Revenue Solutions: Clinical Documentation and Coding Integrity
Both the quality of care and the profitability of a healthcare institution depend greatly on the effectiveness of its clinical documentation and coding. FTI Consulting’s Clinical Documentation and Coding Integrity (CDCITM ) experts will help your facility implement a customized documentation and coding program designed to ensure the accuracy, completeness, timeliness, compliance, and overall reliability of clinical records and coding.
Our multi‐disciplinary team is composed of clinically‐trained documentation specialists, coders, data analysts, and revenue cycle experts, with credentials such as CDIP, RN, MS, CCS, CCDS, RHIT, CHC, MD, and AHIMA‐approved ICD‐10 instructor. FTI Consulting’s CDCITM services include:
CDCI Assessments and Enhancements
Reviewing your organization’s CDI, coding and health information management functions, FTI Consulting experts identify opportunities and provide recommendations and implementation support. Our experienced advisors work with your physicians, nurses and coding professionals to enhance your program and help your organization to accurately represent the nature of your patients’ conditions and the level of your services and ensure the integrity of your coding and billing processes.
Data Analytics and Benchmarking
We leverage our best in class CDCI ProTrend™ benchmarking and analytics package to provide analysis of diagnosis, procedure and All Patient Refined (APR)‐DRG and MS‐DRG data to help healthcare organizations monitor case mix index (CMI), complications and co‐morbidities (CC/MCC) capture rates, severity of Illness (SOI), risk of mortality (ROM), length of stay (LOS), and overall volume as compared to benchmarks for similar institutions in a peer cohort. We also leverage hierarchical condition categories (HCC) and (diagnostic cost group) DxCG models to identify opportunities related to risk adjustment.