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Health Information Management Services

Health Information Management (HIM) is the heart of the revenue cycle. This department manages and converts the clinical information into financial information on a timely basis for inpatients and outpatients. RCS can assist in resolving your challenges and partner with you to plan for the future.

Challenge | Services | Approach | Benefits

Challenge

Health Information Management (HIM) is the crossroads of clinical information and financial reporting. The department strives to maintain documentation completion and timely coded episodes of care for inpatients and outpatients with high quality. At times, the efforts to quickly get cases coded results in coding errors, incomplete documentation, and opportunities to increase reimbursement.

Our Services

RCS can assess all aspects of your departmental operations to identify ways to improve chart completion, release of information, electronic heart record implementation, clinical documentation integrity (CDI), and coding. RCS also can provide on-site or remote coding education and audit services, including detailed coding, MS-DRG/APR-DRG validation, on-going monitoring, and compliance reviews for inpatient and outpatient services.

Our Approach

RCS provides experienced consultants to partner with your HIM management and/or senior management personnel in reviewing operations, determining areas of concerns, establishing objectives, and assisting with change management. RCS will:

  • Provide detailed results of HIM/CDI processes
  • Develop benchmarks for key performance indicators
  • Share management report on significant findings and opportunities
  • Review inpatient and outpatient coding quality

Benefits

By partnering with RCS, you will receive a comprehensive work product by highly experienced, credentialed consultants regarding the efficacy of HIM/CDI processes, coding quality, and suggested changes. Examples of improvements include:

  • Increased coding quality
  • Reduction in non-productive time
  • Identifications of education topics for coding
  • Documentation of facility specific coding guidelines