Why Clinical Documentation Integrity is a Crucial Component of the Revenue Cycle

Reducing denied claims and underpayments is a vital part of Revenue Cycle Management (RCM). The leadership of most hospitals knows just how essential Clinical Documentation Integrity (CDI) is to the clinical revenue cycle. A robust CDI department ensures hospital inpatient services are appropriately reflected in the health record so they can be accurately coded and billed.

The quality of clinical documentation can impact both hospital revenue and performance on quality measures. Encouraging providers to document a detailed and precise description of the clinical scenario can ensure the medical claim correctly reflects the gravity and complexity of cases being treated, paving a path towards legitimate higher reimbursements. Clinical Documentation Integrity (CDI) departments can lead to a more accurate representation of case mix indices. These numbers represent average illness severity amongst your patients: high indices are an indicator of complex cases that should rightfully earn higher reimbursement.  Enhancing Clinical Documentation Integrity (CDI) is vital for your revenue cycle.

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