THOUGHT LEADERSHIP Unpack KnowledgeSource –What’s new?

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© 2021, nThrive Revenue Systems, LLC. All rights reserved. RO821 2021 VIRTUAL USER FORUMS THOUGHT LEADERSHIP Unpack KnowledgeSource – What’s new?

Transcript of THOUGHT LEADERSHIP Unpack KnowledgeSource –What’s new?

© 2021, nThrive Revenue Systems, LLC. All rights reserved. RO821

2021 VIRTUAL USER FORUMS

THOUGHT LEADERSHIP

Unpack KnowledgeSource – What’s new?

Q. WarnerVP Product Management

[email protected]

Copyright and Trademarks Statement. © 2021 nThrive Revenue Systems, LLC a Delaware limited liability company with an address of 200 North Point Center East,

Suite 400, Alpharetta, GA 30022 and its affiliates and subsidiaries (collectively, “nThrive”). All Rights Reserved. The nThrive name, associated trademarks, product

names, and logos are owned by nThrive or related entities and may be registered with the United States Patent and Trademark Office.

Confidentiality and Use Statement. Any information and related materials provided are owned by nThrive (collectively, the “Content”). No part of the Content may be

reproduced, stored, disclosed, or transmitted in any form, or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, without the express

written permission of nThrive. The Content may contain proprietary information, comprising of trade secrets and know-how owned or developed by nThrive. All users

must maintain the confidentiality of all Content at all times.

Information Statement. From time-to-time, the Content may refer to nThrive but may include references to customer statements, data, or statistics that were generated

from the business operations of one of nThrive’s subsidiaries prior to the formation of nThrive. nThrive strives to provide accurate information in the Content, but

assumes no responsibility or liability for any errors or inaccuracies that may appear. nThrive makes no warranty, express or implied, regarding the accuracy, adequacy,

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Company Statement. For more information, please visit www.nthrive.com.

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Overview

Voice of the Customer Feedback

Best Practices

2022 Webinars

KnowledgeSource has evolved to meet your needs!

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KnowledgeSource Builder allows you to access the data in our content engine!

Examples of data files used by our clients using a large PAS system to populate

the data dictionaries:

KnowledgeSource Promotes Accuracy with use of the traditional

KnowledgeSource UI and

from within the PAS with our content!

It is the single voice of content!

• LCD/NCD • CCI Fac (PTP)• CCI Pro (PTP)• CPT• HCPCS

• CPT Mod• CPT/Rev code • Billing Codes• ICD10 CM• ICD10 PCS

The ‘POWER’ of KnowledgeSource

Experts across the healthcare continuum tap into the power of nThrive

P Our perspective is unique and unmatched

O “One-stop” tool is designed for all users

W Depth and breadth of data wraps RCM continuum

E Connect and expose coding and billing pitfalls

R Manage overlapping regulatory requirements and priorities

Our unique perspective allows our team to identify data patterns across the RCM continuum and apply that logic as we ‘unwrap’ clinical, coding & billing requirements

Survey QuestionDoes your organization purchase content for your Patient Accounting System?

Please post your response in the Q&A

Your Feedback is Important to Us!

Some ways we received feedback about KnowledgeSource:

Direct customer feedbackCustomer visitsEmail us directly

KnowledgeSource Product Survey

User Forum meetings and post-meeting surveys

KnowledgeSource Product Center on the nThrive Client Community Portal http://communities.nthrive.com

…or simply just give us a call!

KnowledgeSource 2021 Strategic Focus

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• Expose more billing and coding data gaps

• Uncover content hazards that will increase improper billing, overpayments and charging risks

• Improved search features and content

• Search for drugs and devices needs to be “easier”

We’re Listening!We used your feedback to develop

and prioritize our roadmap

VOICE OF THE CUSTOMER SURVEY RESULTS BY THE NUMBERSJUNE 2021 - LAUNCHED A VOICE OF THE CUSTOMER SURVEY

Acute, ambulatory, payer and vender users across

the nation would refer a friend to use

KnowledgeSource

95%

Facilities, payers and partners responded

270+Interoperable with

financial patient accounting, clinical and

practice management systems

Transactions processed per month

55M+441+Users responded

More Payment Integrity Edits

Key Content

More Edit RationalDr. Z, CDR

Pharmacy/SuppliesMedical Necessity

More non-Medicare dataEducation courses

Deeper integration with Claims Management And ClaimShop

2021 KnowledgeSource Voice of Customer Word Cloud

What users like most about KnowledgeSource

Survey QuestionWhat do you like most about KnowledgeSource?

Please post your response in the Q&A

2021 KnowledgeSource Voice of Customer Word Cloud

What content or enhancements users

would like to see in KnowledgeSource

Survey QuestionWhat content or enhancement would you like added to KnowledgeSource?

Please post your response in the Q&A

KnowledgeSource Best Practices

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The Informer feature takes the guesswork out of monitoring diagnosis and procedure code changes by delivering the changes directly to the user. Informers empower users by unwrapping billing and coding updates. This helps to decrease coding errors and denials and increase speed to revenue. Know before you go!

• Edit Informer Summary Grid

• Informer Detail Page

• Informs when codes in your ‘Favorites’ box have changed

• Informs when CCI, MUE, RVU and IOCE changes have occurred

EDIT INFORMERS

FEATURE GOAL: Expose more data gaps that contribute to billing and coding errors

Note: The Informer features are standard in the KnowledgeSource or

KnowledgeSource Professional suite and are not included in KS Focus.

Value Points✓ Decrease denials✓ Promotes accuracy

✓ Mitigate compliance risks✓ Eliminate waste (billing and coding rework)

✓ Improves payment integrity

Overview of edit & code changes by code type (CPT/ HCPCS, ICD-10 CM, ICD-10 PCS).

Informer Summary Grid

EDIT INFORMERS

FEATURE GOAL: Uncover content hazards that will increase improper billing, overpayments and charging risks

If a code saved in Favorites has changes, a floating informer message displays at the top of the Landing Page

Informer Favorite Messaging

The Informer detail page summarizes all changes specific to the selected code within the last update

Informer Detail Page

Value Points✓ Decrease denials✓ Promotes accuracy

✓ Mitigate compliance risks✓ Eliminate waste (billing and coding rework)

✓ Improves payment integrity

––– Detailed Analysis of Final Regulations –––

CPTHCPCS Terminology Changes

Detailed overview of CPT Revisions

This may include: • Highlights of changes by department• Deletes and replacements by department• Summary By The Numbers

• Revised Code Analysis• Previous quarters/years changes. • Other notable discrepancies.• Data file – detailed analysis & comparisons

CPTHCPCS Additions & Deletions

Detailed overview of CPT Additions & Deletions

This may include: • Highlights of changes by department• Deletes and replacements by department• Summary By The Numbers

• New Code Analysis• Deleted Code Analysis

• Previous quarters/years changes. • Other notable discrepancies.• Data file – detailed analysis & comparisons

CPTHCPCSSummary of Changes

Overview of the CPTHCPCS code changes – Detailed narrative of first round changes.

This may include: • Annual CPT code changes published in the

AMA CPT Appendix B. • Previous quarters/years changes. • Annual CPT code updates that are not

available in the Appendix B. • Other notable discrepancies.• Data file – detailed analysis & comparisons

Operationalizing Annual Regulatory Updates

Integrity Guidance

KnowledgeSource Data Informers

Survey QuestionWhat are we missing?

KnowledgeSource 2022 Strategic Focus

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We’re Listening!We used your feedback to develop

and prioritize our roadmap

© 2019, nThrive, Inc. All rights reserved. Not to be reprinted or distributed without express written permission.

Increase Client Satisfaction

• Enhance “content intelligence” by unpacking edits• Unlock more content and content capabilities that help identify risks and integrity issues

• Better integration with Claims Management and Claimshopsolutions

Product Expansion and Innovations

• Adding third party or non-Medicare data

• Advanced Medical Necessity data (Commercial and Medicaid)

REMINDER

NEWKnowledgeSource

Reference Libraries

PRODUCT DESCRIPTION

UB EditorUsed to manage billing and reimbursementDetailed information about Medicare and UB04 billing rulesUB04 and 837 requirements and crosswalkTips for Medicare standards

DRG Reference Bundle(includes DRG Expert & Desk Reference)

DRG Expert• Verify DRG/ICD10CM concurrently• Identify CC and MCC restrictions and requirement• Use as a companion guide to CDR and CDI Desk Reference

DRG Desk Reference• Help improve MSDRG assignment via best practices• Optimizing tips to help users understand how to optimize payment while staying compliance

Coders Desk Reference(includes Procedure, Diagnosis, HCPCS)

Coders Desk Reference Procedures• CPT lay descriptions• Code more accurate op Reports• Reimbursement and terminology• Anatomical library

Clinical Documentation Improvement(CDI)

Clinical Documentation Improvement Desk Reference• Translate CDI to billing requirements for CPT,HCPCS, and ICD-10 CM coding• CDI Alerts and warnings• Key Terms• Clinical Notes & Tips• Understand the Clinician’s checklist and requirements

Requirements:• KS/KS Pro license required • Available as a KS Add on

2022 Webinars

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The KnowledgeSource Product

team has partnered with the

nThrive Education team to help our

users get a jump on the CY 2022

Annual updates and shed light on

some of the biggest changes.

Please note that users will need to log into their

Webinars On Demand account to access the

webinars. If users do not have an account, an

account can be created at no cost.

Our team will review other useful and engaging updates during the

nThrive Education 2022 ICD-10-CM/PCS, CPT & OPPS webinars,

so you can relax knowing that nThrive has you covered!

KnowledgeSource and KnowledgeSource Pro users will enjoy the webinar

recordings at their convenience and can also reference them as a future resource.

Other benefits of the webinars include:

1. Closed captioning

2. Easy, accessible supporting documents for print via PDF

3. A seat is always open and will never be full

4. Users can start/stop or pick up where they left off by accessing “My Webinars” from the

Webinars-On-Demand site

The KnowledgeSource product management team is pleased to announce that the

2022 Annual Update webinars are now scheduled!

Q A&

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How to access the Webinars from KnowledgeSource Full or KS Pro

A new window will open to apply the coupon code.

Select “Apply Coupon”. The webinar window will open and you may now access the recording and webinar materials.

User will be taken to Webinars On Demand page.

Click ‘login’ if you have a registered account or create one for free.

Once this window opens, enter “update2021” in the Coupon text box.

Users may access the webinars from:

Log into KnowledgeSource or KnowledgeSource Pro and access the link from the landing page.

Log into nThrive Education via Webinars On Demand: https://webinars.nthriveeducation.com/

If you have an acct, you will be directed to the specified webinar page. Click “Purchase Webinar”.

If you create a new account, you could be taken to the home page. If so, select your annual webinar from the page. Once the page opens select “Purchase Webinar” update2021

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We make revenue cycle managementsimple, efficient, accurate

Q. [email protected]

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