AAPC - Advancing the Business of Healthcare

Clinical Documentation Improvement (CDI)

Clinical documentation services for a healthier revenue cycle.
Did you know our clinical documentation improvement services drive accuracy and completeness of provider documentation for inpatient facilities, ambulatory surgery centers, and physician practices.

How AAPC Can Help Your Organization

Clinical documentation improvement (CDI) is a strategic imperative that can protect your organization from negative cash flow. Our CDI specialists will fortify your CDI program and ensure your organization is equipped to:

  • Improve coding accuracy

  • Lower claim denial rate

  • Identify missed charges

  • Increase DRG accuracy rate and revenue integrity

  • Identify overlooked CC/MCCs

  • Improve Case Mix Index

  • Identify missed query opportunities

  • Validate compliance of queries and query responses

  • Streamline coding and boost staff efficiency

  • Enhance the patient's clinical picture

  • Safeguard against clinical liabilities

  • Improve patient care and clinical outcomes

Inpatient CDI Support

Our Inpatient CDI team focuses on increasing DRG accuracy rates, analyzing each record to ensure the DRG assignment is correct, including CCs or MCCs. In addition to ensuring the MS-DRG/APR DRG has the highest yet most appropriate value, our CDI specialists assess potential documentation opportunities in claim denial rates, patient population, SOI, and ROM.

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Outpatient CDI Support

We help with claim denials and meet health plan requirements, particularly in terms of risk adjustment documentation and reporting best practices. Our outpatient CDI team drives better reimbursement and incentive pay by ensuring diagnoses are supported and reported at the highest level of specificity, verifying optimal coding of the patient encounter, as reflected in documentation, identifying opportunities for specificity in physician documentation, and capturing HCCs and improving risk adjustment scores.

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What Sets Our CDI Services Apart?

Our Clinical Documentation Improvement audit services help inpatient facilities, outpatient clinics, and physician practices to excel in data-driven, value-based reimbursement models. With a reputation for delivering transformative documentation analysis and reporting, our CDI audit services:

  • Close the gap between clinical documentation and revenue integrity, reducing federal and payer audit risks.

  • Are administered by professionals with experience with your patient population, medical specialty, and place of service.

  • Maximize coding accuracy, quality scores, and reimbursement through comprehensive documentation that supports medical necessity for services and procedures.

  • Enhance care plan coordination and communication through improved provider documentation.

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You're In Good Company

  • University Health
  • Kaiser Permanente
  • Namas
  • Orlando Health
  • Rady Children's
  • Experian
  • Deloitte
  • Dedi Clinic
  • Decision Health
  • Bon Secour
  • Craneware
  • Atlantic Health Systems
  • American Medical Association
  • Anesthesia Business Consultants

Reap the rewards of an effective CDI program.