Clinical Documentation Improvement (CDI)
Clinical documentation services for a healthier revenue cycle.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.
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.
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.
