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Clinical Documentation Improvement: All you might want to know

by Dr Prem Community Writer

Documenting medical records is inevitable if you want an uninterrupted medical revenue cycle. Also, record keeping helps in caring for the patient since you can monitor their improvement. The importance of clinical medical documentationcannot be emphasized enough. This is because payer guidelines and regulatory requirements are integral parts of clinical records.

Healthcare institutions are facing regulatory changes, medical necessity, and Recovery Audit Contractors not to mention the sudden shift from quantity to value. All these factors have confirmed the necessity of a clinical documentation improvement (CDI) program. Only then can a health organization have a great revenue cycle. 

What is the Impact of Clinical Documentation Improvement?

Clinical DocumentationClinical documentation improvement (CDI) programs are aimed at providing more value. They add more value than direct revenue. Note: with a reliable CDI program, you will witness excellent communication among healthcare professionals. To get this and more benefits, contact GeBBS’ CDI experts.

The CDI experts will work closely with the medical coding service individuals. This move is geared towards maximizing yourreimbursement. Therefore, you get accurate and fair compensation for your services. You can always ask for help from CDI experts in case you want an evaluation of the current CDI program.Additionally, these experts can be of great value when it comes to supplementing your existing staff model. 

Why You Must Fully Implement A CDI program

Failing to fully implement a CDI program can cause harm to your clinic. Of course, this is the last thing any physician wants. Therefore, you must use a clinical documentation improvement (CDI) program to avoid the following:

1. Wrongly Documented Coding:

Wrongly Documented CodingThis has a grave effect since it attracts other unfavorable issues. For instance, it can lead to claim denials as well as incomplete reimbursement for the claims. The later affects health facilities financial curve negatively.

2. Miscommunication Between Providers:

Your patients may end paying for your ignorance (lacking a functional CDI program). This is because of miscommunication among the healthcare providers. They end up relaying inaccurate information. As a result, it becomes hard to administer the right treatment to the patients.

3. Being Accused of Fraud:

Clinical DocumentationThe future of your facility remains in danger provided you don’t have an effective CDI program. Without the program, healthcare providers can always submit incorrect patient documentation. This is a serious violation of medical practice laws. As a result, you may be accused of medical fraud whichcan lead to the closure of a health facility.

4. Bad Reputation:

Without accurate patient record documentation and a weak healthcare revenue cycle, you will surely have a bad reputation. The worst thing that can happen to a healthcare provider is the loss of patient trust. The patients are your business, if you give them a reason to question your service, they will review your facility negatively. Besides, you are exposed to improper reporting if you have no CDI.

The benefits of having a CDI program far outweigh the hassle of finding a reliable CDI program. You don`t have to make mistakes this time around, choose CDI experts from GeBBS Healthcare Solutions to streamline your healthcare facility.

Article Submitted By Community Writer