Case Prioritization is key to your team’s efficiency. There is likely nothing that will improve efficiency more than elevating the cases with the most opportunity and ‘lowering’ the cases that likely don’t need to be seen – a ‘slip and fall’. Your business rules, or ours… or perhaps a little of both. R1 works with you to create business rules that will drive higher levels of productivity through a greater number of appropriate reviews. We help your team find opportunities, so that they maximize their review time.
Case Escalation is key to your effectiveness. It’s not possible to manually track every change or nuance within every case. That’s what computers can do, 24x7x365. R1 works with you to create business rules that will ensure that particular cases get moved into second-level review queues automatically, as needed. So if staff are unexpectedly out-of-office, or the team is short-handed, R1 picks up the slack making sure opportunities don’t slip through the cracks.
nSight Analytics provides dynamic visibility into your operations and KPI’s in ways that static reporting never will. A 100% Physician Response Rate may sound great at the highest level, but peel it back and see that 80% is “Clinically Undetermined” and the 100% is less exciting. Similarly, managing last month’s data in your spreadsheet is just not going to produce as positive result as managing this month’s activity – today. Our data refreshes every 30 minutes, so you can manage what’s happening… not what happened (last month).
The TruCode Embedded Encoder Essentials provides unprecedented efficiency within the R1 Platform. With a single click a user can see numerous coding references (Coding Clinic, AHA Coding Handbook, Coding Advice, Clinotes and ICD-10 Guidelines), available on any given ICD-10-CM code. DRG grouping is seamless and automatically with every selection or deselection of a code from the Dx or Px list. No need to delete unused codes to get an accurate DRG… that’s just a waste of time.
With just a single click, users of any module can quickly view a patients comorbid conditions, longitudinally, including any diagnoses that is an HCC or impacted SOI/ROM. The speed and ease of reviewing the comorbidity history is greatly improved with R1, and our nSight Formulas can identify coding regressions over time as well!
nCode is the single easiest way for clinical folks (eg CDI nurses) to generate codes. Powered by IMO, the industry leader in terminology mapping, nurses can key in phrases like “s/p colectomy” and get the appropriate code (Z90.49 – Acquired absence of other specified parts of the digestive tract) right away whereas searching codebook wouldn’t come up with a result at all. nCode isn’t just for clinical users either; even the savviest coder can code complex fractures that may have thousands (yes, thousands) of permutations in record time with nCode.
The advanced query process in R1 allows facilities to utilize their own compliant query templates, invoke their own workflows and provide the optimal physician experience. Physicians can answer queries within the EHR, or they can answer securely on an R1 portal from any device – it’s really up to you and your CMO. Either way, the signed query ends up in the permanent record.
Notes and Tips provide tools for interdepartmental transparency, so a CDS can communicate with a Quality nurse and/or a Coder within the encounter, not via phone and email, so everything is accessible, trackable and reportable… it’s just faster and easier!
DRG Reconciliation is a breeze in R1, and it’s reportable! No need to manage the pre-bill and post-bill reconciliation process on a spreadsheet. There is nothing automated about that method whatsoever; it’s clunky and wrought with error. R1 provides reportable reconciliation information and notifies users when they need to respond to a mismatch or change.
Having access to the leading CDI reference has never been easier, as we have integrated the CDI Pocket Guide into R1!