Clinical Documentation Integrity & Revenue Integrity

We scale solutions to the needs and focus of your CDI and Revenue Integrity programs.

In the areas of Documentation and Revenue Integrity, clinical expertise and scalable solutions are combined to deliver support, insight, and enhancement within these critical areas. Across health system care settings and health plans, CorroHealth delivers programmatic solutions focused on capturing the true clinical picture.

Tech Enabled CDI

CDI Program Support

Auditing & Advisory

WHERE

Inpatient Outpatient Ambulatory

Inpatient Outpatient Ambulatory

Coding CDI Physicians

WHAT

  • Physician Led Reviews
  • AI Enabled Programs
  • NLP Enabled Programs
  • CDI Coverage Expansion
  • Clinical Appeals
  • DRG Validation
  • Revenue Integrity Monitoring
  • Audit Programs
  • Education & Mentoring
  • Program Assessment & Optimization

Auditing and Advisory

Expert auditors and consultants from CorroHealth provide key insights and establish appropriate KPI measures across your coding and CDI programs. This is delivered through tailored audit, education, and consulting programs designed to meet client specific needs.

  • DRG Validation
  • Revenue Integrity Monitoring
  • Audit Programs
  • Education & Mentoring
  • Program Assessment & Optimization

CDI Program Support

Backed by project management and quality assurance processes, credentialed CDI specialists are available from CorroHealth to support CDI efforts across inpatient, outpatient, and ambulatory care settings. This same expertise can be deployed to support the clinical appeals process.

  • CDI Coverage Expansion
  • Clinical Appeals

Tech Enabled CDI

Aimed at changing physician documentation behavior, CorroHealth delivers an Artificial Intelligence solution for CDI in combination with reviews and queries by a physician led team. This team consists of:

  1. A physician performing the post-bill reviews of identified encounters
  2. A designated CDIS query writer to deliver compliant queries
  3. And a senior Coding Quality Expert (CQE) maintaining proper coding perspective on CDI operations

As queries are submitted, the AI solution compiles tailored physician training from:

  1. An education library of documentation training materials and modules
  2. Insights from appropriate peer physician documentation.

Tailored training is delivered to those physicians who maintain higher volumes of patients but fall within the lower percentiles related to CMI for relative peers. These trainings are delivered in 3 to 5-minute segments with continued tailoring of content through the CDAI solution until physician behavior is corrected.