HIM Services

Medical Record

Tools and best practices to reduce costs, increase revenue realization and improve quality metrics.

e4 provides a full suite of HIM solutions to reduce costs, optimize workflows and improve quality metrics to take your HIM Department to the next level. Our services include eMPI cleanup, Quality EMR Auditing, full coding and CDI support and HIM Productivity & Metrics Dashboards.

Our founders and leaders are industry recognized HIM veterans. They understand the unique issues you are facing and have created a full range of healthcare solutions crafted with the HIM department specifically in mind. We can help streamline processes and amplify your investments to turn your department from an overburdened and under resourced department into a data driven leader within your organization and community. We’ve successfully helped customers of all shapes and sizes increase efficiency and reduce costs with our scalable LEAN methodology and subject matter expertise.

e4 offers our clients a unique set of traditional HIM services alongside coding and clinical documentation tools and best practices.

Traditional ChallengesThe e4 Solution
Inefficient operational processes and workflows Our LEAN workouts will help you get to the bottom of your issues – quickly! In less than a week, we help your organization identify issues and provide a list of solutions with their associated gains to your organization.
Lack of effective leadership Our industry veterans bring decades of HIM and Clinical Documentation experience to your organization. Our interim managers will implement best practices and methodologies to get you moving in the right direction.
Staffing for periods of high volume work We can rapidly deploy teams of experienced scanners, coders, and go-live support teams to support any HIM initiative.
Managing software implementations Our e4caster® tool and LEAN methodologies bring transparency and accountability to any software initiative.
Poor financial outcomes due to coding and clinical documentation processes e4 provides guided clinical mentorship for CDI specialists to provide a catalyst for documentation clarity and specificity. Our techniques and tools for implementing best practices and data visualization ensure sustained improvements and program effectiveness.

HIM Services Closer Look:

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Quality EMR Auditing Services



Assess the accuracy of your current electronic medical record.

High quality clinical documentation helps facilitate high quality care. It is important to know what areas of risk may be present, and how those deficiencies can be mitigated. Inaccurate data can lead to errors, threaten patient safety and can lead to increased costs, inefficiencies, and poor financial performance. Our Quality EMR Auditing Service identifies all errors in your current EMR, and assesses a weighted point value to calculate your total accuracy percentage to evaluate whether you are achieving an accurate, quality EMR. In addition to identifying your error score, we can provide recommendations for improvement and help remediate identified issues.

Utilizing targeted validation and quality auditing services to identify missing data and misplaced data, techniques can be altered to ensure that the goal of an accurate and complete EMR is met. Our validation methodologies include the auditing of a sample size of in-scope patients.

e4 can review records across multiple subspecialties, with a set sample of records per provider. Records reviewed can include Inpatient, ED Admits, Ambulatory Surgery, Observation and more.

e4 will review for critical errors (patient safety risk), major errors (document integrity risk) and minor errors (grammar, typography etc.). Once the errors have been identified, appropriately classified, and the weighted point value is assigned to the errors, mathematical computations are completed to calculate the accuracy percentage. Due to the impact of potential documentation errors on patient care, e4 recommends a minimum score of 98% accuracy be required for all documents.

Detailed audit results and customized data summary reports are provided, which can demonstrate key patterns and opportunities for improvement.