Enhancing Outpatient CDI to Improve Patient Outcomes, Reduce Denials

Guidehouse On Healthcare Podcast Series

As healthcare shifts to the outpatient setting, enhancing clinical documentation improvement (CDI) has become more of a focal point for providers. Outpatient CDI is designed to accurately capture the acuity and severity of a patient’s illness in order to maintain complete and accurate medical records, capture chronic medical conditions, and promote higher-quality patient care.

In this podcast, Guidehouse Director Rajiv Sheth discusses the main reasons why providers should consider developing an outpatient CDI program, to include:

  • Better patient outcomes
  • Decreased risk of hospital readmissions
  • Specificity of coding and documentation for care provided

Additional outpatient CDI program benefits Sheth mentions include producing fewer denials on the back-end, better continuum of care coordination, and improved financial and profile accuracy.

Our discussion concludes with Sheth’s opinion on a recent survey suggesting providers are planning to implement CDI technology that leverages artificial intelligence (AI). He agreed that CDI technology is crucial today and predicts that think AI and machine learning will continue to evolve. He also suggests that providers should implement programs that include AI machine learning, as it will only help them be more effective and ultimately provide better care for their patients.


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