A patient’s medical record reflects the entire patient experience and affects numerous metrics used by hospitals to validate care quality and manage financial performance. Beyond affecting hospital and provider profiles, clinical documentation captures information critical to coding and reimbursement, such as severity of illness, risk of mortality, and medical necessity. Without complete, accurate medical records, hospitals and health systems put themselves at risk for patient care errors, compliance issues, poor quality ratings, and financial loss.
EXTEND’s CDI team works with HIM teams to support effective clinical documentation improvement programs, bridging the gap between clinicians and inpatient coders to help facilitate completeness and accurate of patients’ records and support proper coding and revenue cycle management. Our CDI specialists are proficient in both the coding and clinical aspects of CDI and meet strict performance goals for quality and productivity.
Look to EXTEND Resources to meet short or long-term staffing needs or provide total outsourced CDI services for your organization.