CLINICAL DOCUMENTATION IMPROVEMENT
Continual Clinical Documentation Improvement is fundamental to high-quality patient care and correct reimbursement. ECLAT Health Solutions offers CDI solutions to ensure your patient’s record is accurate, complete, and has greater specificity of diagnostic and procedural documentation for optimal reimbursement. Our professional experts are continuously trained and educated to complement your team in various settings and operational circumstances. We pride ourselves in delivering high-quality CDI solutions and helping our clients achieve and exceed their operational and strategic goals.
What We Offer
ECLAT’s experts can facilitate your CDI program in the following ways to ensure the patient’s record accurately reflects the diagnoses and the procedures performed before being discharged.
Working DRG/Concurrent Coding
Our experts are happy to assist CDI teams with determining the Working DRG (before discharge) and provide real-time feedback for coding questions, as needed.
Our experts can assure the DRGs assigned are correctly assigned and accurately billed for proper severity of illness (SOI) and risk of mortality (ROM).
Physician Query Assistance
Our experts are trained to know how and when it is appropriate to query physicians to avoid clinical documentation errors impacting documentation integrity and compliance.
Denial Management and Reviews
Our experts can help research and respond to denials and help manage denial prevention.
Recovery Audit Contractor (RAC) Reviews
Our experts are trained to assist with RAC reviews and appeals.
Case Mix Index (CMI) Reviews
Our experts can help evaluate codes for accurate Case Mix Index (CMI) calculations and proper reimbursement.
CDI Process Improvement
Our experts are knowledgeable about CDI processes that typically occur in any clinical setting. We are happy to support where needed to ensure smooth delivery is met.
Collaboration and Education
Our experts are always ready to share the knowledge with you. From Train-the-Trainer sessions to on-site Training, we can provide “at-the-elbow support” to providers with clinical rounding situations. We provide education for new health care providers as needed (monthly, quarterly, or annually).
Our CDI-Coding Liaison work to ensure smooth and beneficial collaboration between teams (HIM, CDI, Coding, etc.).
CDI Personnel Placement
We are here to help you meet and exceed your goals and can provide personnel from part-time to direct hire as needed.