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Top 3 Ways MDAR Helps Hospitals Improve Quality Measures

By Sean Clements

Clinical documentation is the bridge between actual medical care provided and the quality of care delivered in hospitals. Accurate documentation is paramount and often incomplete for the following reasons: omission of chronic conditions, missing diagnostic values and evolving documentation policies.

Quality performance metrics are used more and more to drive value-based payments and reputation for providers and hospitals. Healthcare systems across the nation desire to improve their overall rankings by accurately reflecting clinical quality while anticipating continued industrywide changes. In response to a void of tools dedicated to improving documentation with a focus on clinical quality outcomes, Dacarba LLC’s proprietary documentation improvement solution, MDAR (Medical Diagnosis Accuracy Reporting), can paint an accurate and transparent picture of patient data thus leading to improved quality reporting.

MDAR classifies hospital encounters that have an opportunity to improve quality measures by:

1)   Focusing on accurately documenting complications and comorbidities (CCs).

2)   Compiling a comprehensive dataset reviewed daily.

3)  Identifying clinical indicators and analyzing for each condition to flag quality reporting opportunities.

Accurately reflecting outcomes requires fully recording patient and treatment data, which includes any CCs and/or major complications or comorbidities (MCCs). Improved coding leads to more accurate patient classification and risk adjusting while optimizing quality reporting and reimbursements in medical claims. As an added benefit, determining the correct Medicare diagnostic related groupings (DRGs) can help maximize revenue per encounter.

For more information, reach out to our experts below and we will initiate the introduction to our team to assess your requirements.


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Sean ClementsManaging Partner

Sean Clements is the Managing Partner of Dacarba LLC, an Opportune LLP company. Sean has 20 years of experience guiding clients through complex financial and operational situations. As Managing Partner, Sean is responsible for Dacarba’s professional services and software development functions. Prior to joining Opportune, Sean worked as a Manager in the Dispute and Investigation practices of Navigant Consulting Inc, Deloitte & Touche, US and Deloitte & Touche, UK.