CDI Artificial Intelligence – CorroClarity

AI Automated Query Compliance & Tailored Education

Gaining a True Clinical Picture

Revenue Integrity starts with clinicians. To gain a true clinical picture of provided care, CDI engagement with clinicians requires a handful of key components.

AI Error Risk Targeting

DRG Shift & NPI Algorithm

Review Timing

Prospective
(Post-Coding / Pre-Bill)

Physician Teams

MD Team
Physician Led & Query Writer
+
Coding Quality Expert

Appropriate Training

Peer-to-Peer
Personalized Insights & Training

AI Error Risk Targeting

Review targeting based on both clinician NPI data and DRG shift

Physician Teams

Inclusion of physicians in the query process for increased query efficacy

Prospective Review Timing

Post-coding and pre-bill review of charts to avoid rebill scenarios

Appropriate Training

Generating and delivering tailored training and insights based on physician documentation challenges

AI Solution for Clinical Documentation Integrity

The CorroHealth AI solution for Clinical Documentation Integrity generates compliant queries and manages the process of the organization’s escalation model.

Additionally, as queries are submitted, the AI solution will compile tailored physician training from:

  • An education library of documentation training materials and modules
  • Insights from appropriate peer physician documentation

Tailored training is delivered to those physicians who maintain higher volumes of patients but fall within the lower percentiles related to CMI for relative peers.

90 Day CorroClarity Impact of +$3,580 per Chart

Delivered to a major hospital system already utilizing internal and external DRG reviews, review targeting and query software, and pre-bill reviews through another vendor.

Enabling Physician Led Teams

The AI solution for CDI is combined with reviews and queries by a Physician Team. This team consists of two key members including:  

  • A physician performing the pre-bill reviews of identified encounter and writing compliant queries
  • A senior Coding Quality Expert (CQE) maintaining proper coding and clinical guideline perspective

AI Workflow Overview

Consumable Sessions & Physician CMEs

Trainings are delivered in 3 to 5-minute segments with continued tailoring of content through the AI solution.

Physicians are provided Point of Care CMEs (AMA PRA Category 1) accumulated in 0.5 increments. These CMEs accumulate within the CorroHealth solution for the physician. Completion of a brief 1 min survey to “claim” the credits provides access to their CME certificate to download as a PDF and/or print.

Request Your Analysis

CorroHealth will perform a complimentary review of records to determine AI solution impact to your CMI. Our complimentary review encompasses both coding and CDI quality to capture the true clinical picture of each encounter.