Ensure precise clinical documentation to support accurate coding and billing with our CDI services.

Effective coding hinges on thorough, accurate, and consistent documentation. A well-implemented Clinical Documentation Improvement (CDI) program can achieve this, driving superior revenue outcomes for your organization.

Rely on the Sciinov Healthcare team for retrospective, concurrent, and prospective reviews of clinical documentation. We will help identify gaps, issue physician queries, and recommend enhancements to ensure your documentation is coding-ready.

SERVICES PROVIDED
Retrospective, concurrent, and prospective review of clinical documentation to identify missing information, place physician queries, and recommend improvement opportunities.

Our Clinical Documentation Improvement (CDI) services include:
 • Concurrent reviews of medical records to ensure timely filings.
 • Timely physician queries to obtain necessary clarifications or corrections for accurate coding.
 • Follow-ups on previously unanswered or delayed queries.
 • Validation and resolution of DRG mismatches and diagnoses present on admission (POA).
 • Education for physicians on documentation best practices and requirements.