Your Success is Our Business

CDI specialist help maintain an accurate and complete medical record for coding purposes by conducting concurrent reviews and posting queries to physician to close documentation gaps before the patient is discharged from the hospital. Coders then translate physician documentation into ICD-10 codes and DRGs. This Coded data impacts the following: publicly reported quality benchmarks, physician report cards, reimbursement, public health data, disease tracking and trending. Receive the support you need for your medical office from CDI Practitioner Consulting, P.C. Our experienced staff offers a series of medical coding, clinical documentation improvement (CDI) and consulting services for clients. We feature these services for teams of all sizes. Turn to us today for strategic/change management, support, feedback, and training for each of your needs.

Getting it Right the First Time

According to Becker’s Hospital CFO Report, nationally, 78 % of hospitals reported incorrect MS-DRG or other coding errors as their top reason for complex Recovery Audit Contractor (RAC) denials. In addition, hospitals reported a variety of administrative burdens due to RACs, including training and education initiatives (28 %), increased administrative costs (25%) and investing in RAC tracking software (25%). We provide you with cost-effective solutions to meet your denial demands.

Value-based Purchasing Patient Safety and Quality

The safety grades, which Leapfrog releases every fall and spring, are based on 27 quality measures compiled by the Leapfrog Group, Centers of Medicare and Medicaid Services (CMS), the Agency for Healthcare Research and Quality, the CDC and the American Hospital Association. Areas of measurement include nurse communication, hand hygiene adherence and surgical site infection rates, and Patient Safety Indicators (PSIs). In 2017, 41% of hospital across the nation have earned under an A rating since the ranking system’s inception. We can improve the communication and workflow efficacy of your Quality, Coding, and CDI Teams to increase the accuracy of quality benchmarks coded to improve your facility Leapfrog grade to an A.

MEDICAL CODING & CDI  Services

  • Auditing
    • Assess opportunities your CDI program is capturing or not capturing and Coding accuracy
    • Assess Query Compliance
  • Training/Assessment Analysis
    • Chart review and query creation coaching
    • Competency testing with orientation progress analysis
  • Support
  • Direct contact with a Coding or CDI Specialists for staff questions and coaching via phone or email
  • Leadership/Workflow Strategies
    • Individual staff Productivity Metrics
    • Best Practice Policies and Procedures
    • Query Templates
    • Escalation processes
    • Staff evaluation
    • Coding & CDI organizational goals

Quality Benchmark & Claims Denial Review Services

  • Auditing
  • Support
  • Leadership/Workflow Strategies

Contact us to use our coding, CDI and consulting services at your healthcare office. We are available to work with clients nationwide.