CDI Solutions

Increase ratings, volume and reimbursement by improving clinical documentation.

Patients turn to Hospital Compare Star Ratings to determine which hospitals deliver high quality care. Performance matters for health systems, as higher ratings can lead to increased patient volume and reimbursement.

High performing Clinical Documentation Integrity (CDI) has become the necessary link to support an increase in quality ratings. CMS guidelines affect reimbursement and change frequently. Staying abreast of changes and coding best practices is critical. If documentation isn’t complete and accurate, quality scores and associated reimbursement can suffer.

R1’s CDI Solution utilizes powerful analytics in combination with process improvements to drive game-changing results. By accurately adjusting for risk, the predicted rate for outcomes is more precise, enabling health systems to:

  • Boost Hospital Compare ratings
  • Ensure proper reimbursement and Medicare payments
  • Avoid penalties
  • Improve patient satisfaction
  • Gain market share
  • Reduce clinical denials

A proven formula to drive higher patient volume and reimbursement

Our proprietary algorithm, processes and expertise deliver results

CDI Technology

Optimize your existing CDI technology or leverage our best-in-class CDI-specific software

Business Intelligence and Analytics

Make more strategic decisions by focusing efforts on top drivers of documentation opportunities

Ongoing Team Training and Coaching

Increase efficiency, perform concurrent documentation reviews, and alleviate future rework through our ongoing education

Continuous Process Improvement

Ensure ongoing success and improvement through our weekly client communication to monitor and manage 60+ key metrics

Ratings matter
to patients

Improve your Hospital Compare score to accurately convey care standards with R1’s CDI Solutions:


of hospitals with CDI solutions earned an additional $1.5M+ in revenue i


of hospitals improved quality and case mix index post-CDI implementation ii

i RevCycleIntelligence, Oct 2017

ii RevCycleIntelligence, Nov 2016

PX Whitepaper

Whitepaper: Achieving Both Full Reimbursement and Accurate Acuity Measurement

Medical education may train future physicians about medical coding so they can be successful in private practice, but rarely do they focus on hospital clinical documentation. Many key components of documentation, however, directly affect reimbursement and quality scores.

As the emphasis continues to shift to value-based care, CDI programs should be an integral part of every healthcare organization’s strategic plan. The result is improved physician engagement and quality scores as well as increased staff productivity.

This white paper highlights five CDI best practices that are critical to achieving accurate and full reimbursement as well as improved patient outcomes. It also suggests immediate steps to begin to make improvements.

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Learn how R1 can help your organization improve clinical documentation,
boost your Hospital Compare rating and increase reimbursement.

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