Physician & Clinical Documentation Improvement

Physician documentation is the single-most important element

of the medical record accounting for the facilities' ability to submit appropriate claims, defend medical necessity monitor performance and substantiate quality of care, etc.

MARSI’s programs works closely with case management, HIM, and Physician Advisors.

Our Physician Documentation Improvement process began 10 years ago.  We developed and refined a simple and highly successful process that actually helps train physicians and change their documentation practices, while capturing lost revenue.

We provide specific training to introduce our unique process for hospital staff.  Then we provide the educational component for physicians from a peer perspective to introduce the program.

Our physicians conduct interactive education and training of the physicians.   MARSI’s unique query process, which is proven to be highly successful, supports ongoing physician training. 

• Better/complete physician documentation = patient safety.
• Encourages/initiates communication and interaction among hospital staff and physicians.
• We can provide a listing of ICD-9-CM codes and MS-DRGs generated by ineffective physician documentation.
• Conditional recommendations from MARSI’s Inpatient & Outpatient Compliance Review identify ongoing problem areas.
• We can utilize physician score cards.