Cerner to Use Nuance Point of Care for Clinical Documentation Improvement–Items Needed to Get Paid Require Concise Terminology, Specificity and Then Some..

The Nuance solution will work with both the Power Chart EHR and Revenue Cycle areas to help improve quality and accuracy of clinical notes in real time.  It appears that a query is run to scan the notes and advise of any areas to where further or different documentation could be applied.  With ICD10 on the roadmap this appears to be an effort to help bridge some of those documentation efforts.  There’s a few other similar software solutions along this line out there as well, and some are more specific to the ICD 10 area.  Doctors, gone are the days when you think you can prepare a medical note:)  It’s not the doctors but rather the complex society we have today with mapping and matching records to be concise in order to get paid.  The US is the only country that uses diagnosis codes tied to reimbursements thus so there’s less data and faster integration in other countries, one less set of big IT integrators.  BD 

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NEW ORLEANS --

Nuance Communications, Inc. (NASDAQ: NUAN) and Cerner Corporation (NASDAQ: CERN) today announced that Cerner will incorporate Nuance’s clinical documentation improvement (CDI) technology and professional services to help clinicians seamlessly create the most accurate and complete clinical documentation at the point of care. The integrity of clinical documentation is a critical component of a providers’ overall information management strategy and is directly tied to improved patient care, appropriate reimbursement, quality reporting and enhanced compliance.

As healthcare providers look to confront the drastic changes brought on by regulatory mandates such as ICD-10, value-based purchasing and various quality reporting initiatives, they’re increasingly realizing the vital role clinical documentation plays in their information management strategy and across various patient and business touch points in their organizations.



The integration of Nuance’s CDI solution within Cerner’s EHR and Revenue Cycle solutions will help healthcare providers improve the quality and accuracy of their clinical documentation in real-time at the point of care, supporting both clinicians’ and CDI specialists’ workflows. The technology will be used concurrently to give feedback to physicians on the information needed to complete the record and will provide CDI specialists with the tools necessary to improve their analysis of the physician’s documentation.

• Cerner Care Management – Powered by Nuance’s proven J.A. Thomas CDI content and compliant documentation management program, this integrated solution will provide specialized content necessary for modeling a more specific working Diagnosis-Related Group resulting in a more efficient workflow and increased productivity for the clinical documentation specialist. This solution automates and supports the workflow of the CDI specialist within Cerner PowerChart^®, the clinician’s view of Cerner’s EHR.
• The Cerner Document Quality Review (DQR) Module – Powered by Nuance’s Computer-Assisted Physician Documentation (CAPD) solution, the DQR module facilitates complete, accurate and concurrent documentation by automating the CDI process. Physicians will interact with CDI clarifications and findings real-time at the point they are writing their notes. This will greatly improve both physician productivity as well as the integrity of their documentation and the discrete information captured within PowerChart, Cerner’s EHR.

http://www.fortmilltimes.com/2013/03/04/2532945/nuance-and-cerner-partner-to-offer.html