Streamline the CDI process for improved efficiencies and optimized reimbursements

According to a 2016 Black Book Market Research report, nearly 90 percent of hospitals with 150 or more beds received over $1.5 million in additional healthcare revenue and claims reimbursement following clinical documentation improvement implementation. Many inpatient clinical documentation improvement programs struggle with maintaining sustainable performance improvement due to a myriad of operational, personnel and technology challenges. As a result, overtime, the effectiveness of a CDI program declines and begins to function in a “review and query” manner, minimizing the impact on sustainable physician documentation improvement.

BETTER DENIAL MANAGEMENT

Improve clinical documentation and processes to reduce denial rates and prevent future denials to mitigate lost revenue and retain future revenues.

OPTIMIZE REIMBURSEMENTS

Identify clinical documentation and revenue integrity opportunities for optimal reimbursement.

IMPROVE QUALITY OF CARE

Optimize documentation and coding tools to simplify workflow and maximize quality clinical outcomes.

Approach

Our approach leverages a robust data-driven analytical methodology to streamline the CDI process for improved efficiencies and effectiveness.

HCS Consulting offers an Inpatient Clinical Documentation Improvement solution enabling long-term sustainability. We work collaboratively with physicians, CDI specialists, and hospital staff to promote clinical documentation and quality improvement within the inpatient setting.

Our approach includes: