Clinical Documentation Improvement (CDI)

Improve patient care, improve documentation integrity, and increase reimbursement.

CDI Solutions from Harmony

CDI Clinical Documentation Improvement

Harmony Healthcare offers a suite of Clinical Documentation Improvement (CDI) solutions that will meet your facility objectives, budget and environment. Our clinical documentation solutions go beyond supporting high quality clinical documentation, we provide clinical documentation programs that bring the solution back to the physicians.

 

Guaranteed ROI on Inpatient, Outpatient, Physician and Inpatient Rehabilitation CDI Solutions

Our team has clinical documentation improvement and healthcare regulatory experience, and are skilled in clinical knowledge, payment systems and methodologies, education delivery, and ICD-10 coding concepts and guidelines. We believe a model using a combination of RNs and HIM-certified CDI professionals is the optimal complementary combination of skills to support your CDI needs. We deliver the expert knowledge you demand, on-site or remotely in a timely and professional manner.

We offer:

  • Data analytics-driven solutions with proven long-term sustainable ROI.
  • Platform-enabled solutions including NLP technology capabilities for an automated approach for assessing documentation discrepancies.
  • Robust analytics with dashboards, automated worklist triage, and electronic resources to streamline CDI process for improved efficiencies and effectiveness.
  • Established history of both implementing new CDI programs, and evaluating, reinvigorating, and updating existing programs.
  • Platform-enabled solutions for Inpatient and Outpatient Clinical Documentation Improvement services for improved efficiencies and cost reduction.

Inpatient Clinical Documentation Improvement:

Our program supports both physicians and staff while creating a seamless transition from the concurrent process to the HIM retrospective documentation improvement process. To promote clinical documentation and quality improvement, Harmony works collaboratively with physicians, CDI specialists and other hospital staff.
 
Harmony believes that a “one size fits all” program is not always the best approach. Since the backbone of success for any clinical documentation improvement program is collaboration, Harmony delivers sustainable results beginning with the collaboration for implementing the best CDI solution structure for your organization. Harmony Healthcare has assisted countless organizations in planning, establishing, maintaining, and measuring results for Clinical Documentation Improvement programs.

Precise, thorough and accurate clinical documentation starts with:

  • Data analytics-driven solutions with proven long-term sustainable ROI.
  • Platform-enabled solutions including NLP technology capabilities for an automated approach for assessing documentation discrepancies.
  • Robust analytics with dashboards, automated worklist triage, and electronic resources to streamline CDI process for improved efficiencies and effectiveness.
  • Solutions that support correct capture of all diagnoses and not just comorbid conditions.
  • Compliance with ICD-10 guidelines, POA indicators, and overall improved outcomes data.
  • Defendable regulatory compliance reviews based on industry standard regulatory guidelines.
 

Harmony’s OP-CDI solution is more than just deploying clinical documentation specialists in the outpatient setting. It is about leveraging technology to simplify the physician’s workflow.

 

Outpatient Clinical Documentation Improvement

As organizations look to expand their current CDI functions to the outpatient setting, the program structure, operational span and skill requirements for an OP-CDI solution are unique and broader than those of an inpatient CDI program. Harmony’s OP-CDI solution not only understands the unique outpatient clinical documentation requirements, our solution incorporates all the aspects required to effectively manage the “front-to-back” operational, regulatory and technology requirements needed for the physician practice revenue cycle functions in a point of care coding environment. The outpatient environment is going through a transition that began with the conversion to ICD-10 and will continue with the MACRA requirements expanding the importance of hierarchical condition categories (HCC) reporting.

Our phased approach centers on data analytics, physician end-to-end workflow optimization and leveraging technology for improved efficiencies and outcomes.

  • Integrated OP-CDI solution, including physician centric CDI infrastructure that is not a “one size fits all” canned approach.
  • Web-based CDI platform for analytics, physician specialty focused algorithms and NLP technology to identify and prioritize opportunities for improvements.
  • Optimize physician EMR documentation and coding tools to their full potential to simplify physician workflow, enhance clinical documentation quality, and promote appropriate reimbursement.
  • Cost effective and sustainable solution that is seamless to the physicians, except for the improved physician satisfaction and decreased workload.

Acute Inpatient Rehabilitation Clinical Documentation Improvement

Hospitals that have implemented an inpatient clinical documentation improvement (CDI) program have seen a reduction in claim denials, an increase in appropriate reimbursement payments and improved quality scores. This inpatient performance improvement initiative has enabled hospitals to manage the documentation chain from physician clinical documentation through bill submission for improved outcomes performance.

Acute inpatient rehabilitation is an environment that is more dependent on documentation than any other healthcare setting. Clinical documentation improvement in an acute inpatient rehabilitation setting requires documentation through a collaborative approach for all stakeholders involved in the care of the patient. Our rehabilitation approach provides a solution that addresses not only clinical documentation, but also CMG assignments, medical necessity, quality measures, patient safety indicators, and risk management.

  • Focused education for all stakeholders involved with delivering the collaborative care including providers, coders, IRF-PAI coordinators, practitioners, nurses, dietitians, allied health personnel, etc.
  • Compliance with IRF ICD-10 guidelines, billing requirements, and overall improved outcomes data,
  • Defendable regulatory compliance reviews based on industry standard regulatory guidelines.
Ask us where our CDI professionals have been working and you will discover some of the best-known teaching and trauma facilities in the country.

Let’s get started! Call 813.369.5159 for immediate assistance

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