Outpatient CDI That Turns Documentation Gaps Into RAF Score Gains
Harmony Healthcare's Outpatient CDI practice goes beyond deploying CDI specialists. We design and operationalize provider-centered HCC capture programs built around designing, building, and optimizing your EHR tools and workflows.
A complete outpatient CDI program, not just staffing
Our approach is grounded in EHR workflow integration, data driven feedback, and provider engagement, delivering measurable improvement at every stage of the risk adjustment cycle.
Identify high-value opportunities
Identify and quantify high-value HCC capture opportunities by specialty service lines, leveraging previously captured and chart review data.
Design EHR-native workflows
Design pre-visit, point-of-care, and post-visit workflows tailored to Epic, eClinicalWorks, and other leading EHR platforms.
Stay ahead of CMS changes
Keep pace with CMS regulatory changes and annual RAF model updates proactively, not reactively.
Reduce denials and recoupment risk
Reduce denials and recoupment risk through accurate, defensible HCC documentation.
Streamline provider workflow
Eliminate redundant problem list diagnoses, point-of-care review burden, and conflicting documentation.
Educate and engage providers
Deliver targeted provider education and performance feedback at the individual and practice level.
Measure RAF trends and ROI
Measure and report RAF score trends, documentation capture rates, and return on investment throughout the engagement.
Structured engagements with defined deliverables
We offer purpose-built consulting engagements with clear scope, timelines, and measurable outcomes.
HCC documentation assessment
A structured evaluation of your current HCC capture performance, EHR configuration, and provider documentation workflows. Delivered over approximately 30 days across three workstreams: current state analysis, workflow and system optimization recommendations, and a prioritized implementation roadmap.
Pre-visit HCC chart review initiative
A fully operationalized pre-visit review initiative that surfaces actionable HCC opportunities within the future encounter. Includes provider-specific education, EHR workflow integration, and ongoing documentation coaching, designed to sustain performance without adding administrative burden to clinical staff.
HCC diagnosis review and audit
A retrospective and prospective review program for organizations managing large Medicare Advantage or value-based care populations. Identifies chronic condition documentation gaps across the care continuum and supports compliant, sustainable RAF score improvement over time.
Trusted across health systems, health plans, ACOs, and physician enterprises
Harmony Healthcare's Outpatient CDI and HCC risk adjustment advisory services support organizations nationwide, from regional health systems and ACOs to large multispecialty physician groups managing Value-Based Care populations.
ACOs & Value-Based Care partners
Supporting risk adjustment performance for accountable care organizations and Value-Based Care partners.
Regional & national health systems
Embedded programs across health systems.
Multispecialty physician groups
Provider-level engagement across Family Medicine, Internal Medicine, and Specialty care settings.
National reach
Consultants deployed across all care settings: remote, hybrid, and on-site engagement models available.
The subject matter experts behind our Outpatient CDI practice
Our Outpatient CDI and HCC risk adjustment programs are led by clinicians and certified experts who have designed, built, and scaled these programs from the inside.
Know where your HCC gaps are.
Start with a focused assessment of your current documentation performance, EHR configuration, and provider workflows, and leave with a concrete roadmap for improvement.
