Synigence HIM

A robust Health Information Management (HIM) program is more critical to the success of any healthcare Organization and Hospital. Healthcare Industry has been impacted by the recent changes such as:

  • Affordable care act
  • Meaningful Use
  • ICD-10

Some of the challenges Healthcare Organizations and Hospitals are facing is:

  • Increase in Patient volume
  • Pressure in achieving Patient satisfaction
  • Profitability
  • Strict compliance goals
  • High Cost associated with Staff recruitment and turnover

Synigence can be a perfect partner in addressing these challenges. Synigence achieves this by:

  • Expertise in Revenue Cycle
  • KPI Benchmark driven Operations
  • Industry best Productivity and Quality Standards
  • Accurate Coding
  • Portfolio of Specialties

Synigence provides a complete suite of HIM Solutions; including Electronic Document Management, Coding and Coding Audits

SYNIGENCE HIM SOLUTIONS - ELECTRONIC DOCUMENT MANAGEMENT (EDM)

Synigence can help the HIM department in efficiently managing the patient records from the time a patient walks into a hospital. Synigence along with its partners can provide services like,

  • Digitisation of paper records
  • Electronic Archiving & Retrieval of the digital records
  • Release of Information (ROI)

SYNIGENCE HIM SOLUTIONS - CODING:

Coding is the lifeline of any healthcare organization as reimbursement of treatment claims is dependent on coding accuracy and compliance which in turn is directly linked to the revenue and profitability. Synigence will help you in achieving the revenue and compliance goals through its certified, trained and experienced coders who are accurate, productive and experts in Inpatient and Outpatient Coding with.

  • 95% and above Coding accuracy
  • On-going Quality Audit and assurance
  • Quick turnaround time
  • Coding Compliance consistency

We offer Hospital Based Coding across multiple specialties and departments:

  • Inpatient Coding
  • Outpatient Surgery
  • Emergency Department
  • Clinical Coding
  • Psychiatric
  • Ambulatory Surgery
  • Durable Medical Equipment (DME)

We also offer Physician Based Coding across different specialties:

  • Emergency Medicine
  • Hospitalist
  • Anesthesiology
  • Pathology
  • E & M
  • Outpatient Surgery
  • Pediatrics
  • Other Specialties

SYNIGENCE HIM SOLUTIONS - CODING AUDITS:

How sure are you that you are not having a revenue leakage by down-coding or compliance risk by up-coding or incorrect coding? This can jeopardize your quality, revenue and your regulatory compliance. Synigence can help you with the Documentation and Coding audits with its panel of certified coding audit professionals who will expertly audit your documentation and coding to ensure efficiency and compliance, eliminate errors and following of fair practices.

We provide you with a periodical detailed report on the coding and documentation inefficiencies and provide suggestive measures and training to overcome those inefficiencies. Our methodology and approach is result driven i.e., ensure highest coding accuracy and meet all compliance parameters which will result in increased re-imbursement. We will help you meet CMS, AMA, AHA and AHIMA standards.

We follow the following audits:

  • E & M levels
  • Clinical level
  • CPT / HCPCS
  • ICD – 10
  • DRG

We also review the Patient care services to ensure that:

  • Services are Medically Necessary
  • All diagnostic tests and therapeutic procedures are necessary
  • Level of Service is appropriate
  • Quality patient care services are provided
  • Hospital length stay is appropriate

Synigence also assists with the compliance / documentation audit of the following Forms / Medical Records:

  • Admitting forms
  • Admission Summary
  • History and Physical
  • Physician Orders
  • Physician Progress Notes
  • Nurse Progress Notes
  • Ancillary department Notes (Pathology / Radiology / Laboratory) Clinical department Notes (Emergency department/Consultation / Specialists)
  • Medication administration report
  • Discharge Summary

Synigence can assist you in increasing efficiency and reduce cost by assisting in the following activities:

  • Utilization Review (UR)
  • Eligibility Verification
  • Patient Registration
  • Charge Capture
  • Charge Submission
  • Clearing house rejections resolution
  • Payments transactions – Insurance and Patient
  • Lock-box retrieval and Posting
  • Accounts Receivable Management
  • Reports and Analytics