The Clinical Documentation Improvement Market Size was assessed to be worth USD 4.22 billion in 2022 and is expected to increment to USD 7.88 billion by 2030, extending at a CAGR of 8.1% from 2023 to 2030.
The practice of assessing the accuracy and completeness of medical record documentation is known as clinical documentation improvement (CDI). A CDI evaluation includes the disease process, diagnostic results, and any possible gaps in the record. The enhancement of clinical documentation is fascinating because it provides a thorough account of test results, admissions criteria, and patient evaluation. It carries out an accurate portrayal of a patient's clinical record status, which converts into coded data, and facilitates clinical documentation and coding for a healthy patient.
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Clinical documentation improvement guarantees the highest level of accuracy for all documents and offers many advantages, such as guaranteed timely reimbursements, assistance in determining the proper consistent regulatory compliance risk adjustment scores, and a smooth transition to the pay-for-quality or value model for providers. Worldwide health organisations are aware that organizing complex data is crucial to delivering a satisfying patient experience. For patients to experience good health, clinical documentation must be appropriately documented.
If a patient's information is not accurately recorded, detailed, and described well, errors may occur that have serious consequences for both patients and doctors. Contrarily, clinical documentation improvement (CDI) services can assist in minimizing documentation errors. It is crucial to offer proper billing procedures and have satisfying medical interactions. Major issues for healthcare providers include inconsistent billing practices and poor patient payment collections. Clinical documentation improvement (CDI) evaluates the medical coding, billing, and payment collection procedures used by a healthcare organisation and offer suggestions for how to enhance the patient experience overall.
DRIVERS
More money being spent on healthcare
Medical Coding and Billing Errors That Caused Revenue Losses
Decreased reimbursements
Expanding Need to Manage Expanding Unstructured Healthcare Data
RESTRAINTS
Infrastructure Shortages in Developing Nations
OPPORTUNITIES
Growing Application of NLP in Documentation
CHALLENGES
Concerns about Data Security
Lack of Willingness to Change from Traditional Approaches
Lack of Highly Qualified IT Professionals
The COVID-19 outbreak created a challenging obstacle for the global healthcare systems. Being overloaded, the hospitals and health systems made an effort to ramp up for tackling COVID-19's issues. The COVID-19 has an impact on nearly 219 nations and territories worldwide. To reduce the spread of the virus, healthcare organisations worked extremely hard to increase testing and give access to appropriate treatment choices. To ensure the security of hospital staff and other patients, some of the health systems' activities include the construction of test tents, expanding the number of available hospital beds, and creating COVID-19 isolation and treatment facilities. Hospitals and healthcare systems are under extreme financial strain as a result of the abrupt rise in inpatient volume.
Budgets for the adoption or improvement of digital health solutions have been cut due to these financial difficulties, which has had a detrimental effect on the market's expansion.
Additionally anticipated to have a favourable effect on business expansion is the COVID-19 pandemic. For instance, the previously postponed elective procedures are now being performed via outpatient surgery clinics following their reopening. Because of the COVID-19 pandemic's safety concerns, doctors and patients preferred outpatient surgery centres. As a result, outpatient surgery facilities' cash flows are continually increasing and calling for mid-revenue cycle management solutions. The usage of outsourced mid-revenue cycle solutions is therefore anticipated to rise quickly as a result of changes in coding methods, which will also positively affect market growth.
By Product & Service
Solutions and consulting services make up the segments of the global mid-revenue cycle management/clinical documentation enhancement market. The benefits that mid-revenue cycle solutions provide when they are connected with EHRs/EMRs, Speech and Voice Recognition software, CDI, encoder systems, transcription systems, and other hospital information management systems are the primary cause of the solutions segment's sizable market share. Furthermore, these solutions also get rid of the extra administrative effort that comes with having to insert particular codes into every record. Additionally, they enhance the entire mid-revenue cycle process by lowering the likelihood of charge capture, data documentation, and coding errors.
By End User
A large part of the market has been taken over by the healthcare sector. Due to the great need for health care providers for these solutions to increase data accuracy in clinical records, increase hospital revenue by reducing coding errors, and shorten claims repayment cycle, the market for centralized healthcare revenue management solutions has expanded. Other key drivers driving the increase in demand for these solutions are loss of revenue resulting from medical billing errors and writing codes, declining reimbursement rates, and the need to reduce rising health care costs.
By Product & Service
Solutions
Consulting Service
By End User
Healthcare Providers
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A significant portion of the market came from North America. North America's market is well-established, with the US leading the market there. The US healthcare delivery system is largely influenced by the healthcare insurance sector, which administers programmes like Medicare and Medicaid. The adoption of ICD-10 coding standards has more recently raised the demand for sophisticated computer-assisted coding systems in the nation. Better insights into health issues and care management, more accurate predictive analytics, and ultimately better health outcomes are all made possible by the increased data that ICD-10 provides. The downward trend in US reimbursement rates is another factor promoting market expansion.
REGIONAL COVERAGE
North America
USA
Canada
Mexico
Europe
Germany
UK
France
Italy
Spain
The Netherlands
Rest of Europe
Asia-Pacific
Japan
south Korea
China
India
Australia
Rest of Asia-Pacific
The Middle East & Africa
Israel
UAE
South Africa
Rest of Middle East & Africa
Latin America
Brazil
Argentina
Rest of Latin America
Some of the major key players are as follows: 3M Company, Chartwise, Dolbey Systems, Cerner, Epic Systems, Craneware, eZDI Inc., Flash Code, Iodine Software, M*Modal, Nuance, Optum, nThrive, Streamline Health, Vitalware, TruCode., and other players.
| Report Attributes | Details |
|---|---|
| Market Size in 2022 | US$ 4.22 Billion |
| Market Size by 2030 | US$ 7.88 Billion |
| CAGR | CAGR of 8.1% From 2023 to 2030 |
| Base Year | 2022 |
| Forecast Period | 2023-2030 |
| Historical Data | 2020-2021 |
| Report Scope & Coverage | Market Size, Segments Analysis, Competitive Landscape, Regional Analysis, DROC & SWOT Analysis, Forecast Outlook |
| Key Segments | • By Product & Service (Solutions, Consulting Service) • By End User (Healthcare Providers, Healthcare Payers) |
| Regional Analysis/Coverage | North America (USA, Canada, Mexico), Europe (Germany, UK, France, Italy, Spain, Netherlands, Rest of Europe), Asia-Pacific (Japan, South Korea, China, India, Australia, Rest of Asia-Pacific), The Middle East & Africa (Israel, UAE, South Africa, Rest of Middle East & Africa), Latin America (Brazil, Argentina, Rest of Latin America) |
| Company Profiles | 3M Company, Chartwise, Dolbey Systems, Cerner, Epic Systems, Craneware, eZDI Inc., Flash Code, Iodine Software, M*Modal, Nuance, Optum, nThrive, Streamline Health, Vitalware, TruCode., and other players. |
| DRIVERS | • More money being spent on healthcare • Medical Coding and Billing Errors That Caused Revenue Losses • Decreased reimbursements |
| RESTRAINTS | • Infrastructure Shortages in Developing Nations |
Ans:- The Clinical Documentation Improvement market is expected to grow at a CAGR of 8.1% over the forecast period 2023-2030.
Ans: The Clinical Documentation Improvement Market size was valued at USD 4.22 billion in 2022.
North America's market is well-established, with the US leading the market there. The US healthcare delivery system is largely influenced by the healthcare insurance sector, which administers programmes like Medicare and Medicaid
Clinical Documentation Improvement Market is divided into two segments By Product & Service, and By End User
Infrastructure Shortages in Developing Nations are the restraints of Clinical Documentation Improvement Market
Table of Contents
1. Introduction
1.1 Market Definition
1.2 Scope
1.3 Research Assumptions
2. Research Methodology
3. Market Dynamics
3.1 Drivers
3.2 Restraints
3.3 Opportunities
3.4 Challenges
4. Impact Analysis
4.1 COVID-19 Impact Analysis
4.2 Impact of Ukraine- Russia war
4.3 Impact of ongoing Recession
4.3.1 Introduction
4.3.2 Impact on major economies
4.3.2.1 US
4.3.2.2 Canada
4.3.2.3 Germany
4.3.2.4 France
4.3.2.5 United Kingdom
4.3.2.6 China
4.3.2.7 Japan
4.3.2.8 South Korea
4.3.2.9 Rest of the World
5. Value Chain Analysis
6. Porter’s 5 forces model
7. PEST Analysis
8. Clinical Documentation Improvement Market Segmentation, By Product & Service
8.1 Solutions
8.2 Consulting Service
9. Clinical Documentation Improvement Market Segmentation, By End User
9.1 Healthcare Providers
9.2 Healthcare Payers
10. Regional Analysis
10.1 Introduction
10.2 North America
10.2.1 USA
10.2.2 Canada
10.2.3 Mexico
10.3 Europe
10.3.1 Germany
10.3.2 UK
10.3.3 France
10.3.4 Italy
10.3.5 Spain
10.3.6 The Netherlands
10.3.7 Rest of Europe
10.4 Asia-Pacific
10.4.1 Japan
10.4.2 South Korea
10.4.3 China
10.4.4 India
10.4.5 Australia
10.4.6 Rest of Asia-Pacific
10.5 The Middle East & Africa
10.5.1 Israel
10.5.2 UAE
10.5.3 South Africa
10.5.4 Rest
10.6 Latin America
10.6.1 Brazil
10.6.2 Argentina
10.6.3 Rest of Latin America
11.Company Profiles
11.1 3M Company
11.1.1 Financial
11.1.2 Products/ Services Offered
11.1.3 SWOT Analysis
11.1.4 The SNS view
11.2 Chartwise
11.3 Dolbey Systems
11.4 Cerner
11.5 Epic Systems
11.6 Craneware
11.7 eZDI Inc.
11.8 Flash Code
11.9 Iodine Software
11.10 M*Modal
12.Competitive Landscape
12.1 Competitive Benchmark
12.2 Market Share Analysis
12.3 Recent Developments
13.Conclusion
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