Five things to know:
1. The study looked at all patients having spine surgery at a single multi-surgeon spine center.
2. Over two 11-month periods, the number and type of spine PSIs were compared before and after a specialty specific clinical review to identify incorrectly generated PSIs. The financial impact of the intervention was calculated as an annual cost savings.
3. In the first 11-month phas, 61 PSIs were reported in 3,368 spine cases. In the next phase, there are 26 PSIs in 4,482 cases, a decrease of 1.5 PSIs per month.
4. The results of the study avoided a 1 percent CMS cost reduction and an annual cost saving of $3 million to $4 million per year.
5. The study concluded: “The implementation of a clinical documentation review process with clinician collaboration to ensure ICD-10 coding accurately reflects the patient’s medical course leads to more accurate PSI reporting, with the potential for substantial cost-savings for hospitals from CMS reimbursement.”
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
