Evolving payer requirements and transitioning to a fee-for-service reimbursement model highlight documentation practice deficiencies. Now, more than ever, it’s critical for clinicians to provide a comprehensive and accurate account of a patient’s health journey to enhance care quality and support the services rendered. Inadequate documentation can negatively affect patient outcomes and financial reimbursement. Properly detailed patient care records assist medical coders in applying the most precise codes for patient interactions and help charge specialists capture all billable services on invoices.
ASP RCM’s Comprehensive CDI Services
ASP RCM aids clients in improving document quality, reducing compliance risks, and avoiding coding and medical necessity-related rejections. Our methodology guarantees that documentation fully supports coding and charge capture efforts, paving the path for better financial and clinical results.
- Working DRG/Concurrent Coding: Our experts assist CDI teams in determining the working DRG (before discharge) and offer real-time feedback for coding queries as necessary.
- DRG Reviews: We ensure DRGs are correctly assigned, and bills accurately reflect the proper severity of illness (SOI) and risk of mortality (ROM), ensuring fair reimbursement.
- Physician Query Assistance: Our specialists knows when and how to query physicians, appropriately safeguarding documentation integrity and compliance.
- Denial Management and Reviews: We offer expertise in researching and responding to denials, alongside managing denial prevention strategies.
- Recovery Audit Contractor (RAC) Reviews: Our team is equipped to assist with RAC reviews and appeals, ensuring your practice is protected against unwarranted financial recovery efforts.
To Begin Enhancing your Revenue Cycle Management, Schedule a Consultation. Start Now!
