CLINICAL DOCUMENTATION IMPROVEMENT
We evaluate, improve, and monitor CDI, so you don’t have to.
Thorough, accurate clinical documentation is critical for many reasons: to support care decisions during and after a patient encounter, to reflect the severity of illness and risk of mortality for a patient population, and to drive accurate reimbursement. And as the bulk of care delivery shifts to the outpatient setting, proactively managing patient authorization and accurate documentation is more critical than ever.
Thorough, accurate clinical documentation is critical for many reasons: to support care decisions during and after a patient encounter, to reflect the severity of illness and risk of mortality for a patient population, and to drive accurate reimbursement. And as the bulk of care delivery shifts to the outpatient setting, proactively managing patient authorization and accurate documentation is more critical than ever.
Axea's clinical documentation improvement (CDI) services help healthcare organizations attest to the high quality of clinical documentation.
- Evaluate current documentation practices and review records to ensure the patient medical treatment is fully described and meets industry standard guidelines.
- Identify clinical documentation challenges, pinpointing improvement opportunities across service lines, providers, and their associated quality indicators.
- Reinvigorate an inpatient CDI program, based on the results of the evaluation, specifically tailored to an organization’s needs as well as today’s healthcare environment.
- Develop an outpatient HCC program to proactively support reporting and reimbursement requirements for CMS and other managed care plans.
- Educate 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.
- Augment clinical documentation improvement and coding staff with experienced professionals.
- Monitor progress and performance to stay ahead of documentation issues.
WHY AXEA?
Total Quality Insights: Your documentation tells a story of how you will be paid today, and how you will be paid in the future. Looking at quality in a holistic manner with a lens to the future, we can help you take a proactive approach to quality management.
Physician Focus: We help uncover the nuances among physician documentation, the current reimbursement system, and severity of illness and risk of mortality ratings.
Combined Clinical, Coding and Revenue Cycle Knowledge: We are experts in documentation quality, matching documentation to coding requirements, and helping clinicians connect the dots that drive accurate reimbursement.
Proven Success in Every Care Setting: Our experienced team of HIM, Coding, CDI Specialists, and Clinicians offer deep, holistic knowledge of documentation, coding, billing, quality analytics, and reimbursement.
Flexible Scope: Axea offers customized documentation review and provider education programs tailored to a healthcare organization’s needs – comprehensive or focused on specific service lines.
Total Quality Insights: Your documentation tells a story of how you will be paid today, and how you will be paid in the future. Looking at quality in a holistic manner with a lens to the future, we can help you take a proactive approach to quality management.
Physician Focus: We help uncover the nuances among physician documentation, the current reimbursement system, and severity of illness and risk of mortality ratings.
Combined Clinical, Coding and Revenue Cycle Knowledge: We are experts in documentation quality, matching documentation to coding requirements, and helping clinicians connect the dots that drive accurate reimbursement.
Proven Success in Every Care Setting: Our experienced team of HIM, Coding, CDI Specialists, and Clinicians offer deep, holistic knowledge of documentation, coding, billing, quality analytics, and reimbursement.
Flexible Scope: Axea offers customized documentation review and provider education programs tailored to a healthcare organization’s needs – comprehensive or focused on specific service lines.
ADDITIONAL SERVICES
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Coding Audit Support
Uncover coding issues that lead to lost revenue and compliance risk. |
Claim Review Edits
Avoid denials and revenue leakage by generating clean claims. |
Denials and Appeals Management
Resolve denied claims and keep cash flowing. |
RCM Consulting
Foster quality and efficiency throughout your revenue cycle. |