Achieve accurate reimbursement and quality score risk adjustment

Through population-based predictive analytics, ClinIntell helps healthcare executives and leaders improve the capture of true severity in their unique inpatient population.

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The Only Documentation Performance Improvement App for Physicians

ClinIntell bridges the gap between physician clinical vernacular and coding guidelines via personal performance metrics that drive clinically based education.

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Join these organizations in transforming physician documentation culture 
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what we do

Innovative Solutions to Bridge Gaps

Expected Values

CMI Analysis

Identify the root cause of your CMI fluctuations within minutes!

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No more benchmarking

SMART Goals

Set realistic clinical documentation improvement goals with 80/20 strategies.

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Access SMART Goals

Physician Training App

Promote approved definitions of key diagnoses with 2-4 minute educational videos plus performance data.

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where it matters

Reporting

Share credible, actionable performance data with your physicians to promote accountability.

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ClinIntell Statistics
ClinIntell Statistics
who we help

Empowering You to Reach Your Goals

Healthcare Executives
  • Glean understanding of true CMI and risk adjustment improvement opportunities in your unique inpatient population.
  • Align siloed departments around measurable and achievable severity documentation improvement goals.
  • Monitor ongoing performance.
Clinical Leaders
  • Adopt a focused and compliant approach to improving physician documentation practices.
  • Communicate the impact achieved through physicians’ documentation performance improvement.
  • Evoke physician engagement and performance improvement with the industry’s only compliant documentation incentive metric, supported by advanced patient-to-physician attribution.
Physicians
  • Access non-intrusive, succinct training on a short list of high-impact clinical conditions.
  • View and assess your documentation performance over time relative to your peers.
  • Identify your specific ongoing improvement opportunities.
Quality Officers
  • Easily identify clinical conditions with the highest performance improvement opportunities that impact risk adjustment for Mortality and Readmission scores, CMS Star ratings, US News, World Report rankings and more.
  • Pinpoint the facilities, service lines and physicians with the most opportunities to create 80/20 performance improvement strategies.
Compliance Officers
  • Identify under and potential over reporting of inpatient severity.
  • Determine specific high-risk physicians and clinical conditions for a targeted peer review.
Clinical Documentation Specialists
  • Align incentives between CDI and physicians through group and physician performance metrics.
  • Immediately identify physicians with gaps in their inpatient documentation for targeted education on specific high-impact clinical conditions.
  • Confidently answer finance questions around Case Mix Index (CMI) fluctuations.
Does ClinIntell provide professional services?

ClinIntell is a SaaS company with a high-touch client support model. We will help you throughout the various stages of your initiative’s lifecycle such as strategy formulation, implementation, and maintenance.

Does ClinIntell provide insights on the Medicare population?

ClinIntell analyzes all-payer data on a monthly basis and does not break out the Medicare population separately. Analyzing all claims maximizes the sample size and thus the accuracy which is especially important with provider-level performance data.

We would like reporting on only one service line at our organization. Is that possible?

ClinIntell does not report on just one service line, but rather assesses severity reporting of all specialties/service lines across the organization.

Does ClinIntell identify and differentiate between gaps due to poor coding and/or poor clinical documentation?

Since ClinIntell analyzes the final claims submitted, our insights do not differentiate between poor coding and poor documentation. That said, when reviewing the performance data, gaps in reporting that are the result of poor coding are more likely to be systemic across the entire organization or across all providers within a group. Conversely, significant underperformance relative to peers within the same service line suggests a difference in the quality of that provider’s clinical documentation.

Can ClinIntell work with any acute care organization?

Yes, except for:

  • Pediatric hospitals, as the national data that are used to develop ClinIntell’s algorithms are limited at Children’s Hospitals
  • Smaller hospitals (e.g., critical access hospitals) where the number of discharges are low
How does ClinIntell price its solution?

ClinIntell’s solution is priced by taking the following factors into consideration:

  • Number of facilities that meet our criteria for reporting
  • Number of Academic Medical Centers
  • Number of annual all-payer discharges
  • Use of ClinIntell’s provider training application (per provider pricing)
  • One year versus multiyear contract

Note: ClinIntell does not charge per user, nor does ClinIntell charge any professional fees. ClinIntell is priced as an annual subscription fee.

How long does it take to get up and running with ClinIntell?

Once the data is received and vetted, we can publish results within 24 hours. Ensuring that the provider groupings and provider placement reflect that of the organization may take a week or two and relies on insight from our client hospital.

What resources are required by our hospital to support the ClinIntell software?

While ClinIntell’s analytics are accurate at any acute-care hospital, long-term and substantial improvement inevitably involves providers. No additional hires to review more charts are necessary, but having a medical leader and, when applicable, an educator in place will be crucial to successfully deploying your strategy.

Does ClinIntell integrate into our EMR?

No. ClinIntell is a cloud-based solution, so there is no need to integrate into the EMR or access hospital IT networks for any reason.

You'll be in great company!

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"Partnering with ClinIntell impacts our health system by directing our focus to key diagnoses and has given us insight on drivers of CMI and Quality. We are better able to assess areas of opportunity and address them at a group and individual level."

Dr. Albert Soriano

Dr. Albert Soriano

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"ClinIntell is a great resource for a pulse check on provider documentation in regard to severity reporting. It allows you to abstract who your low performing providers are within the institution as well as the clinical conditions that require more education. Standardized clinical conditions means better performance when we all know the true criteria and how diagnoses need to be validated. Providers who embellish the education have shown improvement in their overall documentation."

Tracy Boldt

Cynthia Prayzner

RN, BSN, MBA

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"ClinIntell has changed the entire tone of conversations with senior leaders, clinical leaders, and our coding and documentation improvement teams. By scoring documentation against our own cohort of patients, we are able to set more meaningful goals and establish an action plan to achieve them. I highly recommend ClinIntell to any CDI program hoping to maximize their quality and financial performance."

Senior Manager

Large healthcare system on the East Coast
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"The ClinIntell software tool not only has been a great addition to our CDI team, but it has been adopted by service lines, departments leads, and provider leads within our system to help target under documented conditions and where provider education is needed. The ClinIntell team is amazing to work with and they have been supportive on a regular basis to help us and provide recommendations and guidance over the past few years. The training was smooth, the software is easy to use and the reports take no time to run. ClinIntell has been a game changer for us."

Tracy Boldt

Tonya Demyon

RHIT, CCS, CDIP