CDI AUDIT AND SUPPORT SERVICES

decrease denials and enhance revenue

CDI Support Services


Gaps in collaboration between physicians and coders can be bridged through CDI to promote clinical documentation and quality improvement. CDI specialists can help to facilitate long-term sustainable outcomes for decreased denials and enhanced revenue.

Bridging the gap between provider documentation and coding terminology remains an on-going challenge. It can be like fitting a square peg into a round hole.

 

Square Peg and Round Hole graphic

HOW OUR CDI SPECIALITS’ EFFORTS CAN HELP


  • Improve reflection of severity of illness (SOI) and risk of mortality (ROM)
  • Assure accurate reimbursement and CMI
  • Bridge the gap between coding requirements and provider terminology
  • Accurately reflect patient complexity, support of length of stay and resource consumption
  • Reduce denials
  • Strengthen documentation to stand up to external audits and scrutiny
  • Educate providers
  • Reduce post discharge queries quickening billing

we can offer feedback

CDI Auditing


With any existing CDI program, the hardworking CDI specialists should receive feedback on a routine basis. Excite Health Partners can support the existing CDI team by offering feedback through chart reviews. Each CDI specialist is reviewed with one-on-one feedback and a group education and discussion session at the end of the review project.

tailored to your specific goals

CDI review projects


A common outline of a review might consist of:

  • Review for appropriately assigned working MS-DRG or APR-DRG based on the payer
  • Evaluate the record for any documentation improvement opportunities and provider queries that may have been missed by the CDI Specialist
  • Review for conditions acting as a Complication or Comorbidity or Major Complication or Comorbidity
  • Review for reportable conditions impacting Severity of Illness and Risk of Mortality subclasses
  • Review for documentation practices impacting accurate and complete DRG, SOI, ROM, and POA assignment
  • Identify educational opportunities per CDI Specialist
  • Give feedback to each CDI Specialist during the review process
  • Group round table discussion and education session

HEAR FROM OUR CLIENTS

TESTIMONIALS