Nuance partnership helps healthcare organizations discover revenue and prepare for value-based payments with Advanced Practice Clinical Documentation Improvement

Nuance Communications, announced a partnership with Jvion, a healthcare predictive analytics company, to provide further support to healthcare organizations with Advanced Practice Clinical Documentation Improvement (CDI) as they prepare for the shift to a value-based reimbursement model. Part of the Nuance Clintegrity 360 solution, Advanced Practice CDI now provides physicians with real-time visibility and guidance into how clinical documentation translates into quality metric scores and appropriate reimbursement. By including Jvion’s data analytics reports into Advanced Practice CDI, Nuance enables organizations to dive deeper into their own clinical data and pinpoint specific target areas for clinical documentation improvement.

Although the industry is transitioning payment models, many healthcare organizations are not prepared to fully make this shift due to the revenue gap that exists between reimbursement under today’s fee-for-service system and the changing rules under a value-based payment model. Advanced Practice CDI arms healthcare organizations with actionable insights and data to ensure they are accurately and consistently charting information to capture the severity of their patient populations, case mix index (CMI) and associated levels of care.

“We want to get paid for the quality of care and services we provide,” says Joann Hatton, Director of Utilization Management and Clinical Documentation Management at Heritage Valley Health System, in western Pennsylvania, which currently uses Advanced Practice CDI. “It’s not about the money, it’s about improving patient care, but the positive financial impact of Nuance’s CDI program was clearly evident.”

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Advanced Practice, CDI, clinical documentation improvement, Clintegrity 360, Heritage Valley Health System, ICD-10, Jvion, Nuance, payment models, predictive analytics, Swedish Health Services, value-based reimbursement


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