracy, reduces errors, and encourages your coding professionals to continuously leverage and build upon their skills.
  • Maximizes coding productivity. Code in ICD-9 or ICD-10 within a single application and encounter across any and all of your facilities. They’ll have convenient access to codebooks, helpful shortcuts, and our expert Smartips that provide thousands of coding guidelines and enable them to add custom notes.
  • Facilitates efficient grouping, assignment, and analysis. Empower your coding professionals to efficiently assign and analyze DRGs and APCs; group an encounter using multiple groupers; and instantly see factors that impact reimbursement.
  • Improves coding compliance and reduces reimbursement risk exposure. Extensive ICD9, ICD-10, and Healthcare Common Procedure Coding System (HCPCS) code edits help coding professionals immediately, identify non-compliant coding encounters. And, complete integration with the single platform ensures consistent code assignment and application of coding rules and guidelines.
  • Automates and enhances OSHPD data collection and coding edits. The solution increases data collection efficiency, reduces potential submission errors, and helps ensure your Office of Statewide Health Planning and Development (OSHPD) code meets Error Tolerance Level (ETL) requirements.
  • Enables enterprise-wide data integrity. Our single, unified platform offers transparent, centralized encounter management across your facilities, promoting data consistency and accuracy.

Point-of-entry program

The best way to get the record straight - right from the start

As more and more patients are admitted through your Emergency Department, accurate documentation is becoming critically important. Due to the complexity of ED cases, the hectic work environment and the need to make rapid decisions, in many cases patient acuity is inaccurately reflected by under-documentation of the patient's clinical situation. Staff may accurately document the injury that brought the patient in, but miss secondary diagnoses and/or pre-existing conditions. What's more, a problem list isn't usually created until the patient is moved onto the floor...if ever. Improving the quality of the clinical documentation promotes better communication and creates an opportunity to positively impact clinical outcomes.

Nuance has developed a powerful solution and a new clinical staff position to help you ensure better clinical outcomes and accurate reimbursement.

The solution: Clintegrity CDI Point of Entry Program

Because documentation of critical information starts in the Emergency Department, the Point of Entry program starts there too - evaluating the severity of illnesses, assessing present-on-admission (POA) conditions, determining patient status (observation or inpatient), ensuring compliance with quality core measures, creating a problem list at the point of entry, and enabling more accurate documentation. The Point of Entry program builds on the foundation of Clintegrity CDI; and takes it even further, providing comprehensive clinical integration management.

New role: Clinical Integration Specialist

With this new solution comes a new clinical role - the Clinical Integration Specialist (CIS). This individual works closely with your clinical team to ensure all clinical observations are documented appropriately from the ED to discharge.

Your CIS is trained to:
  • Perform hands-on patient assessments
  • Identify and secure documentation of POA conditions
  • Assist with quality indicators such as core measures and patient safety indicators
  • Establish a problem list at the point of entry
  • Facilitate accurate, compliant clinical documentation by providing concurrent support to physicians
  • Review medical records for completeness and accuracy
  • Maintain liaison with ED and inpatient case manager and CDS
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