Latest news with #clinicaldocumentation
Geek Vibes Nation
6 days ago
- Business
- Geek Vibes Nation
Navigate CMS-HCC Model V28 With AI, Accuracy & Clarity
CMS-HCC Model V28 demands precision. With expanded specificity, it reshapes how risk scores are calculated and forces organizations to realign clinical documentation with coding. Multi-vendor confusion, data integration issues, and coding inconsistencies are roadblocks. The good news? AI tools and Digital Health Platform integration offer a clear path forward. Businesses that embrace interoperability, organized planning, and more intelligent workflows will be most equipped to handle this change with assurance. Healthcare organizations are aligning with a sharp regulatory shift. With the CMS-HCC Model V28, clinical documentation needs to be more specific and coding more compliant than ever. Health plans and providers must now collaborate more closely and in more detail as a result of the push for specificity. Broad-stroke diagnoses will no longer qualify under the V28 Risk Adjustment framework, making precise clinical documentation a top priority. In this environment, risk models require coding that reflects real-world complexity rather than administrative simplification. The implications of the CMS-HCC Model V28 extend well beyond compliance. Delays in preparation put organizations at risk for workflow disruptions, audit risks, and revenue loss. It is no longer optional to have strategic alignment across platforms, people, and processes. The time has come to evaluate, modernize, and take charge of the information that determines financial performance. The Multi-Vendor Puzzle The operational load tied to risk adjustment is not just about codes and compliance. It's about navigating a fragmented ecosystem of tools, workflows, and vendors. As new models like CMS HCC V28 bring higher specificity, every disconnected system adds more friction. Discussions at the forum demonstrated how important it is for businesses to eliminate inefficiencies and create platform-wide end-to-end visibility. The challenge of fragmented systems Healthcare organizations face a jigsaw puzzle of disconnected technologies. Executives shared how managing 30+ vendor steps from clinical documentation to CMS submission introduces risk, delays, and confusion. Each vendor operates in silos, making it hard to align processes or ensure consistency. The solution Reduce complexity. By combining suppliers or implementing integrated technologies that unify everything under a single interface, organizations are simplifying their IT stacks. The outcome? Stronger compliance, improved accountability, and fewer manual interventions. Bridging Clinical Workflows and Coding Standards Aligning clinical workflows with coding expectations has emerged as a strategic priority due to the strain of new compliance requirements. With the added specificity in CMS HCC V28, the stakes are even higher. Organizations can no longer afford disjointed communication between clinical teams and coding professionals. Bridging this gap ensures not only regulatory compliance but also accurate risk capture and better care quality. Clinical accuracy drives compliance. One of the biggest pain points? The disconnect between what physicians document and what coders interpret. Misalignment here leads to missed HCCs or even inaccurate risk capture. Leading approaches include: Creating shared documentation protocols across clinical and coding teams Training on how V28 changes the diagnosis code requirements Embedding assistive tools into the physician workflow to guide documentation in real time The emphasis is on precision. Under CMS HCC V28, vague or broad documentation won't cut it. Advancing Interoperability Across Systems As organizations transition to more complex coding models like CMS HCC V28, interoperability becomes a strategic differentiator. A lack of clean data flow between systems can delay submissions, reduce the accuracy of risk scores, and limit the effectiveness of population health efforts. Aligning platforms, interfaces, and workflows to communicate without friction is central to operational success under evolving models. Making data move where it matters Timely and clean data exchange is mission-critical. Many organizations still struggle to get real-time data into the hands of decision-makers and coders. To solve this: Map all data flows between systems to identify gaps Regularly assess integration performance Set up rules for quickly resolving discrepancies Track data exchange metrics to measure progress When systems communicate effectively, risk scores improve, errors drop, and compliance strengthens. Strategic moves to stay ahead With implementation due in 2026, organizations have a tight window to prepare. The forum stressed practical steps being taken by leaders across the board. Key strategies include: Rolling out incentive-based programs to boost staff engagement Deploying dashboards to monitor V28-specific performance indicators Running test scenarios that simulate new V28 workflows Building cross-functional readiness task forces Structured preparation today translates to fewer surprises tomorrow. Role of AI and NLP in Smarter Risk Adjustment Modern risk adjustment depends on speed, accuracy, and data-driven insight. That's why the strategic use of AI and NLP is rapidly becoming a cornerstone of success under V28 Risk Adjustment. These technologies, particularly when combined with a scalable, user-friendly system architecture, simplify documentation procedures, identify lost coding opportunities, and comprehend difficult clinical terminology. When used properly, they complement human judgment rather than take its place. Technology fuels accuracy and speed. V28 Risk Adjustment demands more than manual chart reviews. AI and NLP are being used to process clinical notes, uncover overlooked diagnoses, and deliver coding suggestions rooted in clinical logic. These tools: Flag incomplete documentation instantly Suggest valid HCCs based on medical language Analyze patient history across multiple systems A strong Digital Health Platform ties these elements together, driving both speed and precision. Strengthening Trust Between Stakeholders As organizations move toward more accountable risk models like CMS HCC V28, fostering trust across stakeholders becomes non-negotiable. Providers need visibility into how their documentation translates into coding. Payers seek consistency and accuracy in submissions. Patients deserve clarity on how their care is categorized. Without mutual trust, even the best tools can falter. Strengthening these relationships begins with shared visibility and audit-ready transparency. Documentation done right supports everyone. Risk adjustment works best when there's transparency. Trust between payers, providers, and patients grows when everyone sees how diagnoses are captured and why they matter. Trusted strategies include: Giving clinicians control over accepted or rejected HCCs Showing clearly why AI flagged a certain condition Using audit-friendly interfaces to back every decision with data This is not just about compliance, it's about empowering the entire ecosystem. Integrating Instead of Layering Fragmented tools and disconnected workflows create noise, not clarity. Leaders at the forum stressed how layering new technologies on top of outdated systems only amplifies complexity. As expectations around risk adjustment grow sharper under CMS HCC V28, organizations must shift focus from stacking systems to integrating them. Unified platforms simplify operations, reduce rework, and promote data integrity across departments. Solving the multi-system chaos Risk adjustment shouldn't rely on patchwork systems. The forum echoed one truth loudly: integrated tools that span documentation, coding, and submission outperform cobbled-together vendor networks. With unified platforms, organizations: Avoid duplicate data entry Improve turnaround times Keep all departments aligned on coding priorities This approach supports real-time updates, especially vital when transitioning to CMS HCC V28. Sustaining Change Through Smart Execution Turning strategy into outcomes Execution matters. Tools alone won't move the needle unless they're tied to smart processes and metrics. Practical execution tips: Monitor workflow efficiency weekly Pilot innovations before system-wide rollout Get regular feedback from clinical and coding users Continuously adapt documentation protocols to match V28 standards This adaptive, measurement-driven approach ensures compliance is never a one-time event. Final Thoughts CMS-HCC Model V28 changes the game. Healthcare organizations that invest in interoperability, data accuracy, AI tools, and smarter workflows are best positioned to adapt. Documentation needs to be intentional, specific, and traceable. Experience Integrated Intelligence with Persivia Healthcare doesn't need more vendors, it needs better ones. Persivia offers Risk Adjustment Solution that empowers providers with transparent AI, NLP-backed insights, and full V24/V28 compatibility. With bidirectional EHR connectivity and a white-box AI engine, it enables clinicians to act on real opportunities without second-guessing algorithms. Learn more today.
Associated Press
7 days ago
- Health
- Associated Press
ScribeEMR Showcases Medical Coding and AI Scribing Solutions At 2025 FACHC Annual Conference: Bridging Care & Community
CHAMPIONSGATE, FL, UNITED STATES, July 21, 2025 / / -- ScribeEMR, a leading provider of AI-powered healthcare documentation solutions, virtual scribing, coding, auditing, and medical office services will exhibit at the Florida Association of Community Health Centers (FACHC) 2025 Annual Conference: Bridging Care & Community, July 21-22, at the Omni Orlando Resort at Championsgate, in Championsgate, Florida, Booth #8. Representatives from ScribeEMR, and its medical coding subsidiary CodeEMR, will discuss their solutions for streamlining medical charting, maximizing revenue and ensuring coding compliance with hundreds of community health leaders from Federally Qualified Health Centers (FQHCs) that provide care to patients in underserved areas throughout Florida. AI Scribing for Optimizing Revenue This year, ScribeEMR will focus on the revenue generating advantages of its ScribeRyte AI system, which leverages ambient clinical intelligence to produce real-time, voice-driven documentation, and deliver accurate, structured SOAP notes that integrate seamlessly with most EMRs and specialty platforms including orthopaedics, urgent care, emergency medicine, dermatology primary care. 'ScribeRyte AI is redefining the future of clinical documentation for FQHCs and other community health centers, delivering virtually 100% accurate clinical notes instantly during a patient visit,' says Terry Ciesla. 'With the click of a button, providers can be assured their clinical encounters are being captured, including subtle details like medical intent, terminology and tone, with little to no need for revisions. The time they used to spend charting can now be used to provide greater access to patients and increase revenue.' ScribeEMR's technology team built the ScribeRyte AI system based on actual live, virtual scribing encounters. With minimal training, it intuitively monitors a physician's charting habits and the details of a patient's medical history, and predicts what should be included in each note. ScribeRyte AI offers customized solutions for providers who want to use AI in tandem with existing ScribeEMR virtual scribes or as a standalone system. It also generates codes that serve as a reference guide to correctly capture billable patient encounter information. Coding Specificity to Capture Payment CodeEMR provides medical coding and auditing services with the specificity needed to address the challenges and requirements of FQHCs, who are now in danger of losing crucial federal funding. 'Medicaid is a critical revenue source many FQHCs rely on for as much as 30-50% of their operating budgets. Impending cuts will likely lead to fewer patient visits and billable services, and create unprecedented uncompensated care burdens,' says Vice President of Coding Business Development Paul Ferrazza. 'It will be more important than ever to code to the highest level of specificity to optimize CMS reimbursements and ensure proper payment for all commercial services,' he adds. 'CodeEMR has the deep expertise in FQHC medical coding and auditing necessary to achieve favorable 2026 cost reporting and HRSA ratings that will allow FQHCs to continue serving their communities.' About the 2025 FACHC Annual Conference The Florida Association of Community Health Centers, Inc. (FACHC) is the leading state advocate for community-based healthcare programs, focusing on Florida's Federally Qualified Health Centers (FQHCs). The Association plays a vital role in educating federal, state, and local policymakers about healthcare issues and the role health centers play in Florida's healthcare system. Its annual conference has grown to include more than 500 attendees, 76 exhibitors, a large-scale networking event, and five educational tracks. About ScribeEMR ScribeEMR is a leading provider of AI-powered healthcare documentation solutions and live, real-time virtual medical coding, scribing, and medical office services for medical practices, hospitals, and community health systems. For two consecutive years, ScribeEMR has been ranked 'Best in KLAS for virtual scribing services' in the 2025 and 2024 Best in KLAS: Software & Services Reports. ScribeEMR is also the highest rated company in KLAS Research's Virtual Scribing Services 2024 report. Highly trained U.S. and overseas teams partner with healthcare providers and health systems to improve practice efficiency, maximize revenue, and reduce provider burnout. ScribeRyte AI delivers physician-guided, AI-driven medical charting with unprecedented speed, close to 100% accuracy, and many personalized capabilities. For more information visit Follow us on: LinkedIn Andrew Lavin/Sue Klein A. Lavin Communications [email protected] Legal Disclaimer: EIN Presswire provides this news content 'as is' without warranty of any kind. We do not accept any responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you have any complaints or copyright issues related to this article, kindly contact the author above.
Associated Press
09-06-2025
- Business
- Associated Press
Dedalus Named Europe's Top-Rated EHR for Workflow Alignment in Black Book Report Ahead of HIMSS25 Paris
Independent Global Study Evaluates EHR Satisfaction Across 110 Countries; 93% of European Users Say Dedalus Clinical Documentation Tools Better Align with Local Workflows than U.S. Vendors PARIS, FRANCE / ACCESS Newswire / June 9, 2025 / In the lead-up to HIMSS25 Europe (June 8-10 in Paris), Black Book Market Research LLC, the globally recognized independent healthcare IT research firm, has released its Q2 2025 Global Healthcare IT Performance Update. The report ranks Dedalus as Europe's top-rated Electronic Health Record (EHR/EPR) vendor for clinical documentation aligned with local workflows, a key differentiator driving client satisfaction across multiple countries. In a pan-European finding, 93% of Dedalus users reported that the platform's clinical documentation tools better reflect their country's unique healthcare workflows compared to U.S.-based vendors. This preference is part of a broader shift toward regional EHR/EPR solutions, with 88% of global respondents indicating that country-specific vendors outperform multinationals on local adaptability, speed of implementation, and regulatory fit. Country-Level Highlights from the 2025 Black Book of Global Healthcare Information Technology Reports: United Kingdom & Ireland: Dedalus ranks #1 for clinical alignment with NHS and HSE workflows, with respondents citing rapid localization, GDPR compliance, and lower cost of ownership compared to U.S. systems. DACH Region (Germany, Austria, Switzerland, Liechtenstein): Dedalus leads in user satisfaction, particularly among public hospitals and university clinics. Respondents highlighted the system's configurability and its compliance with evolving national eHealth standards. Italy: As Dedalus' home market, Italy showed the highest adoption rate. Users praised the company's integrated suite of patient management, diagnostics, and clinical decision support solutions for their fit within both regional and national health structures. France: Dedalus' EHR platform was rated #1 for seamless interoperability with public health registries and alignment with France's digital health roadmap. The report notes high performance among hospital groups in Île-de-France and Provence-Alpes-Côte d'Azur. Strategic Context for HIMSS25 The release of Black Book's findings coincides with the upcoming HIMSS25 European Health Conference & Exhibition in Paris, where digital transformation, interoperability, and localized EHR adoption will be at the forefront. As HIMSS brings together healthcare leaders from across Europe, Black Book's Q2 report underscores the accelerating momentum of regionally attuned platforms like Dedalus in displacing global EHR incumbents. Black Book's evaluation of EHR systems in 110 countries spotlights over 60 country-specific IT leaders, offering a critical benchmarking resource for providers, investors, and policymakers navigating post-pandemic modernization efforts. Key Performance Insights from the Report: Implementation Speed: Dedalus clients in Europe report go-lives occurring up to 56% faster than U.S. competitor averages, minimizing disruption and shortening ROI timelines. Workflow Usability: 91% of Dedalus clients surveyed cited improved clinician engagement and fewer workflow interruptions during documentation, order entry, and discharge processes. Digital Sovereignty: Across France, Germany, and Italy, Dedalus received top marks for compliance with local data sovereignty laws and its infrastructure that supports in-region hosting and analytics. About Black Book Research Black Book Market Research LLC is the industry's leading source for impartial, crowd-sourced healthcare technology and services performance evaluations. Since 2002, Black Book has polled end users and decision-makers to produce in-depth performance analyses on 18,000 healthcare technology, managed services and capital equipment vendors. The 2025 Global Healthcare IT Report is based on responses from over 36,000 verified users worldwide, offering unparalleled insights into real-world technology outcomes. Media Contact Black Book Market Research LLC 3030 North Rocky Point Drive, Suite 150 Tampa, FL 33607 USA Phone: +1 (800) 863-7590 Email: [email protected] Contact InformationPress Office 8008637590 SOURCE: Black Book Research press release
