Effective Clinical Documentation not only improves the reimbursement of the facility but at the same time it reflects the safe and improved care and treatment of the patient. Therefore, having an improved and organized Clinical Documentation Department for any facility is a key to success. We as a MedLancing, are fully capable of providing all your documentation needs. Our Clinical Documentation Specialists (CDS) are all medical doctors and they are very experienced and have strong knowledge of ICD-10 coding guidelines. By using their clinical knowledge, our MDs know exactly what area of documents needs to focus on and how to improve the quality of documentation in order to avoid insurance denials.

Services:

There are two kinds of services we provide,

    • We can take over all your documentation from new cases to final drop ready for the payment.
    • We provide audit services, review principle diagnosis, review for any missing opportunities (CCs/MCCs), for the cases already coded and ready for the final drop.

Audit services include:

  • Review correct Principle diagnosis in order to avoid insurance denial.
  • Review and Correct diagnosis/procedural codes according to the ICD-10 coding guideline.
  • Review quality control for cases already ready for the final drop.
  • DRG review on concurrent cases.
  • Assist in writing a physician query on new or concurrent cases.
  • Case Mix Index (CMI) review and provide strategies for enhancement.
  • Periodically provide Clinical Documentation education to CDI staff and patients care team (Physicians, Physician Assistants, Nurse Practitioners, and RNs.)