The Coding staff at Western Health were very keen to implement an electronic way of communicating with Clinicians about documentation queries. Traditionally this process was done manually on paper at face to face meetings with Clinicians. These meetings were often difficult to organise because of workload and scheduling issues. Being able to seek clarification on documentation is a vital part of the coding process, and Western Health saw the implementation of BOSSnet as a perfect opportunity to streamline this process.
Using BOSSnet eForms, Outcome Reports and Documents of Interest, Core Medical Solutions (CMS) were able to develop a simple coding query process. Coders were able to:
Implementing electronic coding documentation queries allowed Western Health to communicate with clinicians in a timely manner as they are not reliant on paper or manual follow up processes. Clinicians receive the query and can easily launch into the relevant patients record to review and respond to the query. This can be done from any location that the clinician can access BOSSnet from and is not reliant on face to face meetings with Coding staff. Importantly, electronic queries are legible and auditable, they form part of the medical record and can be used for coding. The more accurate the documentation is, the more accurate the clinical coding is, and therefore more the accurate the reimbursement.
Since implementing electronic coding queries at Western Health, a number of other clients have chosen to implement this process as well.
"Implementation of electronic coding queries provided a quick and easy method of clarifying documentation, which has resulted in more accurate coding and reimbursement."Kate Hunt