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
Unlock the Value of an Advanced CDI Program
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
Precision-driven Outpatient CDI programs that ensure clear, detailed documentation for accurate data capture and maximized reimbursement. Our expertise in customized physician practice, ambulatory, and payer-based OP CDI Solutions is unmatched, providing you with impactful results.
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 top talent reviewers help support accurate reimbursement, alleviate denial risk, and boost quality metrics.
CDI Audits
Evaluate financial opportunity, assess CDS performance, provider engagement, and query compliance. Validate the capture of impacted diagnoses affecting HCCs, Elixhauser Comorbidities, and reputational data.
Customized Education
CDI education on specific topics as well as clinical validation to help decrease clinical denials and ensure all diagnoses are supported by clinical data.
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 CDI Leader
Staci Josten, BSN, RN, CCDS
Senior Director, CDI Solutions
Staci is an experienced Registered Nurse with a bachelor’s degree of science in nursing and CCDS. Staci has an extensive background in healthcare for the past 25 years. She started her career as a bedside nurse in critical care and took care of patients in the pre and post cath lab areas. Staci started her Clinical Documentation Integrity career in 2008 in Des Moines, IA. She was later promoted to CDI Director and later to Regional and National Director of the Health System. Responsibilities included overseeing over 35 CDI programs and 100 CDI Professionals across the United States. In 2015, Staci joined a healthcare staffing and consulting company. During this time, started as manager and promoted to Senior Manager, and then Director. Her responsibilities included overseeing CDI professionals as well as development and implementation of CDI Projects including CDI Assessments and CDI Audits.
Staci is passionate about helping others and enjoys assisting in CDI programs improvements with adequate staffing, ongoing quality reviews, education, and CDI assessments. Staci is a past presenter at state and national for both ACDIS and AHIMA.
Fast-track cash flow. Improve staff efficiency.
Coding Solutions
Immediately measure impact through increased cash flow, diminished backlog and decreased denials.
Auditing Solutions
Conduct audits and deliver targeted education with our domestic full-time experts.
Denials and Appeals Management
Assess denial trends and tap into valuable education to prevent and manage denials. Our team also teaches you defensive strategies to reduce risk and assist with appeal assessment and submission.
CDM Review
Analyze inpatient, outpatient, and clinic charges maintained in the CDM and impacted by CMS with e4health. We review code accuracy and modifier assignments for compliance and conduct price comparisons versus allowable reimbursement levels.
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
Get risk scoring right while remaining compliant with our assessments and education.
DNFB Optimization
Master DNFB cases where bills remain incomplete due to coding and documentation gaps. Discover e4health’s education and continuous improvement programs for healthier bottom lines.
Mid-Revenue Cycle Blueprint
Our mid-revenue cycle lean blueprint workshop is a one-day exercise that will help your organization gain alignment around a mid-revenue cycle strategy and future state path that saves time and money.
Coding Integrity Software Solutions
Access detailed analysis and customizable reporting for any audit type and quickly analyze productivity and reimbursement.