CLINICAL DOCUMENTATION INTEGRITY

Smarter documentation. Stronger reimbursement.

Close gaps and capture more revenue with advanced automation and AI

Incomplete or inconsistent clinical records can lead to missed diagnoses, compliance risk, and lost revenue. Powered by Waystar AltitudeAI™, our Clinical Documentation Integrity (CDI) solution helps capture the complete patient story — resulting in stronger and more accurate revenue capture, better quality metric tracking, and enhanced team productivity.

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CLINICAL DOCUMENTATION INTEGRITY, THE NUMBERS

98%

physician response rate¹

$2M

incremental revenue captured per 10K admissions¹

<24hrs

provider query response time²

40%

revenue lift⁴

$16M

captured by CDI within first 3 months³

182%

increase in query rate⁴

¹ Waystar, Documentation & Coding Leakage Analysis, 2025
² Waystar Cohort Study, 2024
³ Success story: Hartford HealthCare, 2025
⁴ Success story: Infirmary Health, 2025

Prioritize high-impact cases

Focus CDI efforts where they matter most, using the power of Waystar AltitudeAI™ to highlight documentation opportunities that should be addressed first.

Detect gaps + coding opportunities

Spot missing details and coding opportunities early, addressing issues before billing and preventing denials.

Streamline physician queries

Make it easy for physicians to respond quickly with Interact — Waystar’s mobile query tool — enhanced with a generative AI‑powered QueryAgent that drafts post‑discharge follow‑ups.

Actionable insights + analytics

Gain access to advanced analytics — including DRG and GMLOS predictions — to support smarter decisions and accurate financial forecasting.

Improve documentation specificity. Protect revenue.

Waystar’s CDI amplifies your team’s clinical expertise by:

  • Focusing their efforts on cases that have documentation gaps
  • Serving insights to add critical specificity to the record
  • Seamlessly integrating with your EHR and existing workflows
  • Fostering stronger compliance, preventing denials, and enhancing reimbursement — without disruption or added complexity
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All metrics on this page are proprietary Waystar data or case studies.

Front end

Back end

1

Pre-service and point-of-service registration

If the initial eligibility search returns inactive or subscriber not found, Coverage Detection activates in real time with no intervention from your team, increasing efficiency.

2

Before claim submission

If eligibility is rejected during claim processing, Coverage Detection initiates a search for updated coverage automatically, reducing eligibility-related denials.

3

Claim status and follow-up

When a payer response indicates an eligibility error during claim statusing, Coverage Detection kicks in to find the correct coverage, streamline resubmissions in advance of a denial.

4

Denial
response

If an eligibility denial is received, Coverage Detection searches for active, billable coverage, helping your team overturn denials and recover revenue faster.

Back end

Connecting care to payment

Every overlooked detail in clinical notes can become missed revenue and extra administrative work. Waystar’s AI-powered CDI software helps you identify and close gaps in the record. That helps your team create accurate, comprehensive records that reflect the care provided and justify reimbursement.

How much could your organization gain by closing documentation gaps?

Calculate now
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All metrics on this page are proprietary Waystar data or case studies.

"Visibility into our outcomes was a huge gap before. Waystar reporting gave us access to our own data — finally, we could tell the full story of our CDI impact and prove our value to leadership.”

Mary Murray Moss, Executive Director of Finance, Infirmary Health

"The solution helped us gain efficiencies. We were able to eliminate the manual touches that didn’t provide any additional value — and really maintain our focus on those cases where there was priority and filling those gaps.”

Mary Alice Dewees, System Director, Clinical Documentation Integrity, Hartford HealthCare

“I was able to free up my more seasoned reviewers for second-level reviews — that was incredibly helpful. It’s allowed us to do more with the same team and focus where it matters most.”

Colleen Buemi, Director of CDI & Coding, Temple Health

TRUSTED BY HEALTHCARE LEADERS NATIONWIDE

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Infirmary Health boosts CDI impact + results

See how 1 health system prioritizes high-impact cases and keeps providers engaged.
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AnMed reduces leakage + maximizes revenue

Hear how they enhanced revenue integrity and reimbursement efficiency to bolster the bottom line.
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Health systems strengthen revenue integrity

By using Waystar Revenue Capture + Clinical Integrity, health systems surface missed charges and underpayments while supporting stronger financial outcomes.
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Piedmont improves payments + performance

Leveraging Waystar’s end-to-end platform, Piedmont simplifies workflows, delivers patient financial care, and achieves impactful results.
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