HOSPITAL
RATINGS
RECALIBRATED.
CDI Solutions
Increase ratings, volume and reimbursement by improving clinical documentation.
Patients turn to Hospital Compare Star Ratings to help them decide which hospitals deliver high quality care. Performance matters for health systems, as higher ratings can lead to increased patient volume and reimbursement.
High performing Clinical Documentation Integrity (CDI) has become the necessary link to support an increase in quality ratings. CMS guidelines affect reimbursement and change frequently. Staying abreast of changes and coding best practices is critical. If documentation isn’t complete and accurate, patient care scores and associated reimbursement can suffer.
R1’s CDI Solution has a proprietary comorbidity algorithm and proven best practices that can improve documentation. By accurately adjusting for risk, the predicted rate for outcomes is more precise, enabling health systems to:
- Boost Hospital Compare ratings
- Ensure proper reimbursement and Medicare payments
- Avoid penalties
- Improve patient satisfaction
- Gain market share
- Reduce clinical denials
A proven formula to drive higher patient volume and reimbursement
Our proprietary algorithm, processes and expertise deliver results
CDI Technology
Optimize your existing CDI technology or leverage our best-in-class CDI-specific software
Business Intelligence and Analytics
Make more strategic decisions by focusing efforts on top drivers of documentation opportunities
Ongoing Team Training and Coaching
Increase efficiency, perform concurrent documentation reviews, and alleviate future rework through our ongoing education
Continuous Process Improvement
Ensure ongoing success and improvement through our weekly client communication to monitor and manage 60+ key metrics
Ratings matter
to patients
Improve your Hospital Compare score to accurately convey care standards with R1’s CDI Solutions:
90%
of hospitals with CDI solutions earned an additional $1.5M+ in revenue i
85%
of hospitals improved quality and case mix index post-CDI implementation ii
i RevCycleIntelligence, Oct 2017
ii RevCycleIntelligence, Nov 2016
Whitepaper: Achieving Both Full Reimbursement and Accurate Acuity Measurement
Medical education may train future physicians about medical coding so they can
be successful in private practice, but rarely do they focus on hospital clinical
documentation. Many key components of documentation, however, directly
affect reimbursement and quality scores.
As the emphasis continues to shift to value-based care, CDI programs should be
an integral part of every healthcare organization’s strategic plan.
The result is improved physician engagement and quality scores as well as increased staff productivity.
This white paper highlights five CDI best practices that are critical to achieving accurate and
full reimbursement as well as improved patient outcomes. It also suggests immediate steps to begin to
make improvements.
