Computer-Assisted Clinical Documentation Improvement (CDI)

Overview

Precise codes, every time, through improved documentation.

Clinical Documentation Integrity (CDI) requires a comprehensive, multidisciplinary, enterprise-wide effort to translate a patient’s condition into precise codes accurately. The AGS AI Platform CDI module automatically analyzes digital patient charts for errors and suggests potential queries for improved data quality that result in better clinical information, compliance, and revenue.

Computer-Assisted CDI

Collaboration Across Teams

Provides a unified data platform for collaboration between Coding, HIM, Clinical, and CDI teams.

Alerts and Notifications

Real-time quality measure alerts for HACs, readmissions, and PSIs.

Geographic redundancy

Leverages multi-location data storage to ensure 99+% uptime.

Features

Computer-Assisted CDI Software Features and Capabilities

Intelligent CDI Worklists

Cover More Charts

Charts are prioritized based on suggested queries so staff can look at every relevant chart before it gets coded.

Work Concurrently

Real-time synchronization of clinical notes and attachments from the EHR means your team can work alongside physicians in the EHR.

Prioritize and Hold

Keep track of charts with queries awaiting a response and hold charts from coding so queries don’t get missed.

Automatic Query Suggestions

Automatic Query Identification

Focus your CDI team on the charts that have potential queries automatically identified.

Predictive Coding and Queries

Each chart will be predictively coded based on current documentation and queries suggested based on potential coding opportunities or missing support.

Query Templates

With over 100 query templates in place, creating and responding to a query is lightning fast. You can edit or create new query templates that fit your organization.

Actionable CDI Reporting

Show Financial Impact

Instantly understand the impact of your CDI program with real-time measurement of CMI, risk scoring, quality measures, and staff productivity.

Focus on Non-Compliant Providers

Easily identify providers that are not responding to queries in a timely fashion, and see what queries are not needed based on provider feedback.

Audit CDI and Coding Variance

Review the variance you see between CDI coding assumptions and actual coding going out on claims.

ADDITIONAL FEATURES

Enhance your experience with our CDI software through these advanced features.

Code Auditing and Compliance

Protect your reputation and hard-earned revenue with thorough and accurate auditing led by advanced AI and automation.

With increased regulatory scrutiny and the continuously shifting landscape of rules and regulations, healthcare organizations and their revenue cycles face mounting pressures. Profit margins are being squeezed while valued reputations face increased risk. To help ease these burdens and ensure compliance, AGS Health offers an optional auditing and compliance solution to support CDI users.

Features

  • Intelligent audit worklists automatically queue and prioritize charts for auditing and allow your team to concentrate on the audits that matter most.
  • Advanced case-search and selection features enable case sampling across a variety of parameters.
  • Conduct pre-bill and retrospective audits designed to ensure quality without billing delays.
  • Automated audit suggestions with the ability to assess predicted coding against final coding, spot missing documentation, and perform targeted audits based on a given specialty, provider, or coder.
  • Actionable audit reporting allows users to view and compare chart data, track audit results, and identify education opportunities quickly and easily.

Benefits

  • Enhance medical coding accuracy by automatically detecting errors and inconsistencies.
  • Significantly reduce the amount of time and resources required for audits.
  • Ensure adherence to coding guidelines and regulations to avoid penalties and maintain compliance.
  • Avoid claim denials and rework resulting from coding errors.
  • Gain valuable insights and analytics on coding trends.
  • Improve teamwork and alignment through collaborative features, including chat, change tracking, and feedback comparisons.

BENEFITS

See the impact of Computer-Assisted CDI Software

8% – 10%
Length of Stay Variance (LOS) Decrease
3% – 7%
Case-Mix Index (CMI) Increase
30% – 50%

Denials Reduction

Encoders and Groupers

Integrated Encoder

CDI comes with a built-in ‘book-based’ encoder, helping you select the right code with full supporting guideline information and coding clinics.

Integrated References

An integrated reference guide provides detailed visuals and anatomical information for coders to reference during the coding process.

Integrated and 3M Grouper

DRG and MSDRG grouping is built-in, but for those who need the 3M APR Grouper, that is easily activated through an existing integration with 3M (separate 3M fees apply).

Clinical Documentation Improvement (CDI) Case studies

Cayuga Medical Center (CMC) Case Study
Case Study
AI-based, fully integrated, mid-revenue cycle platform reduces costs by $130,000
El Paso Children’s Hospital Improves CDI Productivity by 50% with AGS Health
Case Study
El Paso Children’s Hospital Improves CDI Productivity by 50% with AGS Health

Resources

Dig deeper into Computer-Assisted CDI Software

Integrations

Seamlessly integrate your legacy systems with ease.

More Technology

AGS Background

Intelligent Authorization

Automate your financial clearance processes through to improve efficiency, lower costs, avoid authorization-related denials, and enhance the patient financial experience by expediting access to necessary services.

Autonomous Coding

Achieve true coding autonomy through advanced artificial intelligence and award-winning services in one seamless, effortless solution.

Computer-Assisted Coding

Transform your manual coding workflow into an AI-coder collaboration that positively impacts your coding quality, CMI and DNFC.

Computer-Assisted Professional Coding

Streamline your professional coding process with improved charge capture while reducing denials and improving quality and compliance.

Revenue Cycle Automation Analytics

Manage and forecast your automated revenue cycle management workflows for peak performance.

Analytics & Reporting

See your data like never before without the constraints of your EHR reporting capabilities.

Intelligent RCM Engine

AGS Health’s Intelligent RCM Engine is a proprietary suite of workflow orchestration tools that integrate artificial intelligence, machine learning, analytics, and digital workers to optimize work allocation, automate tasks, and support informed decision-making to enhance our patient financial services.

Clinical NLP APIs

Natural Language Processing APIs that enable you to extract meaningful clinical entities from bundles of unstructured data, seamlessly.

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Let’s transform your revenue cycle today

When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.

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