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Clinical Documentation

Clinical Documentation

Clinical Documentation is critical for patient care, not only because it validates the care that was provided, but also because it shares key data with subsequent caregivers and optimizes claims processing.

You are measured on the care you document, not only by the care you deliver

As healthcare reform shifts the focus towards better quality outcomes for patients and value-based payment, hospitals and health systems need innovative solutions and services that proactively address change across the continuum of care. High quality clinical documentation is more important now than ever.


Our CDI staff will analyze data, formulate physician queries, track CDI program performance, and successfully communicate with physicians, administration, HIM staff and others as necessary. We guarantee the success of your program by providing a complete solution including all the precise technology, implementation, training, and ongoing support to engage, CDI and coding teams to sustain the highest levels of quality over time.


Proven Success

For over 14 years our approach towards CDI Documentation Management Program® (CDMP®) has resulted in improvement of 9-12%, reimbursement appropriate to the level of care provided to patients, physician engagement and buy-in, all with innovative services, technology, comprehensive program maintenance, structured compliance support and an infrastructure to sustain positive results.

Return On Investment

Our clients typically realize a return on investment on program costs within 3-4 months.

Key Benefits from Our CDI Expertise

Care delivery is shifting away from the hospital. Make sure your clinical documentation captured in all care settings accurately reflects the level of care provided and the severity of your patient population. Improving quality and managing risk depends on it.

Our Health Information Management (HIM) consultants have an average of twenty years of experience. Their credentials include Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse, Certified Coding Specialist, and many others.