WAKEFIELD, Mass.--(BUSINESS WIRE)--To admit or not to admit? That’s the question being asked by many emergency department (ED) physicians and hospital administrators hundreds of times a day. Hospitals often place patients into observation who might otherwise be admitted, because intensity of service and medical necessity for these patients are not clearly defined or documented. Making wrong decisions could mean significant losses to hospitals that are already facing rising financial and regulatory pressures and struggling to stay afloat in this challenging healthcare economy. In response, Picis today launched LYNX CareBridge®, the first software solution designed to help hospitals address this medical necessity challenge by providing accurate documentation to comply with Centers for Medicare and Medicaid Services (CMS) regulations. LYNX CareBridge also helps hospitals defend admissions decisions and remain audit-ready. Accurate and appropriate billing and documentation regarding medical necessity determinations have the potential to increase revenue for some hospitals by nearly $5 million per year per hospital1.
