Scope of Service
Our services usually cluster into the following service sets:
Patient data – Accuracy of coding and completeness of clinical documentation
- Coding audits
- Clinical documentation audits
- Provider training on clinical documentation
HIM organization – How adequately does it function?
- Assessment of the HIM department
- Re-engineering the HIM department
- Providing interim HIM/Coding management
Clinical Documentation Improvement (CDI) – How can this function be improved?
- Assessment of the CDI function
- Re-engineering the CDI function
- Providing interim CDI management
- Provide outsourced remote CDI resources scaled to fit smaller hospitals including the technology component
Clinical Documentation Reference App – An app to provide productivity support to all professionals involved in authoring and/or evaluating clinical documentation.
Pay-for-Performance – How can all bonuses be earned?
- Assessment of Pay-for-Performance status (specific programs)
- Analysis of patient data to develop improvement strategies
- Conduct improvement activities