Clinical Documentation Improvement Services

Your health system’s clinical documentation should be clear, consistent, complete, reliable, legible, precise, and timely. Good clinical documentation enhances quality of care, supports better communication, and reduces claim denials. However, achieving this can be challenging when your care team is frustrated with the documentation process.

Every hospital and health system is unique, and their needs vary. Enhance your current CDI program with flexible and customized services guided by highly skilled and passionate medical professionals. Our competent professionals are experienced in reviewing medical documentation and notifying physicians of inaccuracies. Zephyr Health Management Service’s clinical documentation integrity services boost performance and ROI, along with a variety of other benefits:

• Offsite or onsite
• Global or domestic
• Flexible staffing model
• Improved ROI
• DRG maximization
• Improved ICD-10 code assignment
• Increased physician communication
• Improved clinical performance

Why Enhance Your CDI Program with Zephyr Health Management Service?

Outsourcing a portion of your business can be daunting, especially when it affects clinical outcomes and physician processes. Ultimately, you must decide what is best for your staff, patients, and the community you serve.

Flexibility in Staffing

Every partnership begins with an onsite component to understand your current clinical documentation practices, opening cost-effective avenues. Whether you want your CDI program to be fully onsite, offsite, global, domestic, or a combination, you have the flexibility to choose what is right for your organization.

Global CDI Services

Global CDI services are the most cost-effective solution and offer 24/7 support. CDI specialists at Zephyr Health Management Service’s global delivery center are highly skilled, undergo extensive training on processes, and continuous education, and are subject to regular audits.

Increased Communication

One of the trickiest parts of CDI is ensuring everyone complies with best practices and fully documents encounters. Effective communication is key to ensuring all involved are on the same page and expectations are clearly defined. The right communication strategy for your organization keeps CDI top of mind and everyone working towards improved documentation.

Improved ROI

Improved clinical documentation directly affects ROI. A well-thought-out communication strategy improves performance and clinical outcomes. Complete and accurate documentation ensures your organization is paid for the services provided. It also streamlines coding efforts, reducing errors or time spent by coders to understand documentation.

CDI vs. Coding

A CDI specialist ensures that physicians’ documentation is complete and accurate regarding a patient. They can help the physician determine the appropriate DRG, although the final decision rests with the physician. A coder, on the other hand, assigns a code based on the documented information. Ideally, with a CDI program in place, errors in documentation should be minimized, reducing the burden on coders.

How CDI Helps Your Community

Quality data sent to the CDC and other government agencies can improve your chances of receiving grants and funding. Accurate clinical documentation affects care decisions during a patient’s current stay and future care, ultimately improving clinical outcomes.

Contact Us

Learn how your organization can leverage Zephyr Health Management Service’s Clinical Documentation Improvement Services to enhance your clinical documentation and improve your overall performance.