Physician-Centric DRG and HCC Advocacy in an ICD-10 world
Just an email or phone call away
According to the ICD-10-CM Official Guidelines for Coding and Reporting, a joint effort between the healthcare provider and the coder is essential to achieve complete, accurate, and appropriate documentation, ICD-10-CM/PCS code assignment, and reporting of diagnoses and procedures essential to MS-DRG, APR-DRG and HCC calculations. The importance of consistent and complete documentation in the medical record cannot be overemphasized. Without this effort, known as clinical documentation integrity (CDI), such documentation and clinically congruent coding cannot be achieved.
With the ICD-10-CM/PCS implementation on October 1, 2015, physicians and facilities invested in CDI need help understanding, implementing, and managing ICD-10-CM/PCS administrative data essential to PPACA-governed risk adjustment used in bundled payments, the CMS orthropedic Comprehensive Care for Joint Replacement initiative, the Medicare Value-Based Purchasing Modifier, accountable care organizations (ACOs), and CMS's transition of fee for service payments to the Merit-Based Incentive Payment System (MIPS). Coders and clinical documentation improvement specialists (CDSs) invested in CDI need advocacy in negotiating clinical and ICD-10 terminology and coding with their medical staffs. Physician groups, hospital executives, revenue integrity, compliance and quality officers, and ACO leadership rely on this data to manage their programs effectively.
Physician and coding champions knowledgeable of ICD-10 and risk adjustment are crucial; however not every entity can cost-efficiently recruit, train, or retain one.
CDIMD is your solution. Our physicians and coders bring strong clinical, analytical and coding skills, credible literature, and strict adherence to AHIMA's, ACDIS's and our own professional code of ethics that promotes defendable ICD-10 code assignment essential to clinically congruent severity and risk adjustment. We relieve the fear, pain, and stress in provider and coder communications.
If your entity needs an ICD-10-CM/PCS physician or coding champion (or even peer-to-peer education), CDIMD gets you started. In the event a record must be vetted by a physician or coder prior to provider communication or bill submission on an ongoing basis, CDIMD is available, able, and willing to compliantly advocate coding integrity. Even if you have successful physician champions or advisors who simply need a second opinion or a break, CDIMD's here to support and pinch hit on their behalf.
Infrastructure issues? Up our alley! CDIMD supports your medical informatics departments so that physician-friendly EMR documentation templates and protocols oriented to ICD-10, risk adjustment, and medical necessity can be implemented.
Data Analytics? We can benchmark your data to narrow your approach to case mix management. Let us show you how.
Click on the links to learn more. Alternatively, if you would like, please contact our President, James S. Kennedy MD, CCS, CDIP at 855-MY-CDI-MD or 615-223-6962, or email him at firstname.lastname@example.org for a no-obligation discussion oriented to your needs.
We'll confidentially learn of your circumstances, share in any frustrations, suggest implementable solutions, and even offer options with other vendors if we're not a good fit.
No strings attached.
We're looking forward to hearing from you! Thank you for visiting us today.