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Clean, complete Clinical Documentation
Our improvement specialists capture specificity and communicate evidence-based advice to bridge the gap between clinical documentation and coding, resulting in cleaner and more accurate documentation.
helps with
- Achieving clinical documentation excellence
- Optimizing reimbursements
- Improving quality across the care continuum
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Ensure MRA Compliance
Synova's state-of-the-art Clinical Documentation Improvement solution leverages continuous feedback and open communication with providers to specifically track and improve MRA compliance.
helps with
- Tracking MRA compliance
- Improving provider communication
- Ensuring continuous feedback
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HCC/RxHCC Documentation
Synova specializes in capturing accurate Hierarchical Condition Category (HCC) and Risk-adjusted HCC (RxHCC) codes using various sources within the medical record.
helps with
- Enhancing patient profiling
- Improving reimbursement
- Facilitating patient coordination
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Robust Tracking Capabilities
Synova facilitates real-time document monitoring, comprehensive data integration, and advanced analytics and reporting which tracks, monitors, and analyzes clinical documentation processes efficiently.
helps with
- Real-time document monitoring
- Comprehensive data integration
- Advanced analytics and reporting
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Clinical Documentation Regulations and Compliance Requirements
Synova's team of regulatory specialists tackles this challenge, saving valuable time and resources. Research indicates that 91% of healthcare organizations using CDI programs have seen improved quality measures.
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Lack of Education
Lack of education brings resistance to change which is an important aspect of CDI. Synova believes in educating the provider and team with the latest regulatory standards and innovations taking place in clinical documentation.
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Gaps in Accuracy
Synova utilizes CDI queries to improve coding accuracy by clarifying documentation, gathering missing information, and resolving inconsistencies.
Measurable Impact
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Increased Annual Increment Revenue
Synova's dedicated team, through accurate documentation, robust CDI programs, and effective physician engagement strategies, can generate up to $0.5 million in additional annual revenue per CDI specialist.
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Improved Productivity
Synova's CDI experts have achieved a 70% improvement in process productivity. This is driven by documentation audits and CDI chart reviews that assess accuracy, completeness, and compliance with coding and billing requirements.
Reduced Processing Time
Synova's efficient, reliable, and accurate CDI programs significantly reduce processing time. This translates to faster claim turnaround and improved cash flow.
Documentation Review and Analysis
Synova CDI specialists leverage in-house technology to meticulously review and analyze a patient's medical record. Their focus is on ensuring documentation quality, clarity, specificity, and completeness. Any discrepancies, ambiguities, or deficiencies are identified to potentially impact coding, patient care, reimbursement, or compliance.
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Documentation Improvement Interventions
Following the review, CDI specialists pinpoint areas for improvement and intervene strategically. They collaborate with healthcare providers and coders to address documentation gaps, clarify ambiguities, and capture crucial clinical details. The goal is to ensure documentation accurately reflects the patient's condition, severity of illness, and treatment received.
CDI Query
CDI specialists utilize structured and evidence-based queries to communicate with healthcare providers. These queries aim to address ambiguities, resolve inconsistencies, and capture specific details required for accurate coding and reimbursement. Collaboration through CDI queries fosters accurate and complete documentation, supporting coding accuracy, billing integrity, and coding guideline compliance.
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Monitoring, Education, and Feedback
CDI specialists provide ongoing education and feedback to healthcare providers, clinicians, coders, and CDI staff. This covers coding guidelines, documentation best practices, regulatory updates, and compliance standards.
Clinical Documentation Improvement (CDI), a process evaluating medical record documentation for completeness and accuracy, ensures a review of a disease process, diagnostic findings, and compliant documentation. CDI programs bridge the gap between clinical documentation and accurate coding.
CDI improves patient care by improving the precision in clinical documentation which makes the job of medical coder and billers easier, rendering accuracy and timely reimbursement.
The 7 criteria which decide the quality of CDI include clarity, consistency, completeness, precision, reliability, timeliness, and legibility.
In the coming years, traditional CDI modules are expected to be replaced by automated CDI ones, owing to the progressive innovations in software technology and rapid digitalization in the healthcare industry.
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Accelerated Outcomes
Value-driven Collaboration
Compliance Assurance
Bring a change to your Healthcare Operations
A partnership with Synova gives you an inherent:
Adherence towards federal, state, and organizational compliances, as well as safeguarding patient data.
Sense of ownership and commitment towards providing value.
Focus on speed, accuracy, efficiency, and optimal outcomes.
Sense of security and transparency through periodic reporting and actionable insights.
Connect with our experts for a quick analysis and possibilities.
