Maximize CDI Efficiency
Clinical Documentation Improvement (CDI) is rapidly becoming a key area of focus for healthcare facilities as RAC audits recover millions of dollars of reimbursement from poorly documented and inappropriately billed patient encounters. BayScribe provides tools that enable CDI staff to efficiently review cases, in some situations, in minutes versus hours.
BayScribe provides easy access to all of the patients dictated and transcribed reports, as well as handwritten notes, side-by-side for quick review of consistency in documenting medical necessity.
Here is a patient admitted with a Chief Complaint of ‘Failure to thrive’. The first image is his History & Physical (HP). Notice the hyperlinks to the right of HP 07-25 (CR 07-26, OP 07-27 & DS 07-28). CDI personnel can quickly and easily refer to each report on the patient to ensure the encounter is being properly documented.
Here are some screen shots of what a CDI Nurse may navigate through.
The Consultation Report (CR) is below. Note also the ICD-9 codes being applied. 
The following is the Procedure Tab on the Operative Report (OP). Also note the display of ICD-9 and CPT codes.
Lastly, the patient is discharged. The Discharge Summary (DS) is below. 
The Care Team Dashboard provides optimal access to report data in an easily readable fashion.
