Welcome to CDIMD
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, CMS-HCC, Elixhauser, and other mortality, readmission, or complications calculations essential to physician and facility reputations and reimbursement. 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.
Physician-Centric DRG and HCC Advocacy in an ICD-10 world
Physicians and facilities must develop processes, technologies, and people that ensures ICD-10-CM/PCS administrative data integrity as to succeed payor requirements, PPACA-governed risk adjustment used in bundled payments, accountable care organizations (ACOs), and CMS's transition of fee for service payments to the Merit-Based Incentive Payment System (MIPS) and other alternative payment models. Coders and clinical documentation specialists (CDSs) need advocacy in negotiating clinical terminology, ICD-10 terminology, and coding with their medical staffs. Physician groups, hospital executives, revenue integrity, compliance officer, quality officers, and ACO leadership rely on this data to manage their programs effectively.
Infrastructure issues? 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. The CDIMD Tracker™ is a MS-DRG MedPAR analytic tool that compares your facility's traditional Medicare and Medicare Advantage performance to your peers and neighbors.
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.
We'll confidentially learn your circumstances, share in any frustrations, and suggest implementable solutions.