Smith, Bill | Diabetic neuropathy type II with hyperglycemia
Kline, Robert | Major Depression, recurrent
Patient: Smith, Bill MRN: H0003432 Opportunity: Diabetic neuropathy type II with hyperglycemia Reason: Reported previous years Evidence: •2/15/2015: DX F33.0 found on claim
Send a reminder to the physician
Jane reviews the schedule for tomorrow thru the Risk Adjust Rules module
Patient: Smith, Bill MRN: H0003432 Opportunity: Major Depression, recurrent Reason: Reported previous years Evidence: •2/15/2015: DX F33.0 found on claim
Hi Dr Jones, It appears that Bill Smith was diagnosed with diabetes last year. Can you conduct a clinical evaluation of this condition during his office visit? Thanks! Jane CDS
The Outpatient CDI module has evaluated the medical records and previously submitted claim data for tomorrows scheduled cases and displays a list of opportunities Jane select Bill Smith's visit
Jane can quickly review the reason and any supporting evidence found by the predictive analytics engine. She pushes the "Send reminder" button.
Bill Smith is known to have a history of diabetes
Jane researches the medical record to collect further evidence to support this suspected diagnoses
Jane enters a brief message to Dr Jones asking him to evaluate this recurring condition during the office visit and sends it.
The next day, Dr. Jones is conducting his office visit with Bill Smith. He sees the message sent by Jane and is reminded to ask Bill about his Diabetes.
He later dictates the office visit into Dragon Medical Advisor. He remembers to mention his clinical evaluation of Bill Smith's Diabetes but leaves out some key specificities.
Patient Opportunity List
DMA prompts him to add further specificity
He dictates or types the specificity into the clinical note
Lauren is the billing clerk for Dr. Jones' office. She is working on submitting the claim for Bill Smith's visit.
The system has evaluated the clinical documents for his visit and suggests the following diagnoses: J21.9 Acute bronchiolitis, unspecified E0840 Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified
Smith, Bill | Suggest codes: •J21.9 Acute bronchiolitis, unspecified •E0840 Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified Clinical evidence: Progress note by Dr Jones
Ron James is the CFO of physician organization. He is able to view a dashboard of his improved ambulatory revenue and a reduction in denials.