Clinical documentation
improvement is the process of reviewing and monitoring medical record
documentation. It
enables to track patient assessment, review of the disease
process, and details about admission, diagnostic
findings, and clinical 10;To bridge the gap between accurate coding and clinical documentation is the
primary
demand driver for clinical documentation improvement. CDI collects
the patients’ clinical record status
and with an accurate representation of the
same, it converts that into coding data. CDI ensures topmost
accuracy and
offers a number of benefits including secure timely compensation, keeps
constant acquiescence
with regulations, aids in detecting the risk adjustment
scores.
The increasing healthcare spending is anticipated to augment the growth of the Clinical Documentation Improvement Market market during the forecast period. As per the estimations by the Centers for Medicare & Medicaid Services for the United States, the national healthcare expenditure grew by 9.7% in 2020 with USD $4.1 trillion and is estimated to grow at an average annual rate of 5.4% for 2019-28 and reach $6.2 trillion by 2028. Further, it is estimated that Medicare spending grew by 3.5% to $829.5 billion in 2020 which is 20% of total national healthcare expenditure and the Medicaid spending grew by 9.2% to $671.2 billion in 2020 which is 16% of total national healthcare expenditure. Additionally, the federal government spending for health care grew by 36.0% in 2020 due to the COVID-19 pandemic outbreak and the hospital expenditures grew by 6.4% to $1,270.1 billion in 2020. As seen from the statistics of CMS, the healthcare expenditure is growing considerably every year which in turn is expected to create demand for clinical documentation improvement in the near future.
However, the IT infrastructural constraints in developing countries and the data security concerns along with the lack of skilled IT professionals may hinder the growth of the market in the years to come. Moreover, an increase in the use of NLP in documentation is expected to create immense opportunities for the growth of the market within the forecast period. Additionally, the growing need to manage increasing unstructured healthcare data is also anticipated to support the market growth.
North America held the largest shares in 2021. The US dominated the North American market in 10;This is attributable to the demand for advanced computer-assisted coding systems as it offers improved insights about health conditions and care management, along with predictive analytics and improved health 10;Furthermore, the increasing trend of decreasing reimbursement rates along with rising in healthcare spending is also expected to fuel the regional growth of the market.
Some of the prominent players operating in the globalClinical Documentation Improvement Marketmarket include3M (US), Optum (US), Nuance (US), M*Modal (US), Dolbey Systems (US), nThrive (US), Streamline Health (US), Vitalware (US), Chartwise (US), Craneware (US), Epic Systems (US), Cerner (US), eZDI Inc. (US), and Iodine Software (US).