Clinical documentation improvement (CDI) is essential for accurate patient care, compliance, and effective risk adjustment. Health plans and providers must work together to address common challenges like incomplete records, workflow disruptions, and slow technology adoption. By integrating solutions that fit seamlessly into provider workflows—whether through EMR-compatible platforms or flexible engagement models—health plans can reduce administrative burdens while ensuring compliance with CMS guidelines and HIPAA requirements.

This episode explores best practices for health plans to support providers with clinical documentation and how proactive risk adjustment strategies improve efficiency by addressing documentation gaps upfront, reducing costly retrospective corrections.

Listen to this episode to learn how to build a stronger partnership between health plans and providers, improve compliance, and enhance operational efficiency.

About Our Guest:

Keicia Hutchinson has been in the healthcare industry for over 18 years specializing in medical billing, Medicaid and Medicare auditing, and clinical documentation improvement. She is a member of AAPC and holds credentials in COC, CPC, CPC-P, CDEO, CPMA, and CRC.