Clinical Documentation Improvement

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Achieve more through better documentation

Strengthen clinical documentation to accurately reflect patient acuity, support coding and reimbursement, reduce compliance risk, and improve performance across your organization.

> In a recent case study, a CDI audit evaluated a client’s AI-readiness

Key Benefits

Strengthen Documentation

Ensure documentation accurately reflects patient care and acuity.

Optimize Reimbursement

Support accurate coding, DRG assignment, and reimbursement.

Reduce Compliance Risk

Strengthen documentation and compliant query practices organization-wide.

TRUE PARTNERS

Trusted by leading health systems nationwide

Our experienced CDI specialists help healthcare organizations strengthen documentation quality, coding accuracy, compliance, and reimbursement through objective analysis and improvement strategies.

Stronger documentation, stronger organizational impact

Strengthen Revenue Integrity

Ensure clinical documentation supports accurate code assignment, appropriate reimbursement, and a complete representation of the care your organization provides.

Apply Deep Clinical Expertise

Experienced CDI professionals evaluate documentation, clinical indicators, severity of illness, risk of mortality, and DRG assignment to identify meaningful opportunities for improvement.

Build Sustainable Improvement

Turn documentation findings, query trends, and performance data into targeted education and operational improvements that strengthen CDI performance over time.

Trusted by the best

Trusted since 1994

Advisors, partners, extensions of your team

Experienced CDI specialists. Clinical insight that matters.

Our CDI specialists bring clinical, HIM, coding, and documentation expertise to help organizations strengthen documentation integrity across patient populations and payer types.

  • RNs and RHIA/RHIT-Credentialed CDI Professionals
  • Advanced CDI & Coding Certifications, Including CCDS & CDIP
  • Clinical Validation Expertise
  • Severity of Illness & Risk of Mortality
  • DRG & Documentation Alignment
  • Compliant Physician Querying
  • Major EMR Experience
  • 100% U.S.-Based Teams

Comprehensive CDI support across the program

From focused retrospective audits to ongoing concurrent reviews, we tailor CDI support around your organization’s workflows, priorities, performance gaps, and improvement goals.

Our Approach Includes

  • Concurrent Documentation Reviews
  • Retrospective CDI Audits
  • Clinical Validation
  • DRG Assignment Review
  • CC/MCC Opportunity Identification
  • Physician Query Support
  • Documentation Gap Analysis
  • CDI Program Assessment
  • Quality Assurance
  • Targeted Education

Better documentation supports better performance

Connect documentation quality to coding, reimbursement, compliance, and denial prevention. We identify opportunities and trends that help healthcare leaders strengthen revenue integrity while accurately reflecting the care delivered.

Reporting & Insights Include

  • CDI/Coder DRG Alignment
  • Query Rate
  • Query Response Rate
  • Query Agreement Rate
  • Query Compliance
  • Missed Query Opportunities
  • Physician Documentation Trends
  • Financial Impact
  • Documentation Improvement Opportunities
  • Actionable Recommendations

Turn CDI insights into lasting improvement

We work alongside CDI, clinical, coding, and revenue cycle leaders to translate findings into stronger workflows, targeted education, and sustainable documentation improvement.

Our Partnership Includes

  • Dedicated CDI Expertise
  • Physician & Coder Collaboration
  • Actionable Recommendations
  • Workflow Optimization
  • Physician Education
  • CDI Team Education
  • Performance Reporting
  • Continuous Improvement

CDI expertise that adapts to you

For more than 30 years, Managed Resources has partnered with healthcare organizations of every size to optimize clinical documentation.

We are proud to serve: Large Multi-Hospital Health Systems, Academic Medical Centers (AMCs), Integrated Delivery Networks, Community Hospitals, Critical Access Hospitals, Specialty Hospitals, Physician Groups, Federally Qualified Health Centers (FQHCs), and Government Healthcare Organizations.

Why Clients Trust Managed Resources

  • 30+ years serving U.S. healthcare organizations
  • Experienced Clinical & CDI Leadership
  • Proven Documentation & Revenue Integrity Expertise
  • Long-Term Healthcare Partnerships
  • 100% U.S.-based workforce
  • Trusted by the nation’s largest health systems

EHR Fluency

Strengthen every aspect of your CDI performance

FAQs

What is clinical documentation improvement (CDI)?

Clinical documentation improvement helps ensure the medical record accurately and completely reflects a patient’s condition, severity, treatment, and care provided to support coding, quality reporting, compliance, and reimbursement

How does CDI improve reimbursement?

Complete and accurate documentation supports appropriate code and DRG assignment, captures clinically supported conditions, and helps ensure reimbursement accurately reflects the complexity and resources associated with patient care.

What is the difference between concurrent and retrospective CDI reviews?

Concurrent CDI reviews evaluate documentation while the patient is receiving care, allowing documentation gaps to be addressed earlier. Retrospective reviews evaluate completed records to identify missed queries, documentation gaps, DRG impact, and improvement opportunities

What does a CDI audit evaluate?

A CDI audit can evaluate documentation quality, clinical validation, query compliance, missed query opportunities, DRG alignment, physician documentation trends, financial impact, and overall CDI program performance.

How can CDI help prevent denials?

Strong documentation helps establish clinical support for diagnoses, medical necessity, patient acuity, and services provided. CDI findings can also identify recurring documentation gaps that increase vulnerability to payer denials.

Why is clinical validation important to CDI?

Clinical validation helps ensure documented diagnoses are supported by the patient’s clinical indicators. This strengthens documentation integrity while supporting accurate coding, reimbursement, compliance, and defensible claims.

How can a CDI audit support AI implementation?

Before implementing AI-enabled coding technology, a CDI audit can establish a documentation baseline and identify gaps that may affect automated coding outputs. Findings can inform physician education, CDI workflow improvements, and readiness planning. Managed Resources has used this approach in a published pre-AI coding implementation engagement.

What CDI performance metrics should healthcare leaders monitor?

Common measures include query rate, response rate, agreement rate, query compliance, CDI/coder DRG alignment, missed query opportunities, documentation trends, financial impact, and other organization-specific quality and performance indicators.

Does Managed Resources provide physician CDI education?

Yes. Education can be developed around actual documentation findings, missed query opportunities, query trends, physician-specific performance, clinical validation concerns, and identified financial or denial-prevention opportunities.

30+ years of Excellence

Testimonials from client partnerships

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Strengthen documentation. Unlock better performance.

Discover where documentation gaps may be affecting coding, reimbursement, compliance, and denials, and build a stronger CDI program around measurable insights

> Voted Top RCM Company to Know in 2026 by Becker’s Hospital Review

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