Clinical, DRG & Coding Validation Services
- Concurrent (Pre-billing)
- Retrospective (Post-billing)
Clinical Documentation Integrity (CDI) Program Modalities
For clients interested in implementing a CDI program, RCX can perform the initial evaluation, design a program that fits the client’s environment, create, assist in recruiting and training of the staff and monitor the program continuously for 3-6 months, then conduct periodic semi annual audits of the program as needed.
RCX certified CDIP and trainers prepare the CDIS staff to successfully take the AHIMA or ACDIS CDI Specialist examination.
RCX CDI program staffed by RCX staff to conduct provider education and effectively conduct the clinical documentation improvement independently or in combination with DRG validation services.
Physician / CDIS / Coder / DRG Validator Education Services
RCX reviews a statistically significant sample of clients’ cases, identifies adverse patterns or issues impacting revenue and CMI, and customize in-service education for the appropriate staff. This assures a relatively quick measurable return on investment.
RCX trains your staff (providers, CDIs, coders) to capture the totality, completeness, and accuracy of the patient’s clinical picture.This attracts the optimum reimbursement appropriate for the complexity of each encounter.
