CFMA is focused on achieving results: both improved reimbursement and improved quality scores
All sites with HAC Penalties have had a dramatic reduction in Total HAC Scores and are already free of Penalty or soon will be.
95% of our hospitals achieve a significant level of impact with 90% achieving the opportunity projected in the initial audit or greater.
Recently we have helped hospitals improve their IP reimbursement by between 9% and 23%.
Clinical Documentation Improvement is the missing puzzle piece to Medical Management. It is essential to better performance throughout Medical Management.
~ Improves OBS / Admission decision making. Medicare/Medicare Advantage OBS rates vary greatly by the hospital from 10% to 70%: with most of the variation being due to internal forces that are within your power to control.
CFMA is helping hospitals to develop stronger Utilization Review programs where the staff can hold the line with aggressive payers.
~ Improves quality scores. Without Clinical Documentation Improvement programs the severity of illness for patients is significantly understated.
Usually, 35-45% of cases are assigned to lower-paying DRGs.
Improved clinical documentation
* Reduces your mortality rates
* Decreases your average length of stay by DRG
* Improves the hospital’s quality scores
* Assures patients are assigned to the right level of care