> ConcurDI For NoteReader CDI

Comprehensive CDI and CAPD Integrated with Epic

ConcurDI For NoteReader CDI is a real-time CDI solution which provides immediate feedback to the physician and/or CDI Specialist based on tested algorithms with high positive predictive value (i.e. we don’t annoy users with many false positive queries). ConcurDI For NoteReader CDI is fully integrated into Epic’s CDI workflow and reporting environment, and is the only solution which contractually requires Epic to prioritize enhancement requests through the App Orchard.

ConcurDI For NoteReader CDI is part of Hiteks’ Insight Real-time Intelligence suite of products which incorporates a designer toolthat allows our clients to control 100% of the CDI Query rules, and create custom libraries of CDI Queries. Hiteks recognizes that there is no “one size fits all” in CDI, and the result is a robust, best-of-breed workflow solution that allows users to take advantage of the Epic EHR environment so that a single source of truth is represented in the chart review process for CDI to support coding and reimbursement.

Furthermore, CDI Specialists and HIM can use Hiteks’ advanced A.I. algorithms toto prioritize charts across an enterprise requiring feedback.

The impact of ConcurDI For NoteReader CDI is faster query generation by CDI Specialists, faster chart review, higher compliance for physician responses, and direct querying to physicians for those query types which are shown to have high accuracy. Inpatient and ambulatory queries become more targeted, with summarized evidence to speed the response by physicians.

ConcurDI For NoteReader CDI in Epic 2018 powers simultaneous Direct and Silent Modes, and automates and prioritizes real-time review by CDI Specialists of clinical documentation and structured data (labs, meds, vitals) for documentation deficiencies. Hiteks’ powers these clinical and administrative workflows with our Artificial Intelligence Algorithms and Sub-Second NLP Technology to improve the efficiency of the health care enterprise revenue cycle:

  • Improving accuracy of clinical complexity diagnoses in clinical documentation is 90% of improving RCM performance.
  • Better communication through instantaneous and accurate data (Fewer False Positives & Negatives), and fewer queries.
  • Streamlines ICD-10 coding for accurate CMI and HCC diagnosis capture and reporting.
  • Enhanced CDI integrity for increased Case Mix Index (Inpatient) and Risk Adjustment Factor (RAF) Scores (Ambulatory).
  • Utilizes Hiteks’ proprietary NLP engine featuring sub-second processing of free text delivered as a hosted service.

ConcurDI For NoteReader CDI has the following advantages differentiating it from back-end CDI Workflow tools:

1. Comprehensive Coding Rules

Instead of having to rely on untimely and incomplete knowledge from back-office staff who perform manual reviews, CDI Specialists now have all reimbursement information at their fingertips as soon as physicians complete their notes. This includes the following up-to-date insurance-specific information, which is based on Hiteks’ experience and proprietary reference knowledge of millions of rules:

  • Pediatric CDI
  • NCCI Edits
  • ICD Rules
  • PQRS Rules
  • MIPS Rules
  • Specialty Bundling
  • A.I. Insight RecognitionTM

2. Fastest and fully integrated EHR solution

10x faster than any other NLP services currently on the market, Hiteks’ ConcurDI For NoteReader CDI has a 2-second average response time (1 second Hiteks response + 1 second added for network latency). Competitors’ system response times are typically over 10 seconds and support only “Silent Mode” because they are not timely or accurate enough for Direct Mode, often causing providers to move onto their next patient without responding to the CDI clarification. With our CDI solution, CDI Specialists decide which queries they want to fully automate after testing them out in their Silent Mode workflow, and then providers are notified that they will receive certain queries as CAPD (Computer-Assisted Physician Documentation).

3. Requires no manual HIM review

Providers can simply click on one of the suggested phrases or sentences to insert into their note,  and the documentation process will be complete. We, along with our customers, have tested and continuously improved the knowledge base associated with the algorithms that are finding the evidence in support of a CDI query.

 4. Over 90% specific and sensitive, which is more than competitor solutions

ConcurDI For NoteReader CDI utilizes a library of diagnosis modifiers and has built in medical necessity knowledge, which identifies incomplete clinical terms and suggests possible specificity during documentation. It also identifies areas that lack appropriate justification for a reimbursable diagnosis or procedure, and symptom combinations which require a stated diagnosis. This leads to fewer false positives and false negatives, as well as less alert fatigue.

5. Employs multiple processing formats

Hiteks is the only vendor to offer a CDI solution with execution in Direct and Silent modes.

  • Direct Mode: Provides immediate (<2 seconds) response time to physicians who are in the process of completing a note. This enhances claims coding capacity and compliance while reducing time spent on revenue cycle. Direct Mode in the EHR allows providers to significantly reduce the amount of time spent on returning to their patient’s chart to manually review CDI Queries.
  • Silent Mode: Provides immediate queries to CDI and HIM Specialists with query names and prioritized numbering, which is especially useful for chart review to validate the Evidence for queries and also for determining Direct Mode candidate query types.

6. Encryption and storage of all data exchange

This ensures the protection of all patient health information (PHI). Unlike legacy vendors who use Microsoft platforms, Hiteks leverages more secure Linux systems with encrypted (VPN) tunnels for HL7 and web services data exchange between Hiteks and the Epic client EHR system.

7. Intuitive configuration customization without the need for software code adjustment

Hiteks’ designer tool includes a “User Customization Menu” which allows Hiteks users (either directly or indirectly through Hiteks support) to add their own local terms or abbreviations for their clinical specialization by searching through SNOMED terminology in the Terms section. ConcurDI is deployed as a service API for CDI Designer, which allows client personalization through custom GUI configuration without having to use “Silent Mode”. Hiteks also has a default configuration with a vast query library of over 100 Pediatrics and Adult queries that can be used out-of-the-box.

8. Pediatrics and Adult Medicine

Hiteks not only leads the CDI Industry with the most number of diagnoses areas for automated CDI review, but we also lead in Pediatrics due to our ability to use Age, Gender and other Demographics along with our clinical expertise from Pediatricians, Pediatric Nursing, Pediatric CDI and Pediatric Coding. Click below to learn about our approach to support Pediatrics CDI for Pediatric Clinics, Children’s Hospitals and Pediatrics wings and floors.

Clinical Environment

Inpatient and Ambulatory, Children’s Hospitals, Medical Practices, Academic Medical Centers.



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