M*Modal Expands Its Clinical Documentation Improvement (CDI) Solutions to Include Outpatient Coverage in Partnership with Summit Medical Group

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Collaboration to extend CDI capacity for Summit Medical Group from 20% to up to 100% of clinical documentation and support quality-driven care delivery

M*Modal, a leading provider of clinical documentation and Speech Understanding™ solutions, today announced that the company  has advanced its widely-deployed inpatient Clinical Documentation Improvement (CDI) solutions with the introduction of an outpatient CDI solution. Through close collaboration, M*Modal will help Summit Medical Group target top revenue-depleting hierarchical condition categories (HCCs) by automating the review of every encounter of every patient.  This outpatient CDI solution utilizes M*Modal’s proprietary Natural Language Understanding technology to bring game-changing automation, clinical insights and workflow efficiencies to CDI and coding processes at Summit Medical Group.

“We are very excited to be partnered with M*Modal to extend our current CDI coverage to include all our patient charts,” said Loredana Finis, Director of Coding Compliance at Summit Medical Group. “Our physicians are better documentarians than coders, and our manual CDI processes could not support100% abstracting and auditing, given the volume of business. The uniqueness of the M*Modal solution is that it goes beyond the discrete data, and analyzes not only the entire document but also all of the outbound narrative documentation from our athenahealth EHR. This is very impressive. The M*Modal technology does the heavy-lifting of sifting through the documentation and also gives us precise prompts within each document to see if the physician has captured the HCC code. This allows us to establish how we want to utilize and prioritize the worklists based on what M*Modal has found in the documentation.  Ultimately, M*Modal will help us more accurately capture the disease burden and RAF (Risk-Adjusted Factor) scores, and be more quality driven.”

“Summit Medical Group is an invaluable partner in helping us develop a more comprehensive outpatient CDI solution,” said Aaron Brauser, Vice President of Solutions Management at M*Modal. “M*Modal CDI CollaborateTM is a distinctive, web-based application that also provides top-level, dashboard views into enterprise-wide documentation so that Summit Medical Group can see exactly where the opportunities and risks lie, and find the outlying physicians for more targeted intervention.”

Built on the same M*Modal platform, the outpatient and inpatient CDI solutions help healthcare organizations better manage patient populations irrespective of the care setting.

The M*Modal inpatient CDI solutions provide:

  • Complete CDI Workflow Management: This productivity-enhancing solution automates chart review, generates continually-updated CDI worklists, streamlines the query and correction workflow with summarized evidence, and provides a robust interface that enables CDI Specialists to effectively interact with physicians.
  • Unmatched Clinical Intelligence: By utilizing M*Modal’s Natural Language Understanding technology, this solution promotes the comprehensive understanding of patient information and automates the identification of documentation deficiencies and gaps in care.
  • Real-Time Physician Feedback: A unique solution that delivers real-time and interactive insights to clinicians related to CDI and physician education as they document in the EHR for continuous improvement in how doctors care for their patients.