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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PREBILL ANOMALY DETECTION

Catch documentation gaps. Accelerate payments.

After discharge, 1 in 4 patient encounters still need documentation review¹ — putting critical revenue at risk. Powered by Waystar AltitudeAI™, our Prebill Anomaly Detection solution closes those gaps before claims go out, reducing pre-bill revenue leakage and accelerating reimbursement.

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¹Waystar, Documentation and Coding Leakage Analysis 2025

2Waystar, Client Cohort and Model Performance Analysis, 2025

Connecting care to payment

Even with a strong CDI program, critical documentation and coding gaps still slip through after discharge. Waystar’s Prebill Anomaly Detection pinpoints the reviews that matter most — reducing denials and ensuring fuller, faster reimbursement — without disrupting workflows.

How much could you save by preventing pre-bill revenue leakage?

Calculate now

BY THE NUMBERS

$47M

annual net new revenue at a national health system

$14M

annual net new revenue at a south-central health system

$10M

annual net new revenue at a New England health system

97%

physician response rate post-discharge

93%

agreement query agree rate post-discharge

Waystar, Client Cohort and Model Performance Analysis, 2025

Smarter documentation.
Stronger payments.

Waystar’s AI-powered Prebill Anomaly Detection works to reduce leakage in the critical stage after discharge and before billing. By targeting inpatient records with meaningful gaps, your team can curb denials and ensure the care delivered is accurately captured.

  • Identify high-impact records
  • Validate DRGs + ICD10 code
  • Transform workflows with AI
  • Boost physician engagement
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2Waystar, Client Cohort and Model Performance Analysis, 2025

Connecting care to payment

Even with a strong CDI program, critical documentation and coding gaps still slip through after discharge. Waystar’s Prebill Anomaly Detection pinpoints the reviews that matter most — reducing denials and ensuring fuller, faster reimbursement — without disrupting workflows.

How much could you save by preventing pre-bill revenue leakage?

Calculate now

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.

"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

"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

Request a demo of Waystar Prebill Anomaly Detection

See how your healthcare organization can benefit from an AI-powered pre-bill workflow. Reach out to a Waystar expert for a personalized walkthrough today.

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