CDI Services
Stay ahead of documentation issues by pinpointing clinical accuracy and workflow challenges.
Revenue Integrity CDI Services
In addition to driving accurate reimbursements, AQuity’s Clinical Documentation Improvement services support care decisions during and after patient encounters by ensuring accurate severity of illness and risk of mortality capture. AQuity helps clients stay ahead of documentation issues by pinpointing clinical documentation accuracy and workflow challenges across service lines so providers and all documentation team members consistently achieve their defined quality indicators.
AQuity CDI Services Best Practices
Clinical Documentation Improvement initiatives play a crucial role in ensuring accurate and comprehensive documentation of patient encounters to optimize ongoing care and justifiable financial results. The AQuity Revenue Integrity team is committed to the following CDI best practices in support of our client’s patient care and financial interests:
Education and Training
CDI specialists require ongoing thorough education and training to ensure they are able to leverage the latest coding guidelines, clinical concepts, and documentation requirements. Continuous professional development is essential for compliance and optimal justifiable financial outcomes.
Collaboration with Providers
AQuity CDI services foster a collaborative relationship with our client’s providers, including physicians, nurses, and all other healthcare professionals who contribute to the RCM workflow. CDI specialists work closely with the clinical team to address documentation gaps, clarify ambiguous information, and ensure accurate representation of the patient condition and treatments.
CDI Queries Development
CDI queries need to craft clear and concise interrogatories to capture precise information from providers when the documentation is incomplete or unclear. Queries need to follow established guidelines and best practices to ensure they are respectful of the clinician’s time, non-leading, and supported by existing documentation clinical indicators.
Focus on Quality
The AQuity Revenue Integrity team is focused on quality over quantity when it comes to CDI efforts. Cases are prioritized based on their potential impact on reimbursement, quality metrics, and risk adjustment. This approach ensures assigned resources are utilized effectively to maximize the impact of their CDI interventions.
Leveraging CDI Technology
There is a wide pallet of CDI technologies available to streamline CDI workflow, enhance CDI specialist productivity, and ultimately improve documentation accuracy. AQuity CDI specialists are familiar with all leading approaches, from inherent electronic health record EHR programs, computer-assisted coding CAC tools and natural language processing NLP technology. Our experienced team of CDI specialists assist clients with orchestrating the available technology tools to efficiently identify potential documentation gaps and coding improvement opportunities.
Documentation Integrity
To ensure documentation integrity, AQuity CDI specialists are laser focused on ensuring accurate and complete documentation from healthcare providers by highlighting potential impact on patient care, quality outcomes, and appropriate reimbursements. Establishing such a culture of documentation integrity for all contributors promotes accountability and compliance.
Audits and Ongoing Monitoring
Regular CDI audits and continuous monitoring of related KPI are required to effectively manage the effectiveness of your overall CDI program. AQuity CDI monitoring includes analyzing query response rates, query impact, coding accuracy, and other documentation improvement metrics. Regimented monitoring helps to identify areas for further improvement along with appropriate corrective actions.
Coding Compliance
Ensuring strict compliance with coding guidelines is a core responsibility of any CDI program. All AQuity team members have a strong understanding of ICD-10 CM, CPT, and/or HCPCS coding guidelines. Regular training on updates ensures compliance with these guidelines for accurate code assignments that support appropriate reimbursements.
Providers, Coders and RCM Team Collaboration
AQuity CDI specialists foster collaboration between providers, coders, and revenue cycle teams to ensure seamless integration of CDI initiatives and shared responsibility for delivered outcomes. Regular communications and feedback loops help identify challenges, resolve coding inquiries, and optimize patient care and revenue cycle outcomes.
Measure and Communication CDI Program Impact
The AQuity Revenue Integrity team regularly communicates quantified KPI measures of CDI program impact to key stakeholders, including providers, administrators, and financial teams. These measures highlight improvements in coding accuracy, reimbursements, quality metrics, and risk adjustment scores.
Speak with an AQuity CDI Specialist
AQuity is a nationally recognized leader in Clinical Documentation Improvement CDI services. Contact us today to discuss your objectives and learn how we can help.
Key Differentiators
- The AQuity CDI team evaluates current documentation practices and record results to ensure the patient medical treatment is fully described and meets industry standard guidelines.
- Inpatient CDI programs evaluate the ongoing care and financial results of patient records, specifically tailored to an organization’s needs with competitive market case severity and financial result equivalencies.
- Outpatient CDI and HCC programs proactively support reporting and reimbursement requirements for CMS and other managed care plans with case severity and financial result comparisons for competitive market clinic equivalencies.
- The AQuity team educates physicians, CDI specialists, and mid-level providers (PA, NP) on clinical documentation standards and coding requirements to facilitate documentation that aligns with coding, quality, and reimbursement needs.
- AQuity is able to augment clinical documentation improvement and coding staff with industry leading experienced professionals.
Speak with an AQuity CDI Specialist
AQuity is a nationally recognized leader in Clinical Documentation Improvement CDI services. Contact us today to discuss your objectives and learn how we can help.
