Clinical Documentation Improvement (CDI)
Clinical Documentation Improvement (CDI) is the discipline of making clinical records complete and precise enough to support authorized coding and claim preparation before submission. CDI improves the source record; it does not perform payer adjudication.
Reviewed documentation for the claim team
Care Workspace’s reviewed clinical context can give authorized coding and claim teams a traceable documentation starting point. Claim Readiness focuses on source completeness and human review, not automated submission or payer approval.
Read the full explanationClinicians confirm the clinical record; authorized institutional staff own coding and submission. Payer teams own adjudication, with each local payer path verified separately rather than assumed to work across markets.
Read the full explanationBecause a claims engine can only re-derive what the note made legible, clinical documentation improvement is the highest-leverage place to improve claim readiness. From the Claim Readiness payer-workflow perspective, that work begins with purpose-limited, institution-approved patient context and clinician-reviewed documentation. Authorized institutional clinicians, coders, and casemix staff own coding and submission, while the payer system owns adjudication.