Case Study: Clinical Revenue Integrity Solutions Providing Company achieves 7% Medicare CMI, 10% commercial CMI and 24% CDI productivity gains with Conifer Health Solutions

Substantially improve reimbursement accuracy and quality with Conifer’s Clinical Documentation Improvement (CDI) solution

Clinical Revenue Integrity Solutions Providing Company, a health system spanning seven hospitals plus physician groups and ancillary sites, faced challenges with accurate clinical documentation, revenue leakage, and under‑captured case mix that threatened reimbursement and compliance. Conifer Health Solutions was engaged to address these issues using its Clinical Documentation Improvement (CDI) and clinical revenue integrity services.

Conifer Health Solutions implemented a structured CDI education program (new‑hire orientation, boot camp, quality audits), strengthened CDI collaboration with Coding and Quality (DRG reconciliation, mortality second‑level review), and boosted provider engagement with physician champions. The Conifer engagement produced measurable impact: a 7% increase in Medicare CMI capture, a 10% increase in commercial payer CMI capture, and a 24% increase in CDI staff productivity, accelerating revenue capture and reinforcing compliance.