Clinical Documentation Integrity Services

Clinical documentation in your health system must be timely, accurate, complete, readable, consistent, and clear. Clinical documentation that is of a high caliber enhances patient care, fosters better communication, and lowers claim denials. The documentation process may be frustrating for your care team, making achieving everything at once seem impossible.

Every hospital and healthcare system has different needs that are particular to it. Improve your current CDI programme with customizable, flexible CDI services led by highly qualified and enthusiastic medical professionals. Our qualified staff members have experience reviewing medical records and informing doctors when they contain errors. The following are a few advantages of using Revelationcare’s clinical documentation integrity services:

Why Revelationcare?

It can be difficult to decide which parts of your business to outsource. It becomes even more nerve-wracking when that decision impacts clinical outcomes and physician processes. The best course of action must be determined for you, your team, your patients, and the community you serve.

Every partnership starts with an onsite phase so that both parties can get to know one another’s current clinical documentation procedures. And it gives you access to a wide range of affordable options. You have the freedom to decide what is best for your organization, whether you want your CDI programme to be entirely on-site, completely off-site, global, domestic, or some combination.

Making sure everyone follows a set of best practices and taking the required time to completely document an encounter is one of the trickiest aspects of CDI. To ensure that everyone involved is on the same page and that expectations are clearly stated, communication is essential. The appropriate  communication style for your company can keep CDI top-of-mind and everyone focused on the same objective of better documentation.

Various factors that directly impact ROI can be impacted by better clinical documentation. Performance and clinical results will both improve with a well-planned communication strategy. Your organization will be compensated for the services you rendered if the paperwork is complete and accurate. Coders will work more efficiently and with fewer  errors as a result of better documentation, which will also save time.

A CDI specialist’s responsibility is to make sure that a patient’s medical records are accurate and comprehensive. They may even aid the doctor in determining the patient’s DRG, though this decision is ultimately his or hers. In contrast, a coder takes what is documented and gives it a code. A CDI programme should make it less likely that a coder will find errors in the documentation.

Sending the CDC and other government organizations high-quality data can increase your chances of getting funding and grants. Additionally, clinical documentation may influence decisions made about a patient’s care now and in the future. Clinical outcomes can be enhanced by ensuring accurate documentation.

To find out how your company can benefit from Revelationcare’s Clinical Documentation Improvement Services, get in touch with us.