The Revenue Cycle Blog
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What Is Clinical Documentation Integrity (CDI) and Why It Matters for Revenue Cycle
Discover how Clinical Documentation Integrity (CDI) improves coding accuracy, reduces denials, supports compliance, and strengthens revenue cycle performance.
The Definitive Guide to Clinical Documentation Integrity: A Strategic Imperative for Modern Revenue Cycle Management
Clinical Documentation Integrity strengthens RCM by reducing denials, improving compliance, and preparing healthcare providers for the ICD-11 transition.
Unleashing the Power of Clinical Documentation Improvement (CDI)
Discover how Clinical Documentation Improvement (CDI) revolutionizes healthcare data management, enhancing patient care, data integrity, and financial outcomes. Unleash the potential of CDI to optimize your healthcare organization's data and drive better outcomes.
Case Study: Improving ED collections by resolving coding and clinical documentation issues
Our client, a mid-sized hospital group, faced challenges getting reimbursed for ED visits. Sub-optimal client documentation processes led to delayed payments and reduced reimbursements. Our initial analysis revealed that delayed billing was the root cause. We conducted an exhaustive internal audit of 30 physicians working across two facilities in Washington and Florida. In this case study, we highlight how improved clinical documentation and coding quality lead to increased reimbursements.
Creating an effective strategy to resolve Clinical and Coding Denials
Claim denials, a chief cause of revenue loss to healthcare practices, are rising across payer types. A primary source of denials is on account of coding-related denials. A comprehensive and focused denial management and appeals strategy will help reduce this revenue loss.
Improving Clinical Quality and Patient Experience is key to financial success
Improving the overall patient experience requires a comprehensive re-look at your clinical, administrative, and financial processes. From reducing time to care delivery to improving transparency around the costs of care, healthcare provides need to focus on improving quality, timeliness, and responsiveness.