We educate healthcare organizations on appropriate documentation that includes patient`s severity of illness (SOI), risk of mortality (ROM), hospital acquired complications (HACs), patient safety indicators (PSIs), length of stay indicators and mortality outcomes. Our processes help the growth of accountable care organizations (ACOs) and use of hierarchical condition categories (HCCs) enabling the expansion of clinical documentation improvement into outpatient practices with integrated case management, utilization review and denial prevention strategies.

We help Clinical Documentation Teams engage with clinical information technology teams in the design of effective electronic health records systems and improve clinical point of care documentation with optimized physician documentation templates with prompts for additional specificity in terms of diagnosis, medications, best practice alerts and treatment support decisions.

Our clinical algorithms based on evidence based practices identifies documentation deficiencies enabling concurrent review to improve case mix index, coding accuracy, quality metrics, risk adjustment and physician alignment.