Clinical Documentation Improvement

IOD’s Clinical Documentation Improvement (CDI) program helps educate your documentation team, including coders and nurses, on key physician query guidelines to improve accuracy, revenue and patient care.

To achieve these results, IOD designs and implements a HIPAA-compliant CDI program that educates your documentation team, including your experienced coders and/or nurses, on how to properly query physicians per AHIMA guidelines and in accordance with the Uniform Hospital Discharge Data Set (UHDDS). This program will focus on coaching physicians to document correctly in order to minimize repetitive queries. It will also focus on training of your coding staff to minimize queries so that coding workflow – and the revenue cycle – are not impacted.

IOD’s CDI tools and education positively impact the quality and quantity of physician documentation in the medical record at the point of service. This results in comprehensive physician documentation and ensures that diagnoses reflect the patient’s severity of illness, as well as intensity of service for patient encounters. This program results in a Case Mix Index (CMI) that accurately reflects the acuity of the patients that your organization treats.