The Importance of Clinical Documentation Improvement

One of the most important aspects of patient care is clinical documentation. In addition to validating that the care was provided, it shares important information with caregivers and optimizes claims processing. Improving clinical documentation is a must for any healthcare organization. Clinical documentation improvement recognizes the necessity of complete and accurate patient documentation and helps healthcare facilities claim every penny they’ve earned.

Why Has Clinical Documentation Improvement Been So Important In Recent Years

Although healthcare organizations have always valued clinical documentation improvement, it’s been even more important in recent years. Here are a few reasons why:

  • Issues with overpayments and underpayments: Recently, there were millions of dollars in overpayments returned to the Medicare Trust Fund and millions of dollars returned to healthcare providers.
  • CDI affects a healthcare practice’s bottom line: These days, healthcare practices get paid by providing quality services that are accurately documented. In the past, there was less emphasis on clinical documentation to support payments.
  • CDI ensures patient bills are accurate: Accurate documentation is essential for ensuring the accuracy of patient bills. Patients deserve to be billed correctly for the services and treatments they receive just like providers deserve to be paid correctly for their work.
  • CDI promotes accuracy: Without accurate documentation, patient care would suffer. Poor documentation can make it dangerous for patients to receive continuing care from other providers.

How Fast Chart Helps with Clinical Documentation Improvement

At Fast Chart, we understand just how important clinical documentation improvement is. For this reason, we’ve assist countless healthcare entities by offering them state-of-the-art technology and/or an experienced team of professionals. With our support, hospitals and other healthcare organizations can streamline administrative functionality, increase revenue, and improve patient care.

The U.S. based transcriptionists at Fast Chart can work on your existing platform or collaborate with you to implement a cloud-based platform so that you could upgrade your entire clinical documentation system for outsourcing.

Our cloud-based platform features a number of products to help your healthcare facility capture, manage, analyze, and distribute documentation in a timely and compliant manner. Its Speech Understanding technology translates spoken and typed words into structured content that can be interpreted into Clinically Actionable Data or CAD.

You can count on our cloud-based platform to integrate with almost any EHR or EMR. This way, you’ll be able to create a comprehensive clinical documentation that incorporates voice and structured text in a single application.

Contact Fast Chart

If you’re interested in learning more about how Fast Chart can support your clinical documentation improvement efforts, we encourage you to contact us today to schedule a free evaluation.

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