Clinical Documentation Integrity

ACS does not have a "one size fits all" approach to CDI.

We believe the way to create a successful CDI process is to assess the expertise, interests, and workload of the staff in each hospital to find the “best fit” for their CDI program. The objective should be to establish a CDI process that functions collaboratively with CDI professionals, physicians, coders and the quality department.

Inpatient CDI

We tackle the complexities of reimbursement methodologies and risk-adjusted quality measures to create a more tailored approach that will encourage your staff to concentrate on key indicators for coding documentation accuracy.

We want your CDI program to have the best fit for your facility.  Our goal is to help you establish a documentation integrity process that creates an environment of collaboration between documentation improvement professionals, physicians and coders.

Our consultation approach includes extensive data analysis, record review, staff education including one-on-one time with CDI specialists, development of teams and follow up as your CDI program matures

Outpatient CDI

The hospital outpatient setting is a rapidly growing area with more procedures, surgeries and tests performed in that arena every day. Successful outpatient CDI models are designed based on facility priorities for improvement of their most vulnerable areas.

ACS understands these trends and the rising need for organizations to establish on effective outpatient CDI program. Hospitals and providers should strive for complete, compliant documentation no matter the patient’s location. Our consultation services are designed to provide improvement in your emergency and outpatient surgery departments, observation services and outpatient ancillary services. 

Ambulatory CDI

Ambulatory freestanding and provider-based clinic encounters can benefit from outpatient CDI efforts. Due to the level of specificity required in ICD-10-CM there will always be opportunities to improve provider documentation across all types of ambulatory clinics. CDI specialists can identify opportunities for documentation specificity and educate providers on how to appropriately and compliantly document the severity of illness and health status of their patients.

An ambulatory CDI program can support payment accuracy while improving data integrity and risk adjustment under a wide variety of programs and payment models.