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Coding compliance solutions enhance coding quality

INTEGRIS Health centralizes coding and HIM functions with single platform

Nuance Clintegrity Coding and Compliance helps reduce denials.

Navicent Health Success Story

Company profile

INTEGRIS Health, Oklahoma’s largest not-for-profit healthcare system, shoulders the responsibility for improving the health and well-being of Oklahoma’s citizens. This growing organization, with hospitals and clinics throughout the state, recently added a new facility to its system. Through this expansion, standardizing and centralizing healthcare technologies have been of primary importance to the team.

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“There was configuration that needed to be completed, and the Nuance team was great at guiding us through the process in order to timely meet our milestones. We have had a great rapport and partnership with the Nuance team. The rollouts and go-lives were seamless.”

Kati Beisel
Administrative Director of Health Information Management
INTEGRIS

Challenge

  • Enable centralized and remote coding teams
  • Support health system expansion with rapid deployment of healthcare technologies
  • Engender high level of coder retention, satisfaction, and productivity
  • Enhance transparency to manage enterprise coding, compliance, and denial management functions
  • Create ability to pinpoint coder educational opportunities and provide guidance and feedback
Solution

  • Nuance Clintegrity Coding and Compliance
Results

  • New campus deployment within 30 days
  • Reduced A/R to 0.5 days and reduced denials and billing rework
  • Improved coding compliance accuracy for complex compliance cases to 99.89%, averaging 97% DRG accuracy across all campuses
  • Optimized workflow and ability to focus on high-risk cases
  • Automated management oversight for the remote coding team and improved overall coder satisfaction

Background

Expanding, growing health system needs standardized technologies
A registered nurse for 18 years, Emily Vollmeier, system director hospital coding/CDI, has found her home in coding and clinical documentation improvement (CDI). In fact, she says, “When I moved into this role about eight years ago, I discovered I had a passion for it. As healthcare evolves, we’re realizing there’s a strong stake in the game for coding and CDI. And at our organization, those teams are married.”

Already a Nuance Clintegrity Coding and Compliance user, INTEGRIS turned to the Nuance team for support and rapid deployment through this most recent expansion. Nuance Clintegrity Coding and Compliance helps organizations like INTEGRIS improve the quality and accuracy of coded data, helping to identify potential areas of noncompliance, which also serve as educational opportunities for the INTEGRIS team. “We hired four new coders for the new site and needed to get them fully trained in the Nuance solution as quickly as possible so we could stay afloat through the process,” explains Kati Beisel, administrative director of health information management for INTEGRIS.

The entire INTEGRIS organization had recently implemented Epic, which changed a number of processes for Beisel and her team. For example, INTEGRIS and Nuance worked together to streamline the payer and physician data flow from Epic—initially and on a regular basis. “There was configuration that needed to be completed, and the Nuance team was great at guiding us through the process in order to timely meet our milestones. We have had a great rapport and partnership with the Nuance team. The rollouts and go-lives were seamless,” says Beisel.

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