Chart Review & Return on Investment

What differentiates our chart review process? Our physician auditors understand both the coding rules and the clinical language of your providers. This coupled with the use of rigorous statistical sampling allows us to find and project improvement opportunities with concrete results.

Performing a medical record review to determine adult or pediatric CDI opportunity should not be a random act. Children's Hospitals are often lumped together with their adult counterparts and vendors can sometimes provide HIM Directors and C-suite executives with skewed ROI based on statistically inaccurate medical record samples. SMRT Doc values the accuracy and specificity of the adult or pediatric medical record above all else. It is our job to understand your patient population and quantify the adult or pediatric CDI opportunity using proven analysis methods. Our chart review results are clustered into CDI, Provider and Coder opportunities, combined with actionable solutions to enhance the effectiveness of your adult or pediatric CDI program.

  • -|  Statistically Relevant Chart Selection - We choose a non-random sample that statistically represents your highest volume, highest reimbursed and most likely to contain opportunity cases.

  • -|  CDI Opportunity Reporting - Our physician auditors will examine each chart individually for documentation enhancement and query/clarification opportunities.

  • -|  Coding Opportunity Reporting - Our coding auditors will look for justified coding opportunities that represent changes to CC capture, SOI and unspecified code usage.

  • -|  Return on Investment Projection - We use your institution's real volume and reimbursement data to project a Return on Investment that is both statistically significant and easily quantified to both clinical and financial executives.