Start your revenue cycle strong by ensuring that critical, and accurate, patient information is in place before patient visits begin.
Health Information Management
Our team of coding experts, with a deep understanding of the healthcare industry and its specialties, paired with smart technology creates a tangible, positive impact on cash flow.
Extended Business Office
AGS Health provides a comprehensive suite of RCM services that are customized for each customer. Our experienced team of experts serves as an extension of your business office.
Analytics and Reporting
Obtain answers to critical questions related to performance benchmarking, root cause analysis, predictive analytics, and operational improvements.
Connect with us
Request a demo
Latest CASE STUDIES
By AGS Health
August 9, 2022
The market size of the global Clinical Documentation Improvement market is predicted to reach $7,181.66 million by the year 2028 at a 7.40% CAGR during the forecast period. And for good reason. With 23 states embracing a value-based care model to enhance their healthcare systems, the spotlight is strongly on clinical documentation.
The lifeblood of healthcare revenue streams is accurate clinical documentation. Payers may delay, deny, or partially reimburse you if you have missing or incomplete documentation of diagnosis or treatment. The accumulation of such cases not only makes it difficult for hospitals to maintain their emergency medical services but also damages their financial, legal, and reputational standing by exposing them to allegations of medical fraud and abuse.
The consequences of insufficient documentation, as terrifying as they are, can be avoided. To reduce claim denials and rejections while increasing reimbursements, hospitals must first understand the factors leading to revenue loss.
The alarming number of denied reimbursement claims necessitates a detailed analysis of the flaws that lead to claims being denied or rejected:
Billing errors, missing information, and inadequate patient coverage have all increased due to the increasing complexity of coding guidelines. It has impacted operations, data analysis, reporting, and IT systems that rely on diagnostic and procedural data. Employees who aren’t up to date on the latest changes are more likely to create incorrect documentation due to poor coding practices.
Incorrect coding is also caused by a lack of understanding of medical terminology in the patient’s discharge summary. As a result, a patient may be required to undergo more diagnostic or surgical procedures than are necessary.
It can be difficult to keep all these considerations in mind while optimizing the coding and documentation framework. However, with new technologies, the healthcare industry has been compelled to improve its coding and documentation framework. The introduction of AI-enabled clinical documentation improvement (CDI) software has been the most significant aspect of these advancements.
According to Black Book Market Research, 90% of hospitals boosted their revenue by $1.5 million after implementing CDI software.
Patient health information, clinical status, and EHR office visits represent data codes with the CDI tools. These codes track diseases, report quality, and manage administrative and clinical processes, among other things - resulting in significant revenue gains for hospitals.
To improve operational efficiency in healthcare, accurate CDI is necessary. Increased documentation demands in the electronic health record (EHR) industry have resulted in more erroneous manual processing of low-quality redundant data. With physicians spending more time looking at screens rather than with patients, more than 40% of healthcare providers are experiencing burnout and depression.
With the help of AI- and clinical NLP-assisted CDI, hospitals can:
Some ways strategically chosen AI tools bring new-age transformation in CDI include:
As these technologies evolve, so will their implementation in the healthcare domain. AGS Health’s CDI solutions improve data quality – resulting in better clinical data, compliance, and revenue. They assist hospitals in establishing consistent revenue generation by automatically identifying missing or incomplete diagnoses from any clinical documentation. In addition, it provides a unified service platform through which hospitals can gain critical insights from unstructured data, which can quickly and easily be organized into a structured format for use in clinical analysis.
By minimizing cost, time, error margins, and effort spent in processing and clinical coding, AGS helps hospitals receive quick, accurate healthcare data in near-real-time.
AGS Health is more than a revenue cycle management company–we’re a strategic partner for growth. By blending technologies, services, and expert support, AGS Health partners with leading healthcare organizations across the US to deliver tailored solutions that solve the unique needs and challenges of each provider’s revenue cycle operations. The company leverages the latest advancements in automation, process excellence, security, and problem-solving through the use of technology and analytics–all made possible with college-educated, trained RCM experts. AGS Health employs more than 10,000 team members globally and partners with more than 100 clients across a variety of care settings, specialties, and billing systems.
connect with us
Let’s transform your revenue cycle today
When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.