Specifications include, but are not limited to: The successful Supplier will work in partnership with the University and will be expected to fulfill the following scope of services, including but not limited to analyzing post-discharge (pre-billing) inpatient clinical documentation to ensure documentation properly reflects services provided, validating the Diagnosis Related Group (DRG) coded on the account is accurate, and providing education and feedback on proper documentation. The successful Supplier will be required to: 1. Demonstrate the details of the program to meet the scope of services described above 2. Improve overall accuracy of documentation of services provided 3. Show how processes will have minimal impact on Discharged Not Final Billed (DNFB) 4. Assist with reviewing and working denials related to clinical validation and DRG coding validation, in accordance with payor policies and timely filing windows, as well as in accordance with industry regulations 5. Provide education to clinicians completing clinical documentation, via methods such as: a. Customized education plans based on opportunities identified during chart reviews b. Provide learning opportunities such as topic-, service line-, or diagnosis-specific presentations c. Peer-to-Peer discussions d. Ad hoc training sessions or other forms of education suitable for our clinicians
