Clinical Documentation Management

Consulting Services | Revenue Cycle | Clinical Documentation Management

Accurate coding takes more than coders.

Coding requires a team effort. Your physicians, nurses, case managers and coders all have to be on the same page. Otherwise, you could be leaving money on the table.

Here’s how QHR can help.

Coding principles; coding teamwork.

It’s essential to proper reimbursement. Accurate coding can also support your hospital through regulatory audits, especially in targeted areas such as one day stays.

QHR experts help you determine where documentation and coding problems occur, then work with your staff to resolve them.

We help physicians and nurses work together to validate acuity and provide sufficient documentation on medical charts. This teamwork allows for appropriate reimbursement and also ensures that your publicly reported patient acuity matches resource use - important to payer and consumer decision making.

We’ll mentor your physician advisors, case managers and coders, helping them develop skills to talk to physicians with confidence, grounding their questions in sound documentation principles.

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Our consultants:

  • Conduct a coding audit to assess improvement opportunities, staffing and training needs
  • Compare hospital DRG volume to national benchmarks
  • Customize on-site education for case managers/coders/physician advisors to improve clinical documentation
  • Provide one-on-one and group training by physician peers with your medical staff, to help them understand the role they play in accurate documentation and hospital reimbursement, and work on problem areas
  • Continue to measure outcomes of improved process

It takes knowledge and cooperation.

QHR addresses your specific needs and trains your staff to keep improvements in place long after the consultants leave.