Health Information Management

Attention to detail, information exchange process makes Oregon DHS a compliance success story

Health Information Compliance Insider, October 1, 2008

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Kyle Miller, CISSP, has spent nearly three decades in information technology (IT), including work for Intermountain Healthcare in Utah; currently, he works in Oregon’s Department of Human Services (DHS).

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Comments

1 comments on “Attention to detail, information exchange process makes Oregon DHS a compliance success story

Antoni (3/15/2012 at 2:25 AM)
The financial amipct of I-10 will revolve around cost to implement in terms of system upgrades, training and lost productivity, primarily for physicians, clinical documentation specialists and coders. Lost productivity will increase DNFB. Increased errors associated with coding, billing and payment errors will increase AR.I-10 is virtually revenue neutral however there will be some new opportunities to shift the MS-DRG, primarily relating to improved documentation of etiology and complication combination codes and some sequencing guideline changes. For physician's improved documentation will be necessary to preserve reimbursement, as I see no real opportunities for them to improve reimbursement under I-10 and current payment methodologies.As for what is in it for physicians not much! I've heard that Australia recognized improvement in quality of care and Canada recognized improvement in patient safety although these improvements may be due to new payment reforms/incentives as much as implementing I-10. To date no empirical data has been released to my knowledge to indicate this will be the case in the US. Best plan for physicians is to learn to improve documentation not increase it to help mitigate some of the expected productivity loss for them in both the office and hospital settings.Angela Carmichael, MBA, RHIA, CCS, CCS-P

 

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