Strengthening CV Outcomes with Merged Clinical & Coding Data – from Registry Submission to Revenue Capture -

Reliable clinical registry data management is at the heart of any cardiovascular program. While collecting data through abstraction and reports and integrating it with coding can feel like a well-oiled machine, many leading cardiovascular programs are unaware of a gap that could be costing them six-figure revenue.

The gap? Clinical registry data and coding teams often speak different languages.

hbRecon: Opening the Door for More Accurate CV Coding

hbRecon, a complement to hbCOR, bridges that gap. It translates clinical data into a specific and actionable coding format to identify a DRG code that more accurately captures the nature of the care provided.

Here’s how hbRecon integrates into your existing heartbase workflow:

1. Data integration. hbRecon integrates data in its custom platform to create a unified dataset. This includes integrating clinical data with hospital coding and financial information to accurately reflect the care provided.
2. Report generation and review. heartbase provides feedback and insight on a weekly basis and presents a wide array of reports, from DRG Summary Reports to ICD-10 Procedure & Diagnoses Detail Reports.
3. Reconciliation and process review. This step gives the clinical team a chance to review the cases and submit them for secondary review by the hospital coding and compliance teams, if needed. This process varies site-by-site, but its four primary objectives are:
1. Reviewing documentation and coding
2. Re-coding and re-billing as indicated
3. Identifying outliers with complex coding
4. Reabstracting clinical data, as necessary

Following this integration, your clinical data will “speak the same language” as your coding team to capture revenue more accurately than ever before. The implications for your CV program’s bottom line can’t be understated.

hbCOR: A Solid Foundation for CV Data Collection

Of course, a strong clinical registry data management system starts with a solid foundation. hbRecon is most effective when paired with hbCOR’s ability to unify clinical data from every major CV registry. Using a single comprehensive repository, clinical teams can easily access a complete picture of a patient’s cardiovascular history.

With hbCOR, the following CV Registries are all in one convenient location:

• The American College of Cardiology NCDR (ACC-NCDR)
• The Society of Thoracic Surgeons Database (STS)
• The American Heart Association Get With The Guidelines (AHA GWTG)
• Extracorporeal Life Support Organization (ELSO-ECMO)
• State Registries (CCORP, COAP, IHA, and more)
• Custom Registries

Additional benefits include:

• Simplified data collection: Reduce the burden of manual data collection with hbCOR’s advanced interoperability.
• Real-time data validation: Leverage immediate pre-harvest data validation for completeness, accuracy, and compliance.
• On-Demand Reports & Scorecards: Access the following reports and scorecards.
  • Ad Hoc Queries
  • MD Scorecards
  • Complications & Outcomes Reporting
  • Equipment Analysis
  • AUC & Risk Scoring
  • and more!

With the partnership between hbRecon and hbCOR in place, many leading CV programs turn data into actionable insights that boost financial performance, including improvements in the Case Mix Index (CMI).

Improved Financial Outcomes from CV Data Collection

While hbCOR and hbRecon can be employed independently, this iterative work between the two platforms – available in one seamless heartbase workflow – can have a profound impact on your cardiovascular program’s bottom line. By facilitating more accurate data transfer between clinical registry and coding, the addition of hbRecon helps CV programs with:

Reduction in overbilling and underbilling: hbRecon runs real-time data analysis to identify and rectify coding discrepancies. That leads to more precise DRG assignments that reduce over- and under-billing.
Improved reimbursement rates: Integrating clinical registry data and coding with hbRecon results in more accurately reflected episodes of care. The result is reimbursements that are commensurate with the care provided, which isn’t always a given.
Consistent performance improvement: Clinical registry data-based audits deliver actionable insights that build momentum for cross-departmental initiatives focused on addressing specific challenges, ultimately leading to efficiencies that save costs.

See hbRecon in action and discover how it captures six-figure revenue.

You’ve already built the foundation for better CV data management with hbCOR. Schedule a demo to discover how integrating hbRecon can make your data more accurate and actionable to transform your CV program’s revenue capture.