Clinical Documentation Integrity (CDI)

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Maximize Revenue Through Clinical Documentation Improvement

A healthy revenue cycle and bottom line depends on accurate and timely data. Payers rely on accurate clinical documentation and coding to justify reimbursement. Neglecting to accurately document services will result in decreased revenue.

 

We utilize data to identify physicians that do not respond or continuously get reoccurring queries. We then provide education to those physicians to help avoid future occurrences. We work with coders frequently to discuss cases where the DRG does not match. We conduct monthly meetings with coders to discuss cases and perspectives. We work with the facility quality teams to quickly provide a working DRG to case management. CDSs will concurrently identify potential complications and hospital-acquired conditions that need a clarification query to increase quality scores.

 

Our program reduces the risk of coding errors, facilitates timely and appropriate reimbursement, improves audit ratings and physician profiles, reduces audit risks, promotes regulatory compliance and ultimately contributes value throughout the organization.

Our CDI Services:

  • Reduce risk of errors and misinterpretation of patient information and clinical services rendered.
  • Streamline workflows allowing providers to spend less time on administrative tasks and more time dedicated to patient care.
  • Provide proper reimbursement for services provided with complete and specific documentation.
  • Enable a holistic approach to a CDI program that effectively communicates patient care, complies with CMS quality and safety guidelines and sustains performance over time.
By the Numbers
$13M

positive impact on revenue after CMI rose by 6.3%

$1M

in benefits capture after DNFB reduction from $14M to $6M after 90 days

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