OUTPATIENT CDI SERVICES

Care is moving to outpatient. Documentation needs to catch up

UASI helps you build outpatient CDI that works for clinics, the ED and pro fee: HCC capture, risk adjustment, E/M leveling and medical necessity, all in one program.

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 Trusted by 1100+ Hospital Facilities and Physician Groups Nationwide

Outpatient CDI isn't inpatient CDI in a different building

A clinic, an emergency department and a pro fee practice each need a different approach, and prospective or concurrent review catches what retrospective review finds too late. We help you build the right approach for each setting, focused on the providers, diagnoses and service lines with the biggest payoff.


Outpatient CDI and risk adjustment support

  • HCC capture and risk adjustment review: prospective, concurrent and retrospective
  • RAF accuracy and RADV defensibility
  • Professional fee and E/M leveling support
  • ED medical necessity and NCD/LCD requirements
  • Ambulatory surgery documentation
  • Provider-level education and feedback
  • Targeted education and remediation
  • RAF Vue, our risk adjustment platform, to prioritize patients, track the work and get comprehensive reporting

How we help

Run my program

Prospective, concurrent and retrospective review by credentialed CDI specialists and risk adjustment coders from a single open position to interim leadership, ongoing support, or a fully managed program.

Build or Improve my program

Starting from scratch, improving what's there, or expanding beyond risk adjustment, we design workflows that fit how care is actually delivered, then get them running.

Assess my program

We look across documentation, coding, denials, provider patterns and risk data to show you where the real opportunity is.

Audit My Program

Independent audits confirm your HCC capture and RAF accuracy will hold up and show exactly what needs to change before a RADV audit does

Train my team

Quick, specific feedback for providers on what to document differently, so fewer records come back with question

WORKING TOGETHER

We work with you to come up with the right solutions for your challenges!

Our Promise

  • Credentialed CDI specialists and risk adjustment coders
  • Quality and productivity expectations agreed to upfront and revised as needed
  • Ongoing monitoring and oversight
  • Regular reporting on reviews, findings and provider trends


FAQs

  • How much extra work will outpatient CDI create for our physicians?

    Y

  • We already have a risk adjustment tool. Do we still need outpatient CDI?

    Yes. Not every need requires a managed-services arrangement. We can provide targeted support for a vacancy, leave, backlog, volume increase or other temporary capacity need. For smaller organizations, that flexibility can be especially important when one open position represents a significant portion of the coding team. 

  • Can you help if we don't have an outpatient CDI Program?

    Yes. We can assess the opportunity, design the program, get workflows running and support your team after launch, or run the program for you. If you just need people, we can also supply staff for the roles you're building out.

  • TitleWhat's the difference between an assessment and a RADV/RAF audit? or question

    An assessment looks broadly at where the opportunity is looking at workflows, technology, quality, production, etc. An audit is narrower and more specific: it confirms your HCC capture and RAF accuracy are defensible, so you're not caught off guard if CMS or a payer looks closer.