Maximizing Revenue through CDI

Clinical Documentation Improvement: Know your data

Organizations often struggle with finding the right data to accurately validate their CDI program(s). This challenge goes side by side with trying to determine the financial impact of the program according to the healthcare facility’s goals. An effective analysis of data trends and statistics surrounding a CDI program is essential in determining its success rate and positive effect on the organization’s quality documentation and financial impact.

"YES HIM Consulting, Inc. has been our selection of vendor for auditing, education, and coding needs for many years. The YES team is fantastic to work with, providing timely, accurate, and professional services at all times. The personal attention they provide to our..."

"YES HIM Consulting, Inc. has been our selection of vendor for auditing, education, and coding needs for many years. The YES team is fantastic to work with, providing timely, accurate, and professional services at all times. The personal attention they provide to our..."

Know your CDI Data: Statistics and Trends Analysis

Identifying trends in MS-DRGs is not enough to validate a CDI program. Key data, gathered and analyzed from principal diagnosis (PDX), complications and comorbidities (CC), major complications and comorbidities (MCC), and ICD-10-PCS code assignments, provide deeper insights and assist in an accurate validation of a CDI program and its impact on the bottom line.

Review clinical documentation with the following objectives is essential:

  • Determine if there can be a more specific PDX
  • Identify missed CC/MCCs
  • Decide if a physician query is needed to generate more specific clinical diagnoses

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