Clinical Documentation Improvement (CDI) Services

CDI Services Designed to Eliminate Errors and Elevate Accuracy

30+

Years of 
experience

24/7/365

support

3K+

RCM 
expert team

Smarter Charge Capture with Clinical Documentation Improvement (CDI) Solutions

PCH Health provides concurrent, prospective, and retrospective reviews of clinical documentation. We assist healthcare providers in placing physician queries, identifying missing information, and recommending improvement opportunities to ensure accurate documentation.

Our experts understand that continuous clinical documentation improvement is vital for reimbursements and premium quality patient care. PCH Health ensures accuracy of procedural and diagnostic documentation. Our CDI services include:

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Comprehensive review

Comprehensive review

Align hospital records according to payer requirements

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Compliance management

Compliance management

Identify potential compliance issues and recommend changes

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DRG identification

DRG identification

Resolve DRG mismatches and diagnosis code discrepancies

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Continuous feedback

Continuous feedback

Educate and provide feedback on coding accuracy and missed documentation

Accurate Docs with CDI Solutions

Looking to strengthen the link between clinical care, coding, and reimbursement? Our clinical documentation services provide healthcare organizations with consistent, real-time support to streamline documentation workflows, reduce errors, and improve coding accuracy.

We offer end-to-end CDI services, working closely with your team to integrate documentation and coding processes seamlessly. Our experts identify documentation gaps early, help resolve denials, and provide guidance on best practices to ensure your records are complete, compliant, and audit-ready.

With our clinical documentation improvement (CDI) solutions, you can:

  • Detect and correct coding trends before they impact revenue
  • Minimize missed charges and mitigate negative cash flow
  • Improve communication between providers and coding teams
  • Enhance the accuracy of patient records for better care quality
  • Increase reimbursements while staying aligned with regulatory guidelines

When you outsource CDI services, you gain the flexibility to scale support without burdening internal resources and ensure clinical documentation keeps up with evolving standards.

Discover how smarter CDI solutions can help your practice improve compliance, reduce denials, and boost operational efficiency.

Accurate Docs with CDI Solutions

Why outsource CDI services to PCH Health?

Experience excellence beyond expectations with our top-notch CDI performance.

30%

Boost in productivity

99%

Accuracy and quality

<24Hrs

Turnaround times (TAT)

10%

Increase in net revenue

Top Benefits of Clinical Documentation Services

Top Benefits of Clinical Documentation Services

Healthcare organizations today face increasing pressure to maintain compliance, improve patient outcomes, and optimize revenue, all while keeping up with evolving documentation and coding standards. Our clinical documentation services are designed to help providers meet these goals with ease and precision.

By leveraging professional CDI services, your organization can:

  • Meet all reporting and regulatory requirements with confidence through complete and compliant documentation practices
  • Enhance care quality and clinical performance by ensuring accurate, timely, and complete documentation of patient encounters
  • Minimize the risk of non-compliance and reduce exposure to audits or penalties through expert oversight and real-time CDI support
  • Capture better diagnoses and procedures that reflect true patient acuity and justify the level of care provided
  • Improve medical coding accuracy, leading to faster reimbursements and reduced claim denials

Our tailored clinical documentation improvement (CDI) solutions integrate seamlessly with your workflows and are built to support both providers and coders with real-time insights and actionable guidance.

If you’re looking to scale efficiently and reduce internal burden, you can also outsource CDI services to our experienced team, gaining the expertise and flexibility needed to adapt in a changing regulatory environment.

Awards and Certifications

Major Player
NelsonHall
PEAK Matrix Medical
Peak Matrix Healthcare

Top specialties managed by PCH Health include but are not limited to:

Ambulatory Surgical Center
Ambulatory Surgical Center
Behavioral Health
Behavioral Health
Cardiology
Cardiology
Oncology
Oncology
Orthopedics
Orthopedics
Primary Care
Primary Care
Urgent Care
Urgent Care

FAQ

What are clinical documentation improvement (CDI) services?

CDI services focus on improving the accuracy, completeness, and clarity of patient medical records. They ensure that clinical documentation reflects the full scope of care provided, supporting better coding, compliance, and reimbursement outcomes.

How can CDI solutions help reduce claim denials and revenue loss?

By identifying documentation gaps and improving diagnosis and procedure capture, CDI solutions help ensure that submitted claims are accurate and properly coded. This reduces the likelihood of denials, underpayments, and delays in reimbursement.

Why should healthcare organizations outsource CDI services?

Outsourcing CDI services provides access to certified specialists, advanced tools, and proven workflows without the overhead of hiring and training in-house teams. It allows providers to scale support, improve documentation quality, and stay compliant more efficiently.

What’s the difference between CDI services and medical coding?

While medical coding involves translating clinical notes into billing codes, CDI services focus on improving the documentation itself before it reaches the coding stage. Better documentation leads to more accurate coding and stronger claims.

Can CDI solutions improve clinical care as well as financial performance?

Yes. Accurate documentation ensures better communication among care teams, supports clinical decision-making, and reflects true patient acuity. This improves both the quality of care and the financial health of your organization.

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