Identify, Target, and Resolve Documentation Quality Issues
CDI solutions for appropriate reimbursement
Clinical Documentation Integrity Solutions
Pinpoint, report, correct, and monitor all documentation goals and needs with our proven approach. e4health supports patient safety for our clients by ensuring accuracy of reportable data and setting the standard for clinical documentation quality across the continuum of care.
We improve data integrity in these focus areas:
Diagnosis capture
Provider engagement and education
Interdepartmental relationships
Disproportionately high patient safety events
Validity of observed to expected mortality rates
Denial rates
Rapid CDI Adoption and Ongoing Engagement
Inpatient CDI
Harness a program that bridges the gap between providers and inpatient coders to facilitate accurate documentation. e4health’s CDI team works with your leadership and staff to build and support effective clinical documentation integrity processes.
Outpatient CDI
Conquer everything from HCCs for risk adjustment to Merit-based Incentive Payment System (MIPS) for practices. Our experts help you navigate documentation gaps and opportunities.
CDI Program Design and Optimization
e4health provides the foundation for a well-tuned and high-performance CDI program. This includes identification of gaps in CDI processes and missed opportunities around CC/MCC, SOI/ROM, conflicting documentation clarification, non-copliant queries and incorrect working DRG or PDx Assignments.
Second-Level Reviews
Address clinical validation, compliance, accuracy and quality data with e4health’s second-level reviews. Our CDI team leads the national conversation on patient safety indicators and mortality reviews.
Utilization Management
Ensure when, where and how a patient receives medical services with our utilization management solutions. e4health’s specialists provide prospective, concurrent and retrospective clinical review of patient records to evaluate utilization of care.
National Surgical Quality Improvement Program (NSQIP)
Receive clinical abstraction of outcomes for surgical patients in this risk adjustment program. Our experts engage with surgeons and departments participating in NSQIP.
Our 3 C’s of CDI
Critical importance on quality
Collaborative method to capturing specificity
Consultative approach to overall organizational performance improvement initiatives
e4health’s team of CDI experts have constructed, grown, and optimized some of the most effective CDI programs in the country. Our subject matter experts will coach and develop your staff in real-time to quickly improve their accuracy and productivity.
Maximum CDI Efficiency Starts Here
The e4health team covers interim management, elbow-to-elbow training, physician adviser mentorship, quality measure abstraction, and everything in between. Schedule a meeting today!
Meet Our Coding + CDI Leader
Kristy Evans, RHIT, CCS, CPC
Senior Vice President of Coding and CDI
Kristy is a recognized industry expert advisor in the areas of auditing, coding, education, and CDI. She has held strategic leadership positions in vendor, facility, and physician pro-fee environments. As a successful instructor and team builder, Kristy has educated new and seasoned coders, CDI professionals, payers, physicians, and other specialized clinicians. Kristy’s work builds trusted and enduring partnerships with clients.
Kristy has led top-performing revenue cycle transformation for major health networks and worked with domestic and global delivery teams to ensure performance outcomes, providing technical and subject matter expertise. She has also served in a variety of roles, including VP of Operations, Client Services Director, Manager of ICD-10 Coding and Clinical Education, and Corporate Coding Manager.
Coding and CDI Capabilities
Coding Solutions
Improve quality and productivity goals with our AHIMA and AAPC certified medical coding team.
Auditing Solutions
Conduct audits and deliver targeted education with our domestic full-time experts.
Education and Training
Mid-Revenue cycle, medical coding, and CDI education and training that maximizes professional performance and optimize outcomes.
CDI Solutions
Capture documentation specificity and maximize efficiency with a consultative approach.
Risk Adjustment and HCC Solutions
Delivering value-based reimbursement support with audit accuracy, efficiency, and clear guidance.
Coding Integrity Software Solutions
Access detailed analysis and customizable reporting for any audit type and quickly analyze productivity and reimbursement.