The CFO's guide to the future of CDI

CJR Final Rule

As health care continues its transition from fee-for-service to payment for value, clinical documentation improvement (CDI) programs must also evolve. Documentation initiatives need to support financial and quality interests, rather than only supporting one or the other. With so much revenue potential at stake, CDI programs risk losing as much as they gain unless they expand their focus to mitigating quality penalties.

This research note provides a quick guide on how to refocus your CDI efforts and what factors to consider when adopting an expanded scope.

Download the research note

Key takeaways

  • Significant untapped revenue potential: Our research indicates top quartile CDI programs more than double their return on investment compared to average performers. This translates into a $2M opportunity for an average 250-bed hospital looking to improve their CDI efforts.

  • Quality penalties defray reimbursement gains: Despite the capability for revenue maximization, CDI programs risk losing as much as they gain by not incorporating quality improvement goals. Programs must concurrently focus on financial and quality interests, yet most require major adjustments to meet this requirement.

  • Deadline to reshape CDI is rapidly approaching: The transition to alternative payment models based on value or risk has accelerated the need for organizations to improve documentation accuracy and quality. Because CDI programs take a minimum of 18 months to mature, now is the time to begin expanding or enhancing CDI efforts.

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Rethinking Clinical Documentation Improvement