Clinical Documentation Improvement

• Detailed Gap Analysis
• KG will deploy best possible combination of resource persons (Physician + Coder, Nurse + Coder and Qualified Statistician) – experienced Physicians + Healthcare Administrators. Work closely with Coding Analyst and HIM team
• Sample Chart Analysis based on International Statistics Norms and Best Practices.
• Detailed documentation review based on International Coding Guidelines, International Clinical Documentation Best Practices, DOH Adjudication Rules and Clinical Practices.
• Engagement with Physicians (Consultants, Specialists and Residents), Case Managers, Coding Teams and RCM teams to understand current challenges.
• Extensive analysis of Length of Stay at DRG Level and comparisons against International Standards.
• Operational Gap Analysis
• Identified Training Needs for Physicians and other Clinical Teams, training materials developed
• Physician and Clinical Teams Engagement Model for CDI

Enhancements

• Implement Physician and Clinician Engagement Model for CDI
• Training of Physicians, Case Managers, Coders and RCM Teams on CDI
• Develop CDI Guidelines for different categories of Medical and Clinical Teams
• CDI always carries a risk of increased denials. Based on the industry experience in Abu Dhabi (with Daman, other payers and Private Sector Hospitals) KG is capable of minimizing that risk through a Denial Prevention Programme
• Monitor payer denials trends and provide training and documentation support for Physicians for continuous improvement (Programme Sustainability)
• Manage the CDI Programme with adequate resources and accountability
• Actively support to reduce Length of Stay in parallel to CDI