Services
Clinical Documentation Improvement Services
Overview
Proper coding requires meaningful documentation that is complete, accurate, and consistent. A properly configured clinical documentation improvement (CDI) program can help achieve this goal and drive greater revenue outcomes for your organization.
You can count on the AGS Health team to provide retrospective, concurrent, and prospective reviews of clinical documentation. We will help you identify missing information, place physician queries, and recommend improvement opportunities to ensure your documentation is ready for coding.
SERVICES PROVIDED
Retrospective, concurrent, and prospective review of clinical documentation to identify missing information, place physician queries, and recommend improvement opportunities. Our clinical documentation improvement (CDI) services include:
- Concurrent reviews of medical records ensure timely filings.
- Timely physician queries obtain necessary clarifications or corrections for accurate coding.
- Follow up on previously unanswered queries or delayed answers.
- Validate and resolve DRG mismatches and diagnoses present on admission (POA).
- Education on documentation best practices and requirements for physicians.
BENEFITS
Unlocking the Benefits of Clinical Documentation Improvement
Deliver Precise Documentation
Increase the accuracy and efficiency of your documentation and reporting process while reducing disruptive retrospective queries, minimizing query response times, alleviating administrative burdens, and improving communication.
Ensure Appropriate Reimbursement
Accelerate and streamline clinical workflows for correct coding diagnoses and procedures to maximize reimbursements, reduce denials, and eliminate potential re-work and resubmission of claims.
Achieve Regulatory Compliance
Ensure adherence to legal and regulatory requirements with advanced automation technologies and analytics-based CDI management solutions that leverage artificial intelligence (AI), natural language processing (NLP), machine learning (ML), and clinical decision support.
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Additional HIM and clinical services to streamline your revenue cycle
Medical Coding Services
Ensure accurate coding of medical services by experienced coders to prevent billing errors, reduce claim denials, and maximize reimbursement with improved compliance.
Medical Code Auditing Services
Complete coding compliance audits performed by our auditing team, including revenue impact analysis and lost revenue recovery.
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