Solutions
Enhanced Provider, Payer, Government and Consulting Solutions for Healthcare Organizations
Clinical Documentation Improvement
Maintaining consistency in the accurate, timely and complete capture of physician documentation has a direct effect on reimbursement efforts. Managed Resources has a national network of Clinical Documentation Improvement (CDI) specialists who support the improvement of physician documentation to reflect the severity of illness and risk of mortality of patients across all areas and payers.
Our CDI service assists organizations to improve documentation processes and policies, and provide expert recommendations in implementing successful CDI practices.
Our CDI service delivery includes:
- Concurrent or retrospective reviews of health records to identify opportunities for improvement in the overall quality of clinical documentation
- Clarification of clinical documentation to ensure complete and compliant documentation that reflects the level of service rendered and medical necessity
- Identification of inappropriate admission, unnecessary stay and quality concern cases
- Continuing education and best practices on querying and documentation
- Collaboration with coders to ensure documentation of all known comorbidities/complications (CCs) or major CCs on the DRG Coding Abstract
- Identification of trends, growth, and gaps in diagnoses and procedures
What People Are Saying About Us
The Managed Resources clinical appeals team have been excellent to us! Not only in having such a positive impact in recovering appropriate reimbursement for denials, but for their personal and timely approach to sharing educational tools with us to help prevent future denials. They really provided us with a high quality of service.
I can honestly and without hesitation declare these to be the absolute finest, most thorough, comprehensive and convincing clinical appeal letters I have ever seen in my 25+ year career as a hospital revenue cycle leader.
CodingAID has worked with our physicians to provide valuable and timely coding and documentation education
Thank You, Thank You!! I found myself in a huge bind. Inpatient and outpatients accounts in backlog. Reaching out to you saved me. Not only did they provide High Quality Experienced coders, they got my backlog under control/caught up in no time.
We were really pleased with attention to detail that was provided to us in the review of clinical appeals management and charge capture It was clear to see that your team knew what they were doing!