Without question, CDI specialists (CDIS) are confronted with ever-growing complexity. Responsibilities and expectations have increased while access to resources remains static. For example, your team may have broadened its scope beyond CC and MCC capture to include reviews for severity of illness, HACs, and PSIs. Or, you may be reviewing mortality records and post-discharge records supporting documentation accuracy in all clinical arenas.
Is your team also reviewing records to support clinical validation, assisting in denial prevention? Have you gone beyond Medicare to review Medicaid, DRG-based commercial, and all other payers? That’s a lot of work.
And yet, more than half of those records may never have a documentation improvement opportunity. For clinical documentation to be accurate, and to ensure proper reimbursement, a CDI team needs to review every single record throughout the entire stay. That’s impossible without technology.