Clinical Documentation Improvement Solutions

Clinical Documentation Improvement

Leverage Global Healthcare Resource for clinical documentation improvement.

Accurate clinical documentation is the backbone of a healthy revenue cycle. At Global, our Clinical Documentation Improvement (CDI) experts ensure every claim is backed by complete, precise, and compliant records before submission. By identifying and resolving documentation gaps upfront, we help providers minimize denials, accelerate reimbursements, and protect revenue integrity across all specialties and payers.

Our Clinical Documentation Improvement Services

Global Healthcare Resource brings over 25 years of experience to your organization. As your clinical documentation improvement team, we will complete:

Record reviews: First, we review your records and documentation as is. We evaluate patient records to ensure accuracy and identify any coding or documentation issues that may affect future care or patient payments.
Improvement suggestions: From there, we can suggest changes to better optimize your documentation protocol. We can also work with your staff to help them learn these new best practices.
Documentation adjustments: As we work, we will ask questions and make adjustments that allow for improved patient care, reduced errors and claims denials, and enhanced earning capabilities.

The Benefits of Outsourcing Clinical Documentation Improvement

Outsourcing clinical documentation is becoming more common because more organizations like yours are recognizing the benefits. This method allows you to take advantage of:

Tenured professionals: Instead of hiring your own staff and taking time to train them, hiring our experienced professionals lets you start seeing results almost instantaneously. We make sure you have the expert staff you need at all times.
Improved productivity: As we improve your clinical documentation processes, you can expect a more streamlined, efficient workflow. Plus, we free up staff to spend more time with patients, leading to improved satisfaction and outcomes.
Increased return on investment (ROI): Outsourcing clinical documentation improvement allows your entire facility to operate more cost-effectively. Let Global Healthcare Resource enhance your profit margins.

Why You Should Leverage Global Healthcare Resource

When you choose Global Healthcare Resource as your documentation support team, you also benefit from our:

Training and experience: Our leadership brings over 20 years of firsthand experience to our teams, and every new employee goes through our unparalleled internal training system, Global Academy.
Quality, custom services: Unlike our competitors, we never subcontract our work. Everything is done in-house, allowing us to exceed your expectations with customized service plans.

Other Services to Help You Thrive

We are different from other clinical documentation improvement companies because our services go far beyond organization. Our unmatched training program also prepares us to help you through:

Medical billing and coding, as well as revenue cycle management (RCM)
Call center services

Speak With Our Clinical Documentation Improvement Specialists Today

At Global Healthcare Resource, we only succeed when you do. Let our specialists optimize your documentation protocols and ensure you continue to meet every patient's unique needs. Schedule your consultation today to get started.

What is patient eligibility verification?

Patient eligibility verification is the process of confirming a patient's insurance coverage and benefits before providing medical services. This crucial step ensures that healthcare providers receive reimbursement for services rendered. It involves checking the patient's insurance status, coverage limits, and any applicable co-pays or deductibles. By conducting eligibility verification, healthcare organizations can minimize claim denials and streamline the billing process.

Why is prior authorization necessary in patient eligibility verification?

Prior authorization is necessary in patient eligibility verification to ensure that specific medical services or procedures are covered by the patient's insurance plan. This process requires healthcare providers to obtain approval from the insurance company before delivering certain treatments, medications, or tests. Prior authorization helps control healthcare costs, prevents unnecessary procedures, and ensures that patients receive appropriate care based on their insurance benefits.

How does Global Healthcare Resource ensure HIPAA compliance?

Global Healthcare Resource ensures HIPAA compliance by implementing strict policies and procedures to protect patient information. This includes conducting regular training for staff on HIPAA regulations, utilizing secure electronic systems for data management, and ensuring that all communications involving patient data are encrypted. Additionally, Global Healthcare Resource performs regular audits and risk assessments to identify and mitigate potential vulnerabilities in their data handling processes.

How long does the eligibility verification process take?

The eligibility verification process typically takes anywhere from a few minutes to a couple of days, depending on the complexity of the patient's insurance plan and the efficiency of the verification system used. Automated systems can expedite the process, allowing healthcare providers to receive real-time updates on patient eligibility. However, manual verifications may take longer due to the need for additional documentation or communication with insurance companies.

What are the benefits of outsourcing eligibility verification?

Outsourcing eligibility verification offers several benefits, including:

Cost Savings: Reduces overhead costs associated with hiring and training in-house staff.
Increased Efficiency: Streamlines the verification process, allowing healthcare providers to focus on patient care.
Access to Expertise: Leverages specialized knowledge and technology from third-party vendors to ensure accurate and timely verifications.
Improved Cash Flow: Minimizes claim denials and accelerates reimbursement cycles, enhancing the financial health of healthcare organizations.
Scalability: Allows healthcare providers to easily adjust verification services based on patient volume and demand.

The integrity of your data is our #1 priority.

SOC 2 Type 2 Compliant.

SOC 2 Type 2 audits determine how well an organization safeguards customer data and how those controls operate over a 9-month (minimum) time frame. Reports are issued by third party auditors who review the following principles: Security, Confidentiality & Availability. Global Healthcare Resource is proudly SOC 2 Type 2 compliant.

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SECURITY

The security principle addresses whether an organization's system is protected (both physically and logically) against unauthorized access.

AVAILABILITY

The availability principle addresses whether the services an organization provides is operating with the type of availability that client's expect.

CONFIDENTIALITY

The confidentiality principle addresses the agreements made with clients in regard to how their information is used, who has access to it and how it's protected.

Global Healthcare Resource

Clinical Documentation Improvement Solutions

Ensure every claim is backed by complete, precise, and compliant records.