Clinical Documentation

Improve clinical documentation

Accurate clinical documentation is necessary to support quality care and achieve appropriate reimbursement, especially under ICD-10, when an eight-fold increase in codes demands a whole new level of specificity. Optum360™ offers technology and expertise that can help you take a comprehensive approach to improve clinical documentation accuracy and efficiency.

Optum™ Clinical Documentation Improvement Module

The Optum™ CDI Module automatically indexes all inpatient records to precisely identify and resolve missing or inconsistent clinical information concurrent to patient stay. This helps to minimize the time and resources typically spent manually verifying documentation and delivers more comprehensive, precise results. Learn more

Physician Training

We offer online and on-site training to help physicians and other clinical staff understand the importance of clear, comprehensive clinical documentation and how to achieve it. Physician-specific education sessions can be customized by service line for targeted insight directly applicable to daily workflows.

Optum™ CDI Process Consulting

With Optum™ CDI Process Consulting, our experts can help you evaluate the quality of your inpatient data, clinical documentation workflows, and staffing strategy to pinpoint improvements that can help you tell the complete patient story for accurate reimbursement:

  • Improve point-of-care documentation
  • Manage quality reporting and compliance
  • Strengthen revenue integrity
  • Create objective documentation and coding practices

Extensive education and follow-up training can help your staff to maintain best practices and support appropriate reimbursement.

Talk with a clinical documentation specialist. Call 866.223.4730.

We’re ready to put our platform to work for you. Let’s start the conversation.
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