Clinical Documentation Audits

To meet ongoing auditing requirements, many hospitals are moving away from traditional coding audits to clinical documentation audits. Our proven results have led to CDIA being the preferred choice to undertake these audits.

Distinct from coding audits, our audits are conducted by doctors and senior nurses who review the medical record to identify clinically implied diagnoses that cannot be captured by coders due to the guidelines in the Australian Coding Standards.

If you are interested in partnering with CDIA to perform regular clinical documentation audits to both assess the quality of your clinical documentation, whilst optimising your revenue, please contact us today.

  • Enquire about CDIA Clinical Documentation Audits