Outpatient CDI

Would anyone have information about their outpatient CDI program they would be willing to share?  

For instance, what areas in the facility are you reviewing as part of you outpatient CDI (ED, Same day surgery, hospital owned physician practices)??  

Does outpatient CDI include those patient in the hospital who are currently observation status (occupying a bed)?  

If your facility does not have outpatient CDI, do your inpatient CDI's review those patient who are in observation status? 

We currently only review inpatients (all payers, self pay).

Thanks in advance




  • Our provider education team was formed explicitly for reviewing E/M services 6 years ago, when our providers' salaries were shifted to align with productivity benchmarks based on wRVUs. This team reviews provider documentation and professional fee billing for correct level of service as well as other procedures in the office/clinic and bedside. Within the last 6 months we have initiated a risk adjustment branch of the provider education team, which focuses on quality of documentation for accurate HCC capture.

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