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Case management

Connect Cerner’s EHR to the revenue cycle to fuel a clinically driven revenue cycle

With the evolution of the reimbursement model, bundled payments and others, efficient management of care has never been more important.

Automating workflows within one patient record across your organization helps increase staff efficiencies and collect appropriate reimbursement.

Power of integration

Enhance the quality of physician documentation through integration.

  • Automate workflows for utilization management, clinical documentation specialists (CDS) and discharge care management
  • Aggregate data and documentation to perform tasks within Cerner’s electronic health record (EHR)
  • Electronically share patient information in real time across the care team
  • Positively impact the reduction in readmission rates, avoidable delays and retrospective denials through quality documentation

Manage a patient’s length of stay.

  • Sort patient list from one screen based on desired workflow to manage resource utilization and assist in care coordination
  • Perform timely clinical reviews with patient information and encounters in context and within the same medical record as the provider
  • Complete reviews with embedded inpatient criteria and level of care criteria, based on clinical documentation from one system
  • Share completed review and parts of the medical record with the payer for authorization

Automate the clinical documentation specialist workflow.

  • Capture quality clinical documentation prior to discharge for appropriate reimbursement
  • Compare the working review DRG with the possible review to justify a more specific diagnosis grouping
  • Determine patient severity of illness and risk of mortality to accurately reflect disease burden of the population being treated
  • Receive physician query response notifications and take action from one electronic system

Automate the search for appropriate and available care.

  • Reduce manual entry and two-system workflow
  • Match patients with available and appropriate post-acute care based on key clinical and secondary services and quality ratings
  • Electronically track and communicate with post-acute placement facilities giving staff more time for other care coordination activities
  • Gain insight into the efficiency of hospital teams and external providers with proactive reporting capabilities

FAQs

What is the purpose of Cerner Acute Case Management?

Cerner Acute Case Management has been designed to connect clinical and financial information across the organization in an effort to decrease readmission rates, increase staff efficiencies and improve quality of care rate.

Our case management solutions support the case management department in three areas: utilization management, clinical documentation improvement and discharge care management.

Cerner’s Clinically Driven Revenue Cycle™ enables administrators, care teams and coders alike to pull from a single patient record and take advantage of clinical automation that helps them reduce traditional (i.e. manual) revenue cycle functions. This allows the organization to capture quality documentation upstream and accurately code strong, complete clinical evidence to reduce delays and receive appropriate reimbursement, meet quality care initiatives and deliver optimal patient outcomes.

Related Offerings

Billing, claims and contract management

As reimbursement changes become a reality, your organization needs a strong financial foundation in order to succeed. Our integrated billing, claims and contract management solutions enable your organization to verify expected reimbursements and manage any variances and denials right within your workflow.

Health information management and coding

Streamline HIM workflows. Accessing information and completing tasks through seamless integration with Cerner’s EHR impacts coder effectiveness and coding efficiencies. In order to avoid delays, your care team needs streamlined workflows, processes and efficiencies to deliver quality health care through quality information.

Patient access

Information is powerful. Getting complete and accurate information from patients at the point-of-service is a necessary step to help manage your organization's cash flow. From the point-of-service, manage a patient's identity by creating a single patient record with a complete picture of the patient's health and financial information.

Revenue cycle management services

RCM services help address the complex challenges of managing financial operations. From short-term project support to long-term engagements, we’ve designed our services to meet the unique needs of all venues of care. As our industry shifts from volume to value, we are committed to helping our clients thrive by preparing for regulatory changes to optimize reimbursement, while providing the highest quality care.

Enterprise document management

Leverage document management across the EHR – enabling integrated workflows within Cerner Millennium®. Cerner's Enterprise Document Management solutions provide health care organizations the ability to automate document-intensive processes and create comprehensive electronic records for the enterprise. These integrated solutions allow organizations to incorporate paper and electronic documentation directly into the patient's chart in real time.