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Harnessing Internal Data for Quality Risk-Adjustment Improvement

Optimizing DRGs through accurate severity assignment is no longer the sole focus of clinical documentation integrity (CDI) initiatives. While accurate reimbursement will always be an essential outcome of precise severity documentation, the growing importance of risk adjustment demands a more focused and sophisticated approach to ensure specific clinical conditions are properly reported.

This opportunity lies within your very own claims data, but it cannot be fully leveraged using traditional analytical benchmark methods and/or approaches that rely solely on medical record review.
 

Learn from our expert

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Dr. Terrance Govender

VP of Medical Affairs

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