At a time when hospital reimbursements are not only under tremendous pressure but are also changing from fee-for-services model to value based models, maintaining the quality and integrity of clinical documentation has become paramount.
To ensure that their clinical documentation processes are meeting the expected quality and integrity standards, hospitals have to review their patients’ charts in their clinical documentation improvement (CDI) departments. Currently there is a severe shortage of trained and experienced CDI specialists in the country resulting in hospitals and other care settings not being able to review all the patients’ charts. Such skills shortage is also not only making it expensive for hospitals to review the all the charts but is also limiting their ability to expand the activity into other care settings such as outpatient and emergency room operations. This inability to review 100% of the patient charts in their CDI departments is resulting in under reimbursements for the level of care they have provided to patients, and is also severely impacting their hospital’s quality scores.
In order to address this acute shortage of CDI specialists, Saince, which has been providing transcription and clinical documentation improvement services for hospitals across the country for well over a decade, has taken a leadership role and has become the first company in the industry to also provide CDI services from its offices located in India. In an effort that took more than a year, Saince has identified and hired exceptionally talented physicians with years of clinical experience behind them in their India office. Saince has invested heavily in training these physicians in medical coding and clinical documentation improvement. Thanks to AHIMA, which resumed offering its Certified Coding Specialist (CCS) examination in India, all these physicians are now CCS certified. With exceptional skills and experience, these teams are now ready to provide CDI services to all types of healthcare settings – inpatient, outpatient, ER etc. Saince’s India offices are certified by International Standards Organization (ISO) for quality processes (ISO 9001) and data security (ISO 27001).
Now hospitals across the US have access to top level talent to meet their need for clinical documentation improvement services.
Clinical documentation is one of the more tedious tasks that doctors are faced with and is a heavily contributing factor in the rise of physician burnout. In the constantly evolving and data driven world of healthcare, AI is experiencing a boom. The application of AI technologies is revolutionizing the way clinical documentation can be generated in the context of patient treatment and AI is able to identify crucial information that can become lost in the clinical documentation process among the enormous amounts of information and data getting fed into EHR systems. This application is assisting physicians and healthcare workers in identifying missing or unclear data in electronic medical records streamlining the clinical documentation process and freeing up doctor’s time to focus on patients. 