ASSESSMENTS & AUDITS

An outside look at what's working, why and what to fix

UASI coding, CDI, denials and quality assessments and audits show you what’s happening, why it’s happening and what to prioritize first.

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Trusted by 1,250+ Hospital Facilities and Physician Groups Nationwide

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Fresh eyes see what busy teams can't

Your team knows the work best, but they're also inside the same workflows and pressures every day. An independent review challenges assumptions, tests whether performance is really meeting expectations and surfaces patterns that are hard to see from the inside.

How we work

Findings you can act on

We tie each finding to its root cause: individual performance, documentation patterns, workflow, training or program design and give you a prioritized plan, not a long list of recommendations.

A cycle, not a one-time event

Run it as an ongoing program: audit, educate, re-audit, measure — so you can see whether fixes are sticking and catch new issues early.

Help executing the fixes

We can handle workflow design, education, remediation or take on the work through staffing or managed services.

FAQs

  • How often should we audit coding and CDI?

    It depends on the program, the level of risk and how much has changed. 


    For broader program assessments, UASI generally recommends a high-level operational review at least annually, with a more comprehensive strategic assessment every three years. Significant changes in leadership, technology, structure, or performance outcomes may warrant a deeper review sooner. 


    Audits should usually occur more frequently. Many of our clients use ongoing audit programs, while others review quarterly or twice a year depending on the level of risk, the area being reviewed and the consistency of performance. 

  • What's the difference between an audit and an assessment?

    An audit tests accuracy and compliance on a sample of records to evaluate: are the codes correct, are queries or documentation right?  

    An assessment looks at the program around them: workflows, staffing, governance and performance.  With an AI tool, for example, the audit checks the output while the assessment looks at the impact on workflow, roles, structure, training and ROI.  

    Both are essential to reaching, and sustaining best-practices.


  • What's included in a coding or CDI audit?

    A sample of records is reviewed for accuracy, compliance and documentation support. Each finding is tied to its root cause, whether that is individual performance, documentation patterns, workflow or training, and you get a prioritized plan for what to fix first. Many clients run audits as an ongoing cycle of audit, education and re-audit to ensure ongoing improvement.