From Cost Centers to Revenue Drivers: How CDI Can Improve Health Plan Performance

Clinical Data Integration (CDI) programs are often viewed as a budgetary burden, requiring dedicated staff and ongoing investment. However, the true impact of CDI extends far beyond initial costs.

This webinar dives deep into the hidden financial benefits of effective CDI programs. Health Chain empowers you to unlock the potential of CDI and dramatically improve your health plan’s performance through:

Missed Revenue Capture: Identify under-coded diagnoses and procedures, leading to more accurate risk adjustment (RA) and higher potential revenue. A 2020 study by Xsolis found that CDI programs can improve risk adjustment accuracy by up to 3%, translating to millions in additional revenue for large health plans [1].
Maximized Reimbursement: Ensure complete and accurate clinical data to maximize appropriate reimbursement from Medicare and Medicaid. Improper data can lead to significant financial losses. A 2021 AHIP study revealed that an average health plan loses 5-8% of potential revenue due to coding errors [2].
Reduced Denial & Audit Risk: Minimize the risk of denials and audits by ensuring data aligns with current coding guidelines. A 2022 MGMA survey found that denials due to coding errors cost physician practices an average of $2,800 per incident [3]. Leverage CDI to mitigate these financial risks.

Takeaways:

Discover how comprehensive CDI programs can significantly improve your health plan’s financial performance by unlocking hidden revenue opportunities.
Learn how accurate risk adjustment through effective CDI translates to increased revenue and optimal resource allocation.
Gain insights into how improved data practices streamline workflows, reduce administrative costs, and enhance overall financial health.
Get a free copy of Gartner’s report on “How Clinical Data Integration Improves U.S. Healthcare Payer Interoperability”

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