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CDI & ICD-10 EVALUATIONS

We understand how imperative it is for hospitals and health systems to maintain accurate code assignments to optimize reimbursements that accurately reflect quality services and minimize regulatory and compliance liabilities. iMetrix Health Solutions provides comprehensive auditing services to support hospitals and health systems focused on inpatient, outpatient, and pro-fee coding for ICD-10-PCS, CPT-4 and HCPCS code sets.

Clinical Documentation Improvement (CDI) Programs provide value beyond direct revenue. iMetrix Health Solutions offers a well-established CDI program that enables healthcare organizations to improve communication among healthcare providers, portray accurate physician quality profiles reflecting the true condition of their patients, and to work together with the HIM Medical Coding team. All CDI Professionals Are Licensed/Credentialed RN, PA, MD, CCDS, CDIP, CCS or combination.

WHAT WE COVER

  • Inpatient medical records including assignment of ICD-10-CM and ICD-10-PCS

  • Outpatient same-day surgery (ambulatory surgery) medical records including assignment of ICD-10-CM diagnosis and ICD-10-PCS
  • Observation medical records to include assignment of ICD-10-CM and ICD-10-PCS, CPT-4 codes and HCPCS codes, wherever applicable
  • Emergency department medical records including ICD-10-CM, CPT-4 codes and modifiers.

  • Outpatient ancillary medical records including assignment of ICD-10-CM and CPT-4 codes wherever applicable

  • Physician professional services including ICD-10-CM codes, Evaluation and Management (E&M) level, CPT-4 codes and modifiers wherever applicable

  • Clinical documentation improvement (CDI) opportunities