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At a time when hospital reimbursements are not only under tremendous pressure but are also changing from fee-for-services model to value based models, maintaining the quality and integrity of clinical documentation has become paramount. To ensure that their clinical documentation processes are meeting the expected quality and integrity standards, hospitals have to review their patients’ charts in their clinical documentation improvement (CDI) departments. Currently there is a severe shortage of trained and experienced CDI specialists in the country resulting in hospitals and other care settings not being able to review all the patients’ charts. Such skills shortage is also not only making it expensive for hospitals to review the all the charts but is also limiting their ability to expand the activity into other care settings such as outpatient and emergency room operations. This inability to review 100% of the patient charts in their CDI departments is resulting in under reimbursements for the level of care they have provided to patients, and is also severely impacting their hospital’s quality scores. In order to address this acute shortage of CDI specialists, Saince, which has been providing transcription and clinical documentation improvement services for hospitals across the country for well over a decade, has taken a leadership role and has become the first company in the industry to also provide CDI services from its offices located in India. In an effort that took more than a year, Saince has identified and hired exceptionally talented physicians with years of clinical experience behind them in their India office. Saince has invested heavily in training these physicians in medical coding and clinical documentation improvement. Thanks to AHIMA, which resumed offering its Certified Coding Specialist (CCS) examination in India, all these physicians are now CCS certified. With exceptional skills and experience, these teams are now ready to provide CDI services to all types of healthcare settings – inpatient, outpatient, ER etc. Saince’s India offices are certified by International Standards Organization (ISO) for quality processes (ISO 9001) and data security (ISO 27001). Now hospitals across the US have access to top level talent to meet their need for clinical documentation improvement services.