QUALITY & RISK MANAGEMENT SERVICES

Is it the care, the documentatin or both?

We help you find out what's really driving your mortality, PSI and HAC results so you know what to fix.

Talk To Us!

 Trusted by 1100+ Hospital Facilities and Physician Groups Nationwide

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The answer rarely sits with one team

Quality performance crosses Quality, CDI, Coding, physician leaders and operations and when a measure has executive attention, the pressure to explain it comes fast. We've worked across all of those teams, reviewed within the methodology you actually use (Vizient, Elixhauser or otherwise), and helped everyone agree on what should change.

Quality and risk expertise across every measure that matters

  • Mortality review: case-level review of severity, documentation and observed-to-expected performance
  • PSI validation, including present-on-admission accuracy
  • HAC review
  • Methodology reviews: Vizient, Elixhauser and other risk-adjusted quality frameworks
  • Quality program assessment, design and implementation
  • Targeted education and remediation

How we help

Run my reviews

Ongoing mortality, PSI and HAC review, so you're not starting from scratch every time a measure moves

Build or fix my process

Quality review workflows, governance and cross-team processes, designed with you and put in place

Assess my results

A focused mortality, PSI or HAC review when the cause of a result isn't clear.

Audit my accuracy

An independent audit of the coding and documentation behind your PSI, HAC and mortality results, before they go external.Ta.

Train my team

Targeted education for physicians, CDI and coding teams, based on what the review finds.. 

WORKING TOGETHER

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

Our Promise

  • Clinically experienced reviewers, with CDI, coding and physician expertise as needed
  • Findings grounded in the methodology your organization uses: CMS, Vizient, Elixhauser or otherwise
  • Clear, prioritized next steps, not just a report



When you want to go further: We can track how the changes show up in your reported measures over time.


FAQs

  • How do you figure out what's driving a PSI or mortality result?

    We go past the score to the cases behind it. We review documentation, coding, methodology and workflow to separate what's clinically driven from what's documentation or process, and show you where you can act.

  • Can you check our coding before it shows up in our quality results?

    Yes. We can audit the coding and documentation behind your PSI, HAC and mortality results on its own, separate from a full quality review — so you catch an accuracy problem before it's a reported one.

  • What happens after the review?

    You get a prioritized plan. We can help carry it out through education, workflow changes, program redesign or ongoing review, or hand it off to your team.