Clinical Documentation Improvement

What is Clinical Documentation Improvement?
Clinical documentation improvement focuses on the overall quality of care in healthcare organizations. CDI programs play a vital role for patient care by reporting diagnoses and procedures, sharing data with caregivers and boosting claims processing. Hospitals with effective CDI programs ensure that documentation reflects severity of illness and complexity of care. The result? Improved coding specificity, better case mix index (CMI) and enhanced reimbursement.
The ultimate CDI solution
We can tell her, based on your criteria — LOS over GMLOS; no CC/MCC; low SOI/ROM; no queries; alternate principal diagnoses DRG’s; missing POA; a particular diagnosis or ICD-10 codes — or some combination… we have it all!
And yes, we have coding clinic, coding advice, codebooks and the encoder built in too!
NOTES can be both public and private, so you can share them with other teams, or just your team.
Don't Be Shy
Drop us a line anytime. One of our team members will respond to you as soon as possible so you can start reaping the benefits of working with the RecordsOne team!