Acute Coding Review
Clinical Documentation Integrity (CDI)
Clinical Documentation Integrity (CDI) – Inpatient and Outpatient
Having an established Clinical Documentation Integrity (CDI) program positively affects revenue and improves quality measures for hospitals and physicians. That's why HIA has developed its CDI package. Our clients see a reduction in claims denials and an improvement in the appeals process with better documentation.
Clinical documentation must be clear, consistent, complete, reliable, legible, precise and timely. These characteristics will make certain that a patient’s clinical status and the level and type of care provided is accurate. In today’s complex healthcare environment, clinical documentation and coding impact quality reporting, reimbursement, public health data and ultimately your patient’s current and future care. It is imperative that your CDI program is effective.
Here's just a peek at what we can offer on-demand:
- Listing of all accounts where CDI was involved on the encounter with or without potential CDI query opportunities
- Consolidated summary of CDI accuracy rates
- Detailed listing of individual CDI accuracy breakdown
- Overview of CDI opportunities with potential query opportunity accuracy rates
- Missed query opportunities or invalid queries, if any
HOW WE CAN HELP
Our comprehensive approach
- Executive summation conference
- CDI Specialist education session
- Individualized Action Plans
Download Sample Action Plan
Writing Effective Physician Queries
Action Plans are designed to cover topic areas that impact coding, have been the frequent source of errors by CDI Specialists and coders and usually affect DRG assignments. This action plan reviews the clinical aspects of respiratory failure, respiratory insufficiency, causes and treatments. It covers official coding and sequencing advice as well as the coding pitfalls associated with respiratory failure diagnosis coding.
Settings we serve
- Short-term acute
- Long-term Acute
- General med/surg