Clinical Documentation Improvement Services
Your health system’s clinical documentation needs to be clear, consistent, complete, reliable, legible, precise, and timely. Good clinical documentation improves quality of care, supports better communication, and reduces claim denials…but, achieving all at once may seem impossible when your care team experiences frustration with the documentation process.
Every hospital and health system is different and their needs are unique. Enhance your current CDI program with flexible and built-to-suit CDI services guided by highly skilled and passionate medical professionals. Our competent professionals are experienced in reviewing medical documentation and notify the physicians of inaccurate documentation. Access Healthcare’s clinical documentation integrity services boost performance and ROI along with a variety of other benefits:
Offsite or onsite
Global or domestic
Flexible staffing model
Improved ROI
DRG maximization
Improved ICD-10 code assignment
Increased physician communication
Improved clinical performance
WHY ENHANCE YOUR CDI PROGRAM WITH ACCESS HEALTHCARE?
Making the decision to outsource a portion of your business can be a daunting decision. When that decision affects clinical outcomes and physician processes, it becomes even more nerve-wracking. Ultimately, you must decide what is best for you, your staff, your patients, and the community you serve.
FLEXIBILITY IN STAFFING
Every partnership begins with an onsite component to become familiar with your current clinical documentation practices. And, it opens many cost-effective avenues for you. Whether you wish your CDI program to be fully onsite, offsite, global, domestic, or some combination – you have the flexibility to choose what is right for your organization.
→ Don't be afraid to go global
Global CDI services are the most cost-effective solution and offer 24/7 support. CDI specialists at Access Healthcare’s global delivery center are highly skilled and undergo extensive training on process, continuous education, and are subject to auditing.
INCREASED COMMUNICATION
One of the trickiest parts of CDI is making sure everyone complies with a set of best practices and takes the necessary time to fully document an encounter. Communication is the key to ensuring all those involved are on the same page and expectations are clearly defined. The right communication pattern for your organization can help keep CDI top of mind and everyone working toward a common goal of improved documentation.
IMPROVE ROI
Improved clinical documentation can affect many things which directly affect ROI. A well-thought-out communication strategy will improve performance and clinical outcomes. Complete and accurate documentation will ensure your organization is paid for the services you provided. Improved documentation will streamline coding efforts, reducing the number of errors or time spent by coders to understand documentation.
CDI VS CODING
A CDI specialist’s job is to ensure the physicians’ documentation is complete and accurate regarding a patient. They can even help the physician determine what DRG the patient has, although it’s ultimately up to the physician. A coder, on the other hand, takes what is documented and assigns a code. Often, a coder can catch errors in documentation, but if a CDI program is in place, this should happen less often.
HOW CDI HELPS YOUR COMMUNITY
Sending quality data to the CDC and other government agencies can improve your chances of receiving grants and funding. In addition, clinical documentation can affect care decisions regarding a patient, both during their current stay and down the road. Making sure that documentation is accurate can improve clinical outcomes.
Contact us to learn how your organization can leverage Access Healthcare’s Clinical Documentation Improvement Services.
