In 2012, Piedmont Healthcare started its clinical documentation integrity (CDI) prioritization journey with just two facilities and four CDI specialists responsible for reviewing only Medicare cases. By July 2019, the program grew to include 11 facilities and more than 35 CDI specialists prioritizing cases using length of stay (LOS) and working diagnosis related groups (DRG) for all payers except self-pay and charity care.
Piedmont used the 3M working DRG priority feature; the list created a challenge for the CDI specialists to truly find the most impactful cases, and led to the need for an evolved prioritization process. With the unique situation that COVID-19 presented, Piedmont wanted to take the CDI program to the next level to achieve these goals.
Implementing the 3M™ Advanced CDI Prioritization and 3M™ Automatic Impact features of 3M™ 360 Encompass™ System for CDI features allowed the Piedmont team to start:
After two years of implementing both 3M Advanced CDI Prioritization and 3M Automatic Impact, Piedmont saw an increased value in fiscal year 2022, including:
15% financial impact increase
Reduction in the number of unnecessary cases reviewed
50% principal diagnoses impact increase
Learn more about the keys to success during Piedmont’s successful prioritization journey.
As with any case study, results, outcomes and/or financial improvements should not be interpreted as a guarantee or warranty of similar results. Individual results may vary depending on a facility’s circumstances.
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