Clinical Documentation Improvement (CDI)
Analytics is an application built to track and report opportunities in areas where documentation improvement is needed for optimal code assignment and DRG (Diagnosis Related Group) reimbursement.
The largest source of estimated revenue loss in the healthcare midcycle in 2016 was attributed to inadequate documentation, according to a report by the Advisory Board. The revenue loss reported for an average 250-bed hospital was $2–$5.5 million.
Factors contributing to revenue loss in the midcycle included the expansion of audits ($1.7—$3.3 million) and coding inefficiencies ($1–$2.5 million).