Research Report

Taming the Wild, Wild West of Ambulatory CDI to Enhance Overall Hospital Revenue Strategies

 


Driving financial performance in the outpatient setting is a top-of-mind priority among senior health system leaders. But managing the differing clinical documentation methodologies and risk assessment strategies present the greatest challenges to optimizing this important source of revenue, according to a recent HealthLeaders Intelligence survey


The report highlights:

  • Provider organizations are finding the ambulatory setting is still a ‘Wild, Wild West’ in terms of assessing risk, clinical documentation, coding billing and medical record keeping practices
  • Ambulatory CDI programs are a gateway to untapped opportunity to improve revenue, compliance, quality care and patient satisfaction
  • Key targets to improve ambulatory revenue include:
    • Improved clinical documentation to support medical necessity
    • Better capture of disease burden to support risk adjusted payment models and population health initiatives
    • Better support Evaluation and Management and modifier assignments.
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