WHAT WE DO

Clinical Documentation Integrity

Through innovative, long-term collaboration, CHESS creates tailored solutions to meet the needs of providers and health systems, putting the patient first. We customize each relationship, no matter where you are in your journey towards value.

To succeed in value-based care, effective clinical documentation integrity (CDI) and managing HCC must be a priority.

Our processes have proven successful. These include:

Education

Accurate and specific documentation is the foundation for excellent patient communication, accurate billing, compliance, risk adjustment calculations, and quality measures. To prioritize documentation integrity, providers and staff should receive regular training on best practices and workflows. When providers, staff, and others involved in documentation understand the significance, there will be significant improvements in patient outcomes, data quality, and reimbursement.

 

CHESS has created a curriculum on risk adjustment, including synchronous and asynchronous presentations, one-page overviews, pocket cards, and code cheat sheets. This program also includes performance reports and workflow assessments to determine low hanging fruit and priorities.

CDI Reviews

Coding reviews are essential for financial success in value-based contracts. No matter the value-based model, implementing an HCC coding review process will ensure accurate reimbursement for the care provided to patients. CHESS offers multiple review types depending on documentation and coding needs, including retrospective, prospective, and concurrent.