Clincal Documentation Integrity

Accretive Health offers Clinical Documentation Integrity (CDI) services to assist our clients in providing documentation in the medical record that is accurate and complete.Through our education, we can track positive effects of both quality and impact of physician documentation in the medical record. The clinical documentation program is the primary driver for a hospital’s case mix index (CMI), which every hospital can benefit from a CDI program that properly reflects both acuity and severity of the patients that the hospital treats.

Our CDI programs are focused on clinical documentation at the point of service while the patient is still in the hospital. CDI programs are guided by official coding guidelines and pertinent governmental and regulatory requirements. We tailor the CDI program to your specific health system to ensure complete support of the physicians and the non-physician clinicians.

Our CDI program has customized solutions for education and metric capture composed of the following:

• CDI Assessment/ Reassessment
• Clinical Documentation Specialist (CDS) Training and Shadowing
• CDS Program Staffing- Let AH people do the work concurrently
• CDI Implementation
• CDI Physician Training
• DRG Tool/ Scorecard with Metrics
• ICD-10 clinical documentation integration and full training of staff