Clinical Documentation Improvement


C.F.R. has years of experience and expertise in Clinical Documentation Improvement. C.F.R. approaches CDI from multiple perspectives of documentation for improved coding for: DRG assignment; for Value Based Purchasing; for Quality Measurements; and for Case Management services for assignment of level of service. C.F.R. also provides CDI for outpatient services.


Documentation Assessment: C.F.R. can provide an assessment of clinical documentation and its impact on revenue and on quality measures for both inpatient and outpatient service. C.F.R. can also provide assessment of documentation and its impact on level of care assignment to observation versus inpatient status.


CDI Program Implementation: C.F.R. can quickly and efficiently implement a complete CDI program for inpatient or outpatient services. C.F.R. provides nurse clinical documentation specialists to review records on an ongoing basis, physician to physician education regarding clinical documentation, and coder education. CDI is coordinated with the medical staff and the coding staff to provide optimal results within the shortest time frame possible.