Clinical Documentation Improvement (CDI)

Clinical Documentation Improvement (CDI) is a process that ensures healthcare records accurately and thoroughly reflect a patient’s health condition, the care provided, and the outcomes. It involves healthcare professionals reviewing and clarifying documentation to support proper diagnosis coding and billing, which impacts hospital reputation, reimbursement, and quality reporting. Essentially, CDI helps create precise medical records that accurately represent the patient’s situation, enabling better communication among care teams and more appropriate resource allocation, ultimately leading to improved patient care and organizational efficiency.