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CDI Resource Categories

Code Updates

Annual updates to ICD-10-CM and CPT coding systems for accurate medical coding and billing.

CDI Tools

Products and tools for clinical documentation improvement and risk adjustment optimization.

Audit Tools

Tools for RADV audit preparation, evidence validation, and compliance management.

Coding APIs

APIs for ICD-10 code lookup, NPI verification, and RAF score calculation.

CDI Process

The CDI Workflow for Risk Adjustment

A systematic approach to documentation improvement that drives RAF accuracy and audit readiness.

1

Documentation Review

Identify gaps in clinical documentation that impact HCC capture and risk scoring.

2

Coding Validation

Validate ICD-10 codes against documentation and official coding guidelines.

3

Query Resolution

Work with providers to clarify and complete documentation as needed.

4

Audit Preparation

Ensure evidence completeness and traceability for compliance validation.

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