Clinical Documentation Improvement Market
Clinical Documentation Improvement Market Forecasts to 2030 - Global Analysis By Product (Clinical Coding, Clinical Documentation, Charge Capture Solutions, Pre-Bill Review, Diagnosis-Related Grouping and Other Products), Component, Mode of Delivery, Application, End User and By Geography
According to Stratistics MRC, the Global Clinical Documentation Improvement Market is accounted for $4.5 billion in 2023 and is expected to reach $8.7 billion by 2030 growing at a CAGR of 9.9% during the forecast period. Clinical Documentation Improvement (CDI) is a process aimed at enhancing the quality and accuracy of medical documentation to reflect patients' true clinical conditions and care provided. By ensuring comprehensive and precise documentation, CDI facilitates better communication among healthcare providers, improves coding accuracy for reimbursement purposes, and supports quality reporting and compliance with regulatory requirements. Through education, training, and ongoing review of medical records, CDI programs strive to capture complete and accurate clinical information, ultimately improving patient care, outcomes, and healthcare resource utilization.
Market Dynamics:
Driver:
Increasing focus on revenue cycle management (RCM) in healthcare
RCM refers to the administrative and business processes associated with medical billing and coding. Accurate clinical documentation is essential for proper coding and billing, as it ensures that healthcare providers receive appropriate reimbursement for their services. With the increasing pressure to reduce healthcare costs, providers are increasingly focused on improving their RCM practices. This is driving the demand for clinical documentation improvement (CDI) solutions that can help to ensure accurate coding and minimize the risk of denials.
Restraint:
IT infrastructure limitations
Inadequate IT infrastructure may hinder the seamless access and integration of patient data from disparate sources, such as electronic health records (EHRs), laboratory systems, and imaging systems. Without robust interoperability capabilities, CDI specialists may struggle to access comprehensive patient information necessary for accurate documentation, leading to incomplete or inaccurate records hampering the growth of the market.
Opportunity:
Growing demand for value-based care
Value-based care models prioritize the delivery of high-quality care, measured by patient outcomes and satisfaction, rather than the volume of services provided. Accurate clinical documentation is essential for demonstrating the quality and effectiveness of care delivered, as well as for supporting performance metrics and quality reporting requirements. Consequently, there is an increased need for CDI solutions to ensure that clinical documentation accurately reflects the care provided and supports value-based reimbursement models.
Threat:
Availability of raw materials with intense competition
Concerns about data security and privacy may deter healthcare organizations from adopting electronic documentation systems or expanding existing systems to support CDI initiatives. Organizations may opt to continue using paper-based or legacy systems for documentation, despite their limitations in efficiency, accuracy, and accessibility, due to apprehensions about safeguarding sensitive patient information. Additionally lack of data sharing inhibits collaboration among clinicians, CDI specialists, and other stakeholders involved in documentation improvement efforts, hindering the comprehensive review and analysis of patient records necessary for accurate coding and billing.
Covid-19 Impact
Increased telehealth usage, shifting regulatory requirements, and the need for accurate documentation to support care delivery and billing amidst evolving healthcare challenges. Demand for CDI solutions surged as healthcare providers prioritized comprehensive documentation for accurate coding, reimbursement, and quality reporting. Additionally, the pandemic highlighted the importance of data integrity and interoperability, prompting investments in advanced CDI technologies to enhance documentation accuracy, efficiency, and remote collaboration. As healthcare systems adapt to the new normal, CDI remains pivotal in optimizing clinical documentation processes and supporting value-based care initiatives.
The clinical documentation segment is expected to be the largest during the forecast period
The clinical documentation segment is estimated to have a lucrative growth, because improving clinical documentation practices is essential for accurate coding, billing, and reimbursement in healthcare facilities. As healthcare organizations strive to enhance documentation accuracy and completeness, there is a growing demand for clinical documentation improvement solutions and services that can help achieve these goals. Thus, an increase in the emphasis on precise clinical documentation drives the growth of the clinical documentation improvement market.
The revenue cycle management segment is expected to have the highest CAGR during the forecast period
The revenue cycle management segment is anticipated to witness the highest CAGR growth during the forecast period, clinical documentation serves as the foundation for coding and billing processes in healthcare. Inaccurate or incomplete documentation can result in coding errors, claim denials, and delayed reimbursement. As healthcare organizations strive to optimize revenue cycle performance and maximize revenue capture, there is an increased focus on improving clinical documentation accuracy. This drives the demand for clinical documentation improvement solutions that help identify documentation gaps, ensure compliance with coding guidelines, and facilitate accurate coding and billing processes.
Region with largest share:
Asia Pacific is projected to hold the largest market share during the forecast period owing to the increased adoption of electronic health records (EHRs) and healthcare IT systems across the region is driving the demand for CDI solutions to improve documentation accuracy and compliance with regulatory requirements. Moreover, the growing focus on value-based care and quality outcomes is prompting healthcare providers to invest in CDI programs to enhance coding accuracy and reimbursement integrity creates lucrative opportunities for market players.
Region with highest CAGR:
North America is projected to have the highest CAGR over the forecast period, owing to stringent regulatory requirements, such as those from the Centers for Medicare and Medicaid Services (CMS) in the United States are compelling healthcare organizations to prioritize accurate clinical documentation for coding, billing, and reimbursement purposes. Additionally, the transition to value-based care models emphasizes the importance of comprehensive documentation to support quality reporting and performance metrics. Technological advancements, including artificial intelligence and natural language processing, are revolutionizing CDI practices by automating processes and enhancing efficiency.
Key players in the market
Some of the key players in the Clinical Documentation Improvement Market include 3M Company, Cerner, Chartwise, Craneware, Dolbey Systems, Epic Systems, Flash Code, Iodine Software, NThrive, Nuance, Optum, Streamline Health, TruCode and Vitalware
Key Developments:
In March 2024, 3M and HD Hyundai KSOE to collaborate on joint research project to help insulate liquid hydrogen storage tanks. The collaborative research will focus on developing a high-performance vacuum insulation system for liquified hydrogen storage and transportation.
In October 2023, ProHealth Care and Optum Launch Strategic Relationship to Enhance the Health Care Experience for ProHealth Patients. Through the relationship, Optum will assume responsibility for ProHealth Care’s revenue cycle management, information technology, informatics, analytics and inpatient care management.
In May 2023, 3M and Svante announce joint development agreement to develop and produce carbon dioxide removal products, driving their shared commitment to find materials science-based solutions to achieve net-zero emissions and combat global warming.
Products Covered:
• Clinical Coding
• Clinical Documentation
• Charge Capture Solutions
• Pre-Bill Review
• Diagnosis-Related Grouping
• Other Products
Components Covered:
• Solution
• Service
Mode of Deliveries Covered:
• Cloud-Based
• On-Premise
Applications Covered:
• Health Information Management
• Revenue Cycle Management
• Skilled Nursing Facilities
• Efficient Workflow Management
• Data Analytics & Reporting
• Quality Improvement Initiatives
• Other Applications
End Users Covered:
• Clinics
• Hospitals
• Ambulatory Surgical Centers
• Long-Term Care Facilities
• Healthcare Consulting Firms
• Academic Institutions
• Other End Users
Regions Covered:
• North America
o US
o Canada
o Mexico
• Europe
o Germany
o UK
o Italy
o France
o Spain
o Rest of Europe
• Asia Pacific
o Japan
o China
o India
o Australia
o New Zealand
o South Korea
o Rest of Asia Pacific
• South America
o Argentina
o Brazil
o Chile
o Rest of South America
• Middle East & Africa
o Saudi Arabia
o UAE
o Qatar
o South Africa
o Rest of Middle East & Africa
What our report offers:
- Market share assessments for the regional and country-level segments
- Strategic recommendations for the new entrants
- Covers Market data for the years 2021, 2022, 2023, 2026, and 2030
- Market Trends (Drivers, Constraints, Opportunities, Threats, Challenges, Investment Opportunities, and recommendations)
- Strategic recommendations in key business segments based on the market estimations
- Competitive landscaping mapping the key common trends
- Company profiling with detailed strategies, financials, and recent developments
- Supply chain trends mapping the latest technological advancements
Free Customization Offerings:
All the customers of this report will be entitled to receive one of the following free customization options:
• Company Profiling
o Comprehensive profiling of additional market players (up to 3)
o SWOT Analysis of key players (up to 3)
• Regional Segmentation
o Market estimations, Forecasts and CAGR of any prominent country as per the client's interest (Note: Depends on feasibility check)
• Competitive Benchmarking
o Benchmarking of key players based on product portfolio, geographical presence, and strategic alliances
Table of Contents
1 Executive Summary
2 Preface
2.1 Abstract
2.2 Stake Holders
2.3 Research Scope
2.4 Research Methodology
2.4.1 Data Mining
2.4.2 Data Analysis
2.4.3 Data Validation
2.4.4 Research Approach
2.5 Research Sources
2.5.1 Primary Research Sources
2.5.2 Secondary Research Sources
2.5.3 Assumptions
3 Market Trend Analysis
3.1 Introduction
3.2 Drivers
3.3 Restraints
3.4 Opportunities
3.5 Threats
3.6 Product Analysis
3.7 Application Analysis
3.8 End User Analysis
3.9 Emerging Markets
3.10 Impact of Covid-19
4 Porters Five Force Analysis
4.1 Bargaining power of suppliers
4.2 Bargaining power of buyers
4.3 Threat of substitutes
4.4 Threat of new entrants
4.5 Competitive rivalry
5 Global Clinical Documentation Improvement Market, By Product
5.1 Introduction
5.2 Clinical Coding
5.3 Clinical Documentation
5.4 Charge Capture Solutions
5.5 Pre-Bill Review
5.6 Diagnosis-Related Grouping
5.7 Other Products
6 Global Clinical Documentation Improvement Market, By Component
6.1 Introduction
6.2 Solution
6.2.1 Clinical Documentation Training Programs
6.2.2 Clinical Documentation Review Software
6.2.3 Clinical Documentation Software Solutions
6.2.4 Clinical Documentation Improvement Tools
6.3 Service
6.3.1 Outsourcing Services
6.3.2 Consulting Services
6.3.3 Clinical Documentation Improvement Training Materials
7 Global Clinical Documentation Improvement Market, By Mode of Delivery
7.1 Introduction
7.2 Cloud-Based
7.3 On-Premise
8 Global Clinical Documentation Improvement Market, By Application
8.1 Introduction
8.2 Health Information Management
8.3 Revenue Cycle Management
8.4 Skilled Nursing Facilities
8.5 Efficient Workflow Management
8.6 Data Analytics & Reporting
8.7 Quality Improvement Initiatives
8.8 Other Applications
9 Global Clinical Documentation Improvement Market, By End User
9.1 Introduction
9.2 Clinics
9.3 Hospitals
9.4 Ambulatory Surgical Centers
9.5 Long-Term Care Facilities
9.6 Healthcare Consulting Firms
9.7 Academic Institutions
9.8 Other End Users
10 Global Clinical Documentation Improvement Market, By Geography
10.1 Introduction
10.2 North America
10.2.1 US
10.2.2 Canada
10.2.3 Mexico
10.3 Europe
10.3.1 Germany
10.3.2 UK
10.3.3 Italy
10.3.4 France
10.3.5 Spain
10.3.6 Rest of Europe
10.4 Asia Pacific
10.4.1 Japan
10.4.2 China
10.4.3 India
10.4.4 Australia
10.4.5 New Zealand
10.4.6 South Korea
10.4.7 Rest of Asia Pacific
10.5 South America
10.5.1 Argentina
10.5.2 Brazil
10.5.3 Chile
10.5.4 Rest of South America
10.6 Middle East & Africa
10.6.1 Saudi Arabia
10.6.2 UAE
10.6.3 Qatar
10.6.4 South Africa
10.6.5 Rest of Middle East & Africa
11 Key Developments
11.1 Agreements, Partnerships, Collaborations and Joint Ventures
11.2 Acquisitions & Mergers
11.3 New Product Launch
11.4 Expansions
11.5 Other Key Strategies
12 Company Profiling
12.1 3M Company
12.2 Cerner
12.3 Chartwise
12.4 Craneware
12.5 Dolbey Systems
12.6 Epic Systems
12.7 Flash Code
12.8 Iodine Software
12.9 NThrive
12.10 Nuance
12.11 Optum
12.12 Streamline Health
12.13 TruCode
12.14 Vitalware
List of Tables
1 Global Clinical Documentation Improvement Market Outlook, By Region (2021-2030) ($MN)
2 Global Clinical Documentation Improvement Market Outlook, By Product (2021-2030) ($MN)
3 Global Clinical Documentation Improvement Market Outlook, By Clinical Coding (2021-2030) ($MN)
4 Global Clinical Documentation Improvement Market Outlook, By Clinical Documentation (2021-2030) ($MN)
5 Global Clinical Documentation Improvement Market Outlook, By Charge Capture Solutions (2021-2030) ($MN)
6 Global Clinical Documentation Improvement Market Outlook, By Pre-Bill Review (2021-2030) ($MN)
7 Global Clinical Documentation Improvement Market Outlook, By Diagnosis-Related Grouping (2021-2030) ($MN)
8 Global Clinical Documentation Improvement Market Outlook, By Other Products (2021-2030) ($MN)
9 Global Clinical Documentation Improvement Market Outlook, By Component (2021-2030) ($MN)
10 Global Clinical Documentation Improvement Market Outlook, By Solution (2021-2030) ($MN)
11 Global Clinical Documentation Improvement Market Outlook, By Clinical Documentation Training Programs (2021-2030) ($MN)
12 Global Clinical Documentation Improvement Market Outlook, By Clinical Documentation Review Software (2021-2030) ($MN)
13 Global Clinical Documentation Improvement Market Outlook, By Clinical Documentation Software Solutions (2021-2030) ($MN)
14 Global Clinical Documentation Improvement Market Outlook, By Clinical Documentation Improvement Tools (2021-2030) ($MN)
15 Global Clinical Documentation Improvement Market Outlook, By Service (2021-2030) ($MN)
16 Global Clinical Documentation Improvement Market Outlook, By Outsourcing Services (2021-2030) ($MN)
17 Global Clinical Documentation Improvement Market Outlook, By Consulting Services (2021-2030) ($MN)
18 Global Clinical Documentation Improvement Market Outlook, By Clinical Documentation Improvement Training Materials (2021-2030) ($MN)
19 Global Clinical Documentation Improvement Market Outlook, By Mode of Delivery (2021-2030) ($MN)
20 Global Clinical Documentation Improvement Market Outlook, By Cloud-Based (2021-2030) ($MN)
21 Global Clinical Documentation Improvement Market Outlook, By On-Premise (2021-2030) ($MN)
22 Global Clinical Documentation Improvement Market Outlook, By Application (2021-2030) ($MN)
23 Global Clinical Documentation Improvement Market Outlook, By Health Information Management (2021-2030) ($MN)
24 Global Clinical Documentation Improvement Market Outlook, By Revenue Cycle Management (2021-2030) ($MN)
25 Global Clinical Documentation Improvement Market Outlook, By Skilled Nursing Facilities (2021-2030) ($MN)
26 Global Clinical Documentation Improvement Market Outlook, By Efficient Workflow Management (2021-2030) ($MN)
27 Global Clinical Documentation Improvement Market Outlook, By Data Analytics & Reporting (2021-2030) ($MN)
28 Global Clinical Documentation Improvement Market Outlook, By Quality Improvement Initiatives (2021-2030) ($MN)
29 Global Clinical Documentation Improvement Market Outlook, By Other Applications (2021-2030) ($MN)
30 Global Clinical Documentation Improvement Market Outlook, By End User (2021-2030) ($MN)
31 Global Clinical Documentation Improvement Market Outlook, By Clinics (2021-2030) ($MN)
32 Global Clinical Documentation Improvement Market Outlook, By Hospitals (2021-2030) ($MN)
33 Global Clinical Documentation Improvement Market Outlook, By Ambulatory Surgical Centers (2021-2030) ($MN)
34 Global Clinical Documentation Improvement Market Outlook, By Long-Term Care Facilities (2021-2030) ($MN)
35 Global Clinical Documentation Improvement Market Outlook, By Healthcare Consulting Firms (2021-2030) ($MN)
36 Global Clinical Documentation Improvement Market Outlook, By Academic Institutions (2021-2030) ($MN)
37 Global Clinical Documentation Improvement Market Outlook, By Other End Users (2021-2030) ($MN)
Note: Tables for North America, Europe, APAC, South America, and Middle East & Africa Regions are also represented in the same manner as above.
List of Figures
RESEARCH METHODOLOGY
We at ‘Stratistics’ opt for an extensive research approach which involves data mining, data validation, and data analysis. The various research sources include in-house repository, secondary research, competitor’s sources, social media research, client internal data, and primary research.
Our team of analysts prefers the most reliable and authenticated data sources in order to perform the comprehensive literature search. With access to most of the authenticated data bases our team highly considers the best mix of information through various sources to obtain extensive and accurate analysis.
Each report takes an average time of a month and a team of 4 industry analysts. The time may vary depending on the scope and data availability of the desired market report. The various parameters used in the market assessment are standardized in order to enhance the data accuracy.
Data Mining
The data is collected from several authenticated, reliable, paid and unpaid sources and is filtered depending on the scope & objective of the research. Our reports repository acts as an added advantage in this procedure. Data gathering from the raw material suppliers, distributors and the manufacturers is performed on a regular basis, this helps in the comprehensive understanding of the products value chain. Apart from the above mentioned sources the data is also collected from the industry consultants to ensure the objective of the study is in the right direction.
Market trends such as technological advancements, regulatory affairs, market dynamics (Drivers, Restraints, Opportunities and Challenges) are obtained from scientific journals, market related national & international associations and organizations.
Data Analysis
From the data that is collected depending on the scope & objective of the research the data is subjected for the analysis. The critical steps that we follow for the data analysis include:
- Product Lifecycle Analysis
- Competitor analysis
- Risk analysis
- Porters Analysis
- PESTEL Analysis
- SWOT Analysis
The data engineering is performed by the core industry experts considering both the Marketing Mix Modeling and the Demand Forecasting. The marketing mix modeling makes use of multiple-regression techniques to predict the optimal mix of marketing variables. Regression factor is based on a number of variables and how they relate to an outcome such as sales or profits.
Data Validation
The data validation is performed by the exhaustive primary research from the expert interviews. This includes telephonic interviews, focus groups, face to face interviews, and questionnaires to validate our research from all aspects. The industry experts we approach come from the leading firms, involved in the supply chain ranging from the suppliers, distributors to the manufacturers and consumers so as to ensure an unbiased analysis.
We are in touch with more than 15,000 industry experts with the right mix of consultants, CEO's, presidents, vice presidents, managers, experts from both supply side and demand side, executives and so on.
The data validation involves the primary research from the industry experts belonging to:
- Leading Companies
- Suppliers & Distributors
- Manufacturers
- Consumers
- Industry/Strategic Consultants
Apart from the data validation the primary research also helps in performing the fill gap research, i.e. providing solutions for the unmet needs of the research which helps in enhancing the reports quality.
For more details about research methodology, kindly write to us at info@strategymrc.com
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