As healthcare organizations react to risk adjusted and/or quality-based reimbursement mechanisms (BPCI-A, VBP, MSSP, MSPB, etc) and begin to assume more risk in payor contracting, they must develop core competencies and adapt to produce claims data to accurately depict the true acuity and burden of illness for each patient and to predict future resource requirements for individual patients and entire populations.
Competencies around this include precise clinical documentation attached to clinical workflow; technology solutions that are accurate and provide the required compliance coding; regular feedback on clinical documentation quality by credentialed personnel; and a systemized process that includes training to assess and improve coding quality.
Our comprehensive and holistic approach to CDI is matched with a customized plan for every client, wherever they are on their journey to Risk Capability for their organization.