What is CDI software, and how does Phare CDI work?

Clinical documentation improvement software helps hospitals improve the accuracy and completeness of patient records. Phare CDI uses artificial intelligence to support concurrent chart review, evaluating clinical indicators across the medical record and identifying opportunities for more accurate documentation. CDI specialists review and approve queries before they’re sent to physicians.

How is Phare CDI different from rules-driven CDI software?

Traditional rules-driven CDI software may miss documentation gaps when clinical conditions aren’t explicitly stated in the chart. Phare CDI uses AI to analyze the full medical record, including labs, vitals and meds, to identify clinically supported opportunities for clarification. It also evaluates potential queries for DRG, denial and quality impact, prioritizes cases, and enables CDI, coding and pre-bill audit to share one encounter record.

What is the difference between CDI and medical coding?

CDI focuses on making patient documentation accurate, complete and clinically supported. Medical coding translates documented diagnoses and procedures into standardized codes, including ICD-10 codes. CDI helps clarify the clinical record, while medical coding assigns the codes used for reporting and reimbursement.

How does Phare CDI help hospitals measure CDI program performance?

Phare CDI tracks every documentation query from initial to final codes, helping hospitals measure the impact of clinical documentation improvement on reimbursement, denials and quality. Its reporting connects query activity with final coding outcomes, giving CDI teams visibility into program performance by query, case and CDS, and reducing reliance on manual tracking.

Does Phare CDI replace the CDI team?

No. The team stays the same size, and Phare CDI extends its reach. Phare CDI drafts each query with cited chart evidence, and the CDS decides every query that is sent. Phare AI reviews every inpatient case and suggests queries for impact, not volume, so CDS time goes to the cases and queries that change the record, and results are attributable rather than inferred from query counts.

Phare CDI

From query volume to query impact

Specialist review 100% of inpatient cases against clinical criteria to suggest queries for impact, not volume.

CDI is expected to deliver financial impact, but many programs can’t show it. Phare CDI is built to change that.

Benefits

From complete case review to attributable impact

Read every case in full, as documentation arrives

Phare CDI reads the whole chart on every inpatient case and holds each condition to clinical criteria and Official Guidelines, so no documentation opportunity is missed and every diagnosis is defensible.

Queries suggested for impact, not volume

Before a query is suggested, the code it would add or change is run through the MS-DRG and APR-DRG groupers, a denial check against published clinical criteria, and the HAC, PSI-90, and Elixhauser quality measures, ensuring physicians only see queries worth answering.

Total impact tallied across every query, case and CDS

Phare CDI follows every query from initial codes to final DRG, with expected dollars at each step, so you can retire the manual CDI tracker. Roll up results by query, case or CDS, and see more than DRG impact: physician response rate and time, denial rates on commonly denied codes and quality impact.

Close the loop from query to final bill

CDI, coding and pre-bill audit work from the same encounter record, so what CDI finds carries through to the claim. Reconciliation surfaces only the code differences that move the DRG, and the CDS sees whether each queried diagnosis reached the final coded claim. Phare CDI surfaces only the code differences that move the DRG and shows your CDS whether each queried diagnosis made it onto the final coded claim.

Phare CDI is built on R1’s proven CDI expertise

Newborn CDI delivers about $500K a month, 3x the projected uplift

Concurrent review, newborn-specific education and coding collaboration captured true severity and intensity of care, cutting post-discharge queries and external audit corrections.

CDI, coding and audit on one record

Phare CDI runs on Phare OS, R1’s AI-native Revenue Operating System. With Phare Audit, it gives health systems one inpatient solution from admission to final bill.

Explore Phare OS

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Frequently Asked Questions

FAQ: CDI Software

Clinical documentation improvement software helps hospitals improve the accuracy and completeness of patient records. Phare CDI uses artificial intelligence to support concurrent chart review, evaluating clinical indicators across the medical record and identifying opportunities for more accurate documentation. CDI specialists review and approve queries before they’re sent to physicians.
Phare CDI evaluates potential queries for their expected impact on reimbursement, claim denials and quality measures before recommending them. It uses the MS-DRG and APR-DRG groupers, a denial check against published clinical criteria and quality measures to assess impact. This helps CDI specialists prioritize meaningful queries while retaining control over which queries are sent to physicians.
Traditional rules-driven CDI software may miss documentation gaps when clinical conditions aren’t explicitly stated in the chart. Phare CDI uses AI to analyze the full medical record, including labs, vitals and meds, to identify clinically supported opportunities for clarification. It also evaluates potential queries for DRG, denial and quality impact, prioritizes cases, and enables CDI, coding and pre-bill audit to share one encounter record.
CDI focuses on making patient documentation accurate, complete and clinically supported. Medical coding translates documented diagnoses and procedures into standardized codes, including ICD-10 codes. CDI helps clarify the clinical record, while medical coding assigns the codes used for reporting and reimbursement.
Phare CDI tracks every documentation query from initial to final codes, helping hospitals measure the impact of clinical documentation improvement on reimbursement, denials and quality. Its reporting connects query activity with final coding outcomes, giving CDI teams visibility into program performance by query, case and CDS, and reducing reliance on manual tracking.
No. The team stays the same size, and Phare CDI extends its reach. Phare CDI drafts each query with cited chart evidence, and the CDS decides every query that is sent.
Phare AI reviews every inpatient case and suggests queries for impact, not volume, so CDS time goes to the cases and queries that change the record, and results are attributable rather than inferred from query counts.