We specialize in designing and implementing Clinical Documentation Improvement (CDI) programs tailored to the needs of hospitals, physician groups, and healthcare systems. Our CDI solutions are built on a deep understanding of clinical workflow, regulatory requirements, coding integrity, and quality performance measures.
We work hand-in-hand with healthcare organizations to transform their documentation practices—ensuring that every record accurately reflects the patient’s severity of illness, risk of mortality, and clinical complexity—which are critical for accurate coding, appropriate reimbursement, and improved quality scores.
Key Features of Our CDI Program:
By partnering with us, healthcare providers don’t just get a service—they gain a strategic partner in elevating documentation accuracy, optimizing revenue cycle performance, and staying ahead of regulatory expectations.
We optimize your HIM and Coding workflows and achieve better outcomes. We provide custom services to improve the case-mix index and reduce DNFB. Our experienced team members help you enhance the effectiveness of clinical documentation processes. Our clients get the following benefits:
Partner with Spy Health for expert medical coding and revenue cycle management solutions. Our team is here to support your growth with precision and reliability.
Accurate. Compliant. Certified.
We provide precise medical coding solutions by certified professionals to ensure clean claim submission and faster reimbursements.
We offer risk adjustment coding which required highly skilled coding professionals to work together to capture the health status of their patient
We offer risk adjustment coding services for both Payers and Providers. By provider risk adjustment coding we contribute on
We providing complete full service, end-to-end coding and billing for ED visits. In addition to offering a complete ED revenue cycle management solution, we also
We offer targeted and effective HEDIS coding services that support healthcare plans in achieving excellence in quality reporting. Developed by the (NCQA)
We recognize that every denied claim tells a different story—and resolving it demands more than just routine follow-up. Our approach to (A/R) and Denial Management
We providing highly trained & efficient team for pathology coding services, By utilising Current Procedural Terminology (CPT) codes to describe medical procedures,
We provides expert radiology coding services for our clients with fully knowledge in relevant CPT codes for radiology procedures, such as X-rays
We coding service affords our clients access to specialty-driven coding experts. A designated project manager will serve as your primary point of contact
Streamline Your Billing. Maximize Revenue.
From patient registration to final payment, our end-to-end RCM services help healthcare providers boost cash flow and reduce denials.
Eligibility and Insurance Verification services stand as linchpins in ensuring the
Effective Patient Scheduling is not just about managing Patient Appointments. Effective capture
The primary reason for claim denials is because a patient is not eligible for services billed to the insurer by the provider.
In the realm of effective medical billing, administrators often highlight coding and clinical documentation
Healthcare organizations often grapple with administrative stress caused by outstanding claims and
As the foundation of any healthcare insurance claims, patient’s demographic entry is very important
The process of claims submission involves parsing of claims information from the RCM
Denial management services serve as an indispensable pillar in upholding the
We provide comprehensive patient statement services. We generate patient
CDI improves documentation clarity to support accurate coding, risk adjustment, DRG assignment, and audit readiness.
Yes. Our team includes CDIPs and CCDSs with experience in inpatient, outpatient, and surgical documentation.
Yes, we work within EHR systems to place compliant queries and extract documentation insights.
We focus on specificity in diagnoses, missing secondary conditions, and aligning documentation with clinical indicators.
Better documentation leads to higher DRG weights, accurate risk scoring, and fewer claim denials or audits.
Absolutely. We provide ongoing provider training to address common documentation issues and coding impacts.
Have questions about our services or how we work? We’ve compiled answers to the most common queries to help you better understand what Spy Health offers and how we can support your healthcare organization. Whether you’re new to medical coding and RCM or looking to switch providers, our FAQs are here to guide you.
+1(978) 502-4707
sales@spyhealthrcm.com
Spy Health’s team of over 800 AAPC & AHIMA-certified medical coders precisely assign accurate codes to ensure regulatory compliance and facilitate timely, appropriate reimbursement.
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