CareBridge

Retain revenue and strengthen compliance by improving the documentation of medical necessity on hospital admissions

When it comes to admitting patients or patient observations, chances are, you have every confidence your clinicians are making sound decisions. However, due to changing regulations, increased patient visits and any number of other factors, your confidence in the documentation that supports these clinical decisions may be a different story. Imagine having the power of certainty and peace of mind when it’s time for RAC or other payer auditors to review your inpatient decision documentation.

Driving Reimbursement. Reducing Expenses. Improving Communication

CareBridge is a software application that supports your clinicians so disposition, medical necessity and physician intent are documented in near real time. It’s not a ‘cookie cutter’ approach. CareBridge allows your clinicians to take individual patient risk factors into consideration and is flexible enough so your hospital can define specific policies for determining appropriate disposition. CareBridge improves the capture of specific diagnoses and present on admission conditions. It also creates a communication document to enhance the continuum of care and that can serve as a first line of defense in the event of a RAC audit request.

LYNX CareBridge key features allow you to:

• Configure admission policy - Hospitals configure CareBridge to apply their specific policies for determining appropriate admissions and observation services by adjusting the weights associated with the CareBridge medical necessity parameters
• Capture medical necessity documentation - CareBridge users capture medical necessity and physician intent including, detailed admit diagnoses; objective clinical data; patient safety factors; comprehensive medical risk factors and physician plan of care
• Analyze medical necessity documentation against configured admission policy - Clinicians receive near real-time messages noting when documentation supports the admission or observation decision (or not) and identifies any inconsistencies between recorded patient risk factors and the plan of care
• Protect with audit defensible documentation - A documented summary of medical necessity and physician intent is generated for use as the first line of defense in the event of payer audits and is useful as a communication instrument for clinical hand-off