MEDITECH
Abstracting
product brief
MEDITECH's
Abstracting application collects and reports various patient
information, such as prospective payment and Peer Review
Organization (PRO) data, as well as data for state and federal
reporting requirements.
Highlights:
The
Abstracting application enables users in multiple and single
facility health care organizations to:
• Calculate Diagnostic Related Groups (DRGs)
automatically
• Review patient charges concurrently
• Generate DRG statistics for case mix
analysis
• Create organization-defined case mix
reports
• Create and maintain patient abstracts on-line
• Generate abstract statistics
• Create and maintain various projects on-line.
The
application helps health care organizations to calculate DRGs
accurately, monitor charges as patients approach reimbursement
limits, ensure that patient abstracts are completed in a timely
manner, and analyze case mix management at the hospital.
Integrated with MEDITECH's Registration, Medical Records, and
Billing/Accounts Receivable applications, the application
provides an easy method of capturing and reporting patient and
financial data. The application also offers:
• Coding of both inpatients and
outpatients using ICD-9, CPT-4 coding and modifiers
• Connectivity to other encoding
products via HL7 compliant interface
• Customer-defined edit checks to
guarantee all necessary fields of information are completed
before finalizing an abstract
• Ability to combine abstracting
information for all patient classes in one Abstracting (ABS)
database
• Queries which can be utilized to
display information from other applications
• Standard fields that can accept
APG and APC information via encoding interfaces
• CPT modifiers that can be entered
or captured through an encoding interface.
Standard
Features
Grouper
Routines for Managing DRGs
The application includes
grouper features which automatically calculate DRGs, display
patients' DRG data, and provide for easy creation of various
reports. The features include:
• Ability to assign separate DRG admit statuses,
intermediate, and final DRG
• Display of reimbursement amount and length-of-stay data
• Ability to recalculate the DRG if edits are made to other
key fields
• Ability to flag patients for concurrent review
• Ability to store multiple grouper versions
• Concurrent and retrospective coding features available
Concurrent
Review
A concurrent review feature
helps to identify which patients' charges are approaching the DRG
reimbursement amounts and/or approaching their DRG maximum or
standard length of stay. These reports signify the potential day
and cost outliers of those patients still in the hospital. Users
may identify any or all of the following criteria:
• Patients flagged for review
• Patients whose actual length of stay (LOS) is within an
organization-specified limit of their assigned LOS
• Patients whose actual LOS is within an organization-
specified limit of the maximum DRG LOS
• Inventory valuation using Average Cost (AVG)
• Patients whose actual charges are within an organization-defined
percentage of the DRG expected reimbursement amount
• Patients whose LOS is an organization-specified number of
days before/after their DRG standard length of stay
• Patients whose DRG or diagnosis has changed in the
previous user-specified number of days
• Patients with a particular DRG status
• Transmit UB 92 CPT charge master codes from the Billing/Accounts
Receivable application to the Abstracting application.
The application
includes the ability to create a Final DRG Delinquency Register
that identifies discharged patients lacking a final DRG
assignment. Test case grouper features allow users to test cases
without using actual patient abstracts.
Utilization
Reports
Case Managers perform patient-specific
utilization reviews such as quality management and risk
management. Reviewers have the ability to:
• Collect patient-specific data for pre-admission,
concurrent and retrospective reviews
• View diagnoses and insurances
• Create specific criteria indicators such as severity of
illness and appropriateness of admission
• Generate letters and messages based upon review outcomes
• Generate statistical reports which analyze utilization
review data
• Create worksheets and collection forms for patient data
• Create organization-defined worklists specifically for
utilization review.
Customer-Defined
Screens
Users may create and customize
their own screens to collect information. If desired, these
screens can be set up in the Registration application to pass
information captured on these screens to the patient abstract.
Encoding
Capabilities
The Abstracting application
contains coding and grouping functionality through the use of
HCFA tables. Sites have the option to connect to other vendor
software. Features include:
• Ability to pass MEDITECH patient identifying information
to other vendor encoder
• Ability for MEDITECH to receive other vendor’s coding
date for automatic inclusion into the patient's abstract profile
• A choice of third-party encoding software that is HL7
compliant including 3M, Codemaster, and Medicus.
MEDITECH receives the
following Ambulatory Patient Group (APG) information for the
patient:
• CPT codes with APG information attached to them
• All APG assignments with associated APCs, cost weights,
and APC percentage values
• Summary APG assignment
• Total charges, outlier dollar value, APG weight and
expected reimbursements for the summary APG.
On-Line
Patient Abstracts
The application makes it easy
to create, view, and maintain both inpatient and outpatient
abstracts on-line. The application pulls selected information on
a particular patient from the Registration application to
minimize data entry and allow for historical reporting. The
system allows users to:
• Easily create abstracts from information passed from the
Registration application
• Display, edit, and finalize abstracts for statistical
compilation and tape creation, if applicable
• File data automatically
• Develop user-defined reports
• Print forms such as the Attestation Statement, UR
Utilization Worksheet, and Patient Abstract form.
Abstract
Reports
Abstract reporting options
ensure that abstracts are completed as soon as possible.
Unfinalized abstracts are included in statistical reports to
provide more accurate reporting. Users may create reports such as:
• Incomplete Abstracts List to note those patients whose
abstracts are not final
• Expired Patients Report to list those patients who passed
away during a user-specified time period
• Case Mix Indexing
• A listing of all patients involved in a particular special
study which the institution is conducting
• Report the top ten diagnoses and procedures, including
rank and patient counts.
Project
Screens and Special Studies Routines
A group of user-defined
project screens included in the application enable the
organization's staff to establish its own data collection screens
for collecting information such as quality assurance, risk
management, infection control, and utilization review data. Users
can:
• Flag special studies
• Collect and report on an unlimited number of user-defined
queries and responses
• Assign an unlimited number of projects to a patient
abstract as appropriate
• Use the report writer to report on projected data
• Limit user access to appropriate projects
• Enter the diagnosis and procedures, as well as finalize
the abstract, on one screen.
Optional
Features
The application allows
organizations to incorporate a variety of optional features and
routines, including the use of abstract tapes (UIS, PAS, and
various other state tapes).
For more information about us, contact a MEDITECH Marketing Representative
MEDITECH
Medical Information Technology, Inc.
MEDITECH Circle
Westwood, MA 02090
781-821-3000
www.meditech.com