Revenue and Clinical Documentation Improvement (CDI) Compliance Audits
We offer a wide range of coding, documentation and payment audits aimed at improving data integrity to support reimbursement today as well as risk adjusted value-based payment in the years to come.
Our assessments can be customized to fit your specific needs. Our team will identify coding accuracy, clinical documentation deficiencies and their impact on reimbursement. In addition, we will offer recommendations for resolution and assist with the implementation of industry established best practices.
Our CDI assessment will identify opportunities that justify the need for a CDI program, or assess the program you currently have in place. Our assessment will include a review of workflow, query processes, key performance indicators such as query and response rate, response timeliness, productivity, scope, and return on investment.
All CDI Professionals are Licensed/Credentialed PA, RN, CCDS, CDIP, RHIA, RHIT, CCS, CCS-P or combination thereof.
Types of assessments available:
CDI Program Assessment
MS DRG, APR DRG (Severity of Illness, Risk of Mortality) and APC
Program for Evaluating Payment Patterns Electronic Report (PEPPER)
HCPCS/CPT (All specialties)
E/M (Hospital, Clinic & Professional for all specialties)
Risk Adjustment (CMS HCC, RxHCC, HHS HCC) to include risk score impact and data validation
Provider, CDS and Coder Education (CDI, all code sets and payment methodologies)