Misleading information, arbitrary advice and opinions, inefficient processes, and unnecessary complexities can all lead to your organization failing to identify and capture the true severity and complexity of illness in patients. That not only impacts the quality of care you deliver, but it also negatively impacts your bottom line.

When you partner with us to uncover the opportunities that exist to strengthen your CDI program, we become your strongest link—helping you ensure patients get the right care at the right time.

Identify what you need to ensure your CDI program thrives by hiring Pinson & Tang to complete a comprehensive CDI Program Assessment. 

Our CDI process assessment is structured to review the status, processes, and resources of the CDI program to make actionable recommendations to help define the structure and function of the CDI Program to meet organizational goals. Our work will identify the strengths of your current program and pinpoint any opportunities for improvement related to CDI review processes and technology, staffing, and educational needs. A report of the findings and recommendations that include best practice processes are provided with strategies for implementation. 

The Pinson & Tang payer audit defense and appeals approach is evidence-based, incorporating clinical criteria and regulatory requirements in a concise, focused, rapid-response strategy.

We prepare direct and concise responses to payer auditor denials to maximize the chances of successful reversals as quickly as possible. We identify your denial and recovery audit vulnerabilities in order to implement corrective action strategies that preempt future assessment risks. 

We also provide legal expert witness and consultation services for healthcare litigation including Department of Justice, other governmental, and payer audits and investigations.

If you already are or wish to undertake this often challenging process in-house, we can train your staff to effectively review and appeal your cases.

Hospitals we work with often experience a substantial return on investment in the first year following completion of our work together.