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

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