Middle Star Health Care Coding Efficiency Improvement

This case study outlines how Middle Star Health Care enhanced its coding efficiency and clinical documentation improvement (CDI) processes by implementing the Optum® Enterprise Computer-Assisted Coding (CAC) and CDI 3D platform. The document details the challenges faced by Middle Star, including manual processes and limited reporting capabilities, which hindered effective case reviews. By adopting the shared technology platform, Middle Star achieved significant productivity improvements, with diagnostic coding increasing by 57% and inpatient coding by 55%. The case study emphasizes the importance of collaboration between departments, facilitated by the new platform, which allowed for greater visibility into coding and CDI processes. Additionally, it highlights the expansion of CDI reviews to 100% of cases at three facilities, resulting in a 4% increase in Case Mix Index (CMI). The document also notes improvements in physician engagement and response rates, attributing these successes to the enhanced reporting and collaborative capabilities provided by the Optum platform.