Clinical Documentation Improvement

CARE’s seasoned consultants work with your physicians and clinical team to improve the accuracy and completeness of clinical documentation.

Physician to Physician Education Gets Results
A highlyqualified physician will meet with members of your medical staff to educate them on the importance of complete, detailed medical documentation and will provide insight into the requirements of regulatory and accrediting bodies.

Complete Solution
The physician consultant, along with our health information management professionals, meet with your case managers, utilization review staff, and medical record coders to train them on details of documentation and coding. They can then work directly with physicians to help them clearly reflect the patient care encounter.

CARE’s highly customized, module-based automated learning tools will:

• Correctly capture the acuity level of patient care to improve coding accuracy and completeness
• Provide the flexibility of education programs spread over months, not weeks, to support sustained learning and documentation improvement
• Attain Buy-in and active participation at highest levels of medical staff leadership
• Focus on high volume, high risk and high resource utilization cases
• Include a highly collaborative project planning and design stage
• Utilize a practical, execution-focused approach