More than 18% of survey respondents focus on HCC capture and more than 17% focus on denials prevention on both the inpatient and outpatient sides of their CDI program.

As CDI has expanded from the inpatient to the outpatient space, questions regarding workflows, solutions, technology, and interdepartmental collaboration have also cropped up. If outpatient expansions are to be successful, these topics and their thornier aspects require further investigation, even if the work only reveals partial illuminations rather than definitive answers.

The Association of Clinical Documentation Integrity Specialists’ (ACDIS) recent CDI Leadership Council survey, produced in partnership with Solventum, explored respondents’ focus areas within outpatient, conducting outpatient reviews, outpatient technology, metrics, and tracking, as well as navigating the lack of outpatient technology. Several Council members were then asked to take a closer look at the survey data and discuss how CDI leaders and specialists can best address these topics and provide for the most efficient solutions in the outpatient domain. In this industry report, readers get a full inside look at the ways leaders approach outpatient CDI expansion.

• According to the survey, just over 15% of respondents currently review physician practice/clinics/Part B services, followed by 12.25% who review medical necessity of admissions and 10.60% who review emergency department records.
• According to respondents, the most common focus areas for outpatient reviews were Current Procedural Terminology (CPT®) coding, evaluation and management (E/M) coding, and HCC capture with 15.89%, 15.23%, and 13.25%, respectively.
• More than 26% of survey respondents said they use HCC capture rate and 23.18% said they use their RAF score year-over-year to show their outpatient ROI.

Download this FREE report now!