Capitalizing Upon the Opportunity- Dr. Ben Kartchner
Going Beyond the Traditional Approach to CDI - Jake Martin, MD
A Physician's Perspective - Kyle Boyd (RN, CCDS)
A Physician's Perspective - Mark Johnson PAC(MPAS)
A Physician's Perspective - Dr. Daniel Aragon
Revenue Cycle Consulting Services
Codicent offers the following revenue cycle consulting services:
Education, Training, and Knowledge Sharing
Deliver ongoing physician clinical documentation education, training, and best practice guidance to ensure high-quality, compliant documentation.
Provide targeted E&M training with a focus on coordinated care and clear communication.
Conduct regular assessments of physician documentation quality and completeness using a validated clinical documentation scorecard.
Design and implement tailored clinical coding education for coding staff based on the latest official ICD-10 and CPT guidelines, policies, and procedures.
Clinical Documentation Improvement (CDI)
Evaluate a hospital's current CDI program using both traditional and innovative methods to determine its true effectiveness.
Train and mentor new and experienced CDI professionals with a patient-centered approach to chart review and documentation improvement.
Perform regular offsite second-level reviews of previously reviewed medical records to validate accuracy.
Clinical Coding Assessment
Review professional and facility records to assess overall coding accuracy, including documentation adequacy and potential risks of denials, clinical validation issues, and DRG down-codes.
Provide a detailed findings report along with a Management Action Plan to address issues such as insufficient documentation and inadequate coding.
Observation Rate Review & Analysis
Conduct expert reviews of observation cases to assess the clinical appropriateness of "observation level of care" using all available medical record data.
Evaluate 100 observation cases, providing an Executive Summary and quantifiable results along with a Management Action Plan to help achieve a compliant observation rate.
Chargemaster Reviews
Perform thorough chargemaster reviews to identify and correct inconsistencies, problematic areas, and other issues.
Restructure the chargemaster as needed to ensure all charge codes are accurate, cost-justified, and transparent.
Update chargemaster elements and train department staff on proper charge code usage to ensure consistent and correct application.
Denial and Appeal Assessment & Modernization
Assess current denials and appeals processes for hospitals and physician practices to identify inefficiencies and obstacles to successful appeals.
Perform root cause analysis and implement process improvements earlier in the revenue cycle to minimize denials.
Shift from denial management to denial avoidance through cultural changes that connect physicians and healthcare stakeholders to the patient impact of documentation and coding.