MEHIM’s CDI tools and education positively impact the quality and quantity of physician documentation in the medical record at the point of service. This results in comprehensive physician documentation and ensures that diagnoses reflect the patient's severity of illness, as well as intensity of service for patient encounters. The end result is a Case Mix Index (CMI) that accurately reflects the acuity of the patients that your hospital treats. The MEHIM CDI Team simultaneously implements the program as we train your documentation specialist(s) how to perform the concurrent review process of the medical record. The documentation specialist learns key elements and technique for chart review.
MEHIM initially takes the roll of physician liaison while simultaneously training your designated team member to be the permanent replacement. Proficient communication between the clinical documentation specialists and the physicians is the key to ensuring the program success. The MEHIM Documentation Team uses data from the concurrent documentation review process to show reimbursement variance based on pre-query and post-query tracking.
This ensures that the billed diagnoses and DRG assignment are correct. Our program also verifies:
The MEHIM CDI Program trains your staff how to effectively and efficiently communicate with physicians and all other relevant patient care givers that have an impact on code and DRG assignment. This method has been proven to enhance the documentation quality.
It will accurately show management the case mix, and revenue impact that without the concurrent review would have been lost. We assist your staff on how to create and execute coding quality monitors in accordance with your hospital’s compliance plan. We utilize specific software as well as other electronic methods for tracking the data. It provides reports and spreadsheets with the DRG weight variances identified from the physician query responses. It also tracks physician non- compliance with query requests and other aspects of the CDI program.
Elements of our CDI Program:
The MEHIM Documentation Improvement Program combines clinical and coding knowledge to ensure that clinical documentation reflects the appropriate severity of illness adhering to all compliance and coding regulations. This will assist in accurate POA assignment as well as MS-DRG assignment. Our program will provide your hospital with an increase in Case Mix Index (CMI) and appropriate reimbursement.
The MEHIM CDI Team will come to your hospital and assess documentation improvement opportunities, implement the program, educate and train your staff, and help maintain the program on an on-going basis. Contact us today to set up an on-site evaluation.