The need for EHR integrated insights and automated workflow increases with the shift to value-based care. Reimbursement is adjusted for risk and quality, based on clinical decisions at the point of care. Clinicians and staff are empowered with better insights and automated workflow to address risk adjusted reimbursement. This includes capturing the appropriate Hierarchical Condition Categories (HCCs) for Medicare Advantage and the Affordable Care Act.
Resolving gaps in coding and documentation are critical to capturing appropriate reimbursement and driving better clinical outcomes. EHR integrated clinical decision support combining data driven recommendations with automated workflow is the best way to empower clinicians and administrators to investigate gaps, schedule visits, close gaps, and improve outcomes during patent encounters to meet value based care requirements while achieving the Quadruple Aim.