UC San Diego Health wanted to generate clean claims, improve coding quality and lower professional fee pre-AR days. However, to do so, Cassi Birnbaum, UC San Diego Health’s system-wide director of health information management and revenue integrity, knew she had to address the disconnect between facility and professional services coders.
“We needed something that would help us break down the silos, break down the walls, break down the barriers—see what we can do to really leverage the great technology that we have on the facility side,” says Birnbaum. “In some cases, we’d be blindly coding out of a charge review work queue without any of the tools or integration, and then having everything drop to a series of edits to fire at the coder.”
Due to issues such as limited visibility into professional services productivity and increasing coding rework, Birnbaum was eager to reboot UC San Diego Health’s professional coding efforts and move toward the transparent coding environment of 3M™ 360 Encompass™ Professional. The single path workflow allows outpatient and professional services coders to work on the same record simultaneously. By creating a unified workflow, 3M 360 Encompass Professional offers increased visibility to professional coding teams and reduces the steps necessary to complete an accurate claim.
“The good thing with our first go-live area of radiology is that we were already doing single path, but in a very primitive way. So, now we addressed the pro-fee side of the equation with 3M 360 Encompass Professional,” says Birnbaum.
With unified coding teams, UC San Diego Health can take new steps to streamline efficiency, including consolidating both teams under one leadership structure to bridge the organizational hierarchy gap.
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