Nuance Partnership Helps Healthcare Organizations Discover Revenue & Prepare for Value-Based Payments with Advanced Practice ...
June 22 2015 - 8:00AM
Business Wire
Nuance announces partnership with Jvion for
enhanced real-time data mining of clinical documentation to
significantly improve quality metrics and Case Mix Index
Nuance Communications, Inc. (NASDAQ: NUAN) today announced a
partnership with Jvion, a healthcare predictive analytics company,
to provide further support to healthcare organizations with
Advanced Practice Clinical Documentation Improvement™ (CDI) as they
prepare for the shift to a value-based reimbursement model. Part of
the Nuance Clintegrity 360 solution, Advanced Practice CDI now
provides physicians with real-time visibility and guidance into how
clinical documentation translates into quality metric scores and
appropriate reimbursement. By including Jvion’s data analytics
reports into Advanced Practice CDI, Nuance enables organizations to
dive deeper into their own clinical data and pinpoint specific
target areas for clinical documentation improvement.
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Although the industry is transitioning payment models, many
healthcare organizations are not prepared to fully make this shift
due to the revenue gap that exists between reimbursement under
today’s fee-for-service system and the changing rules under a
value-based payment model. Advanced Practice CDI arms healthcare
organizations with actionable insights and data to ensure they are
accurately and consistently charting information to capture the
severity of their patient populations, case mix index (CMI) and
associated levels of care.
“We want to get paid for the quality of care and services we
provide,” says Joann Hatton, director of Utilization Management and
Clinical Documentation Management at Heritage Valley Health System,
in western Pennsylvania, which currently uses Advanced Practice
CDI. “It’s not about the money, it’s about improving patient care,
but the positive financial impact of Nuance’s CDI program was
clearly evident.”
By successfully engaging physicians in the CDI process, Heritage
Valley achieved remarkable improvements in quality metrics,
including a 27 percent reduction in the predicted mortality rate.
Within the first 13 months of implementation, the health system
also realized more than $7 million in enhanced revenue and two of
their hospitals, Heritage Valley Beaver and Heritage Valley
Sewickley, saw CMI increases of 6.4 percent and 13.79 percent,
respectively.
“The transition to a value-based payment system is perilous,”
warns Anthony Oliva, DO, national medical director at Nuance.
“Fully engaging physicians while they are capturing the patient’s
story optimizes revenue in the fee-for-service system while
simultaneously developing a strong picture of the severity of the
population they are treating for predicting their future healthcare
needs under a value-based payment system.”
Swedish Health Services pilot tested Jvion’s advanced reporting
capability, part of the Jvion predictive analytic suite, in
conjunction with Nuance Advanced Practice CDI to provide real-time
CDI performance data for its five-hospitals in the greater Seattle
area. “Data drives our practice,” explains Jennifer Woodworth,
director of Clinical Documentation Integrity Program at Swedish
Health Services. “Physician and hospital compensation is tied to
quality metrics, which means to prove that you are providing high
quality care you need data. This real-time reporting allows us to
drill down to ICD-9 and ICD-10 codes, complications and other
specialized details to see how we are doing with the accuracy of
physician documentation, and this enables us to create proactive
initiatives that maximize our current resources.”
Since first implementing the Nuance CDI program three years ago,
Swedish Health Services has secured more than $18 million in
appropriate reimbursement through focusing on better documentation.
“In fact, 60 percent of our clarifications are clinically based and
related to severity of illness and risk of mortality,” says
Woodworth. “The impact of our CDI program has meant better
documentation, which means better quality of care at Swedish.”
Juggling Fee-for-Service and Value-Based Care
To help organizations maintain financial integrity while
negotiating these two differing reimbursement models, Nuance
Advanced Practice CDI, powered by J.A. Thomas & Associates,
helps healthcare providers to:
- Improve the accuracy of documentation
to support patients, physicians, and downstream reporting;
- Optimize inpatient revenue, as
treatment moves to the outpatient setting, by capturing appropriate
reimbursement through aligned clinical documentation and billing
codes at the point-of-care;
- Enhance value-based incentive payments
by accurately reflecting the severity of patient cases, and
appropriate diagnosis for measurement;
- Accurately predict the patient
population they will be treating tomorrow so the level of resources
and risk are optimized based on the expected cost of care.
Visit the Nuance booth #1137 at the Healthcare Financial
Management Association (HFMA) annual ANI conference, June 22-25 in
Orlando, or visit us online at Nuance CDI and professional
services. Nuance is backed by 20 years of J.A. Thomas and
Associates experience, including a fully-managed, comprehensive CDI
program that incorporates program maintenance, compliance support,
and proven sustained results.
About Nuance Communications, Inc.
Nuance Communications, Inc. (NASDAQ: NUAN) is a leading provider
of voice and language solutions for businesses and consumers around
the world. Its technologies, applications and services make the
user experience more compelling by transforming the way people
interact with devices and systems. Every day, millions of users and
thousands of businesses experience Nuance’s proven applications.
For more information, please visit: www.nuance.com. Connect with
Nuance on social media through the healthcare blog, What’s next, as
well as Twitter and Facebook.
About Jvion
Jvion is a predictive technology company that develops solutions
designed to predict and prevent patient-level disease, drive
population health, and reduce the cost of care. The company offers
a suite of big-data enabled solutions that combine clinical
intelligence with deep machine learning to help providers protect
their revenues while improving patient health outcomes. Their
objective is simple — stop the waste of resources and lives by
predicting and stopping losses before they ever happen.
Nuance and the Nuance logo are trademarks or registered
trademarks of Nuance Communications, Inc. or its affiliates in the
United States and/or other countries. All other company names or
product names may be the trademarks of their respective owners.
The statements in this press release relating to future plans,
events or services, are forward-looking statements which are
subject to specific risks and uncertainties. There are a number of
factors which could cause actual events or results to differ
materially from those indicated in such forward looking statements,
including fluctuations in demand for the Nuance products, and the
continued development of Nuance products. The reader is warned not
to rely on these forward-looking statements without reservation,
since these are simply reflections of the current situation. Nuance
disclaims any obligation to update any forward-looking statements
as a result of developments occurring after the date of this
document.
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version on businesswire.com: http://www.businesswire.com/news/home/20150622005159/en/
Nuance Communications, Inc.Media Relations:Ann Joyal,
781-565-4155ann.joyal@nuance.com
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