top of page
Doctor Diagnosis

Clinical Documentation Improvement

Clinical Documentation Improvement

CDI Review Services include a full medical record review that ensures clear, concise and consistent diagnosis documentation.  These services target both Acute Care Inpatient records as well as a full Outpatient clinical quality review.  We perform second-level reviews to address clinical validation, compliance, accuracy and review of medical record documentation for optimal and accurate quality data and reimbursement.  We provide outpatient clinical documentation integrity reviews focusing on the quality and cost components of the Merit-based Incentive Payment System (MIPS).  Our compliant programs bridge gaps between the providers and inpatient coders to facilitate accurate documentation.

​

Accurate and proper extraction of clinical data is the beginning of a solid foundation towards revenue optimization patterns.  CRS employs the following strategies to help you succeed:

​

  • Inpatient Clinical Documentation Integrity

  • Outpatient Clinical Documentation Integrity

  • Overseeing Process Verification

  • Utilization Review

  • National Surgical Quality Improvement Program Steps

CRS-Clinical-documentation.jpg

Inpatient Clinical Documentation Integrity

Preserve the integrity of patient information entering your data centers.

Outpatient Clinical Documentation Integrity

Develop methodologies to enhance data extraction for outpatient services.

Overseeing Process Verification

Engage in auditory practices to ensure that inefficiencies are being trapped and minimized.

Utilization Review

Evaluate the medical necessity, appropriateness, and efficiency of of health care services, procedures, and facilities.

National Surgical Quality Improvement Program Steps

Provide risk-adjusted surgical outcome measures for participating hospitals that can be used for performance improvement of surgical mortality and morbidity.

bottom of page