Fractional CDI Professional Services
Let us handle the challenging health-related issues. Our group of Professionals consists of experts on call, including Fractional CDI and specialists in health, boasting extensive experience in both clinical and leadership roles.
Scope of Work
Fractional CDI professionals in health care organizations play a crucial role in improving documentation accuracy, ensuring regulatory compliance, and enhancing overall operational efficiency.
Core Responsibilities
- Clinical Documentation Improvement (CDI): Reviewing and refining medical records to ensure accuracy, completeness, and compliance with coding standards.
- Compliance & Regulatory Adherence: Ensuring that documentation aligns with government regulations, such as CMS (Centers for Medicare & Medicaid Services) guidelines.
- Collaboration with Healthcare Teams: Working closely with physicians, nurses, and medical coders to improve documentation quality and ensure accurate patient records.
- Education & Training: Providing training to medical staff on best practices in documentation and coding.
- Performance Audits & Quality Assurance: Conducting regular audits to identify discrepancies and improve documentation consistency.
- Revenue Cycle Optimization: Ensuring proper documentation to support billing accuracy and maximize reimbursements.
- Data Analysis & Reporting: Generating reports on documentation trends, compliance issues, and areas for improvement.
Deliverables
- Scheduled Reports: Submit a report summarizing key activities, metrics, and recommendations on an agreed upon cadence.
- Quality Improvement Plan: Develop or enhance a clinical quality improvement plan.
- Credentialing Audits: Review and update physician credentialing files as needed.
- Regulatory Preparation Checklist: Provide actionable steps to meet regulatory requirements.
Time Commitment
- Weekly Availability: Starting at 2 to 5 hours weekly or as agreed upon [Insert hours, e.g., “2-5 hours per week, or as agreed upon.”]
- Meetings: Attend scheduled meetings (e.g., board meetings, quality committees) virtually or in person, as necessary.
Performance Metrics
Success in this role will be evaluated based on targets negotiated, some examples include:
- Achievement of clinical quality improvement targets.
- Timely completion of regulatory and credentialing requirements.
- Feedback from the medical staff and leadership team.
- Overall organizational readiness for surveys and inspections.
Compensation
- Rate: Individualized to meet your organizational needs
- Payment Terms: Payments will be made upon invoice submissoin [e.g., “monthly upon invoice submission”].