Frequently Asked Questions

Here are the questions we get the most. If you don't see what's on your mind, reach out to us anytime!

Contact us

About ClinIntell

What is ClinIntell and how does it improve clinical documentation and coding?

ClinIntell is a patient population severity evaluator that uses predictive analytics to assess how accurately clinical severity is being captured across an organization’s inpatient population. By identifying underreported severity patterns and high-impact opportunities, ClinIntell helps physician teams focus documentation and coding improvement efforts where they matter most—supporting stronger clinical reporting, more accurate MS-DRG severity capture, and sustainable performance improvement.

How does ClinIntell’s population-based approach (CDI 2.0) differ from the Traditional CDI 1.0 approach?
What types of healthcare organizations can benefit from ClinIntell?

ClinIntell works with all acute care organizations except:

  • Pediatric hospitals, as the national data that are used to develop ClinIntell’s algorithms are limited to MS-DRG adult population.
  • Small hospitals (e.g., critical access hospitals) where the numbers of discharges are low, decreasing the accuracy of predictions.
What types of roles can benefit from ClinIntell?

ClinIntell supports both healthcare leaders and providers by delivering clear, population-based severity reporting insights and performance transparency.

Key roles that benefit include CFOs and finance leaders, CMOs and clinical executives, physicians and advanced practice providers, and CDI/quality leaders—helping teams align on improvement opportunities, strengthen documentation accuracy, and drive sustainable severity reporting performance.

How does ClinIntell ensure data privacy and compliance with healthcare regulations?

ClinIntell uses a multi-layered approach to protect data and support compliance, including strong technical safeguards (encryption and access controls), administrative protections (staff training and routine audits), and established procedures (incident response and business continuity planning).

Is ClinIntell a CDI solution or tool?

No. ClinIntell is not a CDI or point-of-care documentation tool. It does not perform chart reviews, generate queries, or manage encounter-level workflows. Instead, ClinIntell analyzes claims data at a population level to identify system-wide documentation and coding patterns, quantify financial and quality impact, and guide physician-led strategies to improve severity reporting performance at scale.

We already get similar insights from Vizient, Premier, MedeAnalytics, etc. How is ClinIntell different?

ClinIntell delivers the industry’s only proven, predictive population severity insights based on your hospital’s actual claims used as a proxy for your unique and ever changing inpatient population—not benchmarking cohorts—so results are more relevant and timely.

Reporting is available within 24 hours of final monthly claims, includes credible provider-level attribution (including APPs and residents), and supports realistic SMART goals paired with actionable improvement strategies.

Does ClinIntell provide professional services?

ClinIntell is a SaaS platform with high-touch client support. Our subject matter experts guide clients through implementation, strategy, and ongoing maintenance, while helping teams build long-term proficiency with ClinIntell’s severity documentation metrics for sustainable improvement.

Product Features & Benefits

What is the SMART Strategy framework in ClinIntell?

ClinIntell’s SMART Strategy helps organizations set customizable, attainable 80/20 goals tied to key metrics like CMI and quality risk adjustment. Using predictive analytics, it identifies the highest-impact severity documentation opportunities and clinically relevant conditions within your unique patient population.

If ClinIntell does not benchmark, how can you identify gaps in reporting and opportunities to improve?

ClinIntell uses a validated predictive model to assess expected severity reporting within your unique patient population. By analyzing inpatient claims monthly, the platform identifies documentation and coding gaps based on what your population indicates should be captured, without relying on external benchmarking.

What is the ClinIntell Mobile Training App and how does it support physician education?

The ClinIntell Mobile Training App helps providers understand their documentation performance and improve it through tailored, 2-4 minutes, clinically-focused education.

It delivers data-driven training on high-opportunity conditions, personalized performance insights, and ongoing progress tracking—promoting accountability and continuous improvement across the provider team.

How does ClinIntell provide actionable insights for clinical leaders?

ClinIntell gives clinical leaders an intuitive dashboard to track provider training progress, monitor performance trends toward goals, and share individualized provider reports.

Leaders can also identify a “Condition of the Month” and quickly distribute standardized definitions, documentation tips, and training videos—making it easy to drive improvement with minimal effort.

Can ClinIntell's reporting tools be customized for specific specialties or service lines?

Yes, ClinIntell can customize the application specifically to the specialties unique to your facility and report insights on each specialty.

How does ClinIntell's attribution methodology ensure accurate provider-level data?

ClinIntell’s advanced attribution methodology links claims to the providers who made significant contributions to documentation of an encounter by identifying who authored key note types and when they were written. This supports accurate provider-level reporting across teams and services, recognizing all clinicians who meaningfully impact severity documentation.

Implementation & Integration

What is the typical implementation timeline for ClinIntell?

Once data is received and validated, ClinIntell can publish results within 24 hours.

Finalizing provider groupings and placement typically takes 1–2 weeks, depending on input and confirmation from the client organization.

Does ClinIntell integrate into our EMR or require access to our IT network/environment?

No, ClinIntell is a cloud-based solution, so there is no need to integrate into the EMR or access hospital IT networks.

What resources are required from our hospital to support ClinIntell's software?

ClinIntell does not require additional chart review staffing or new hires. Successful long-term improvement typically depends on strong clinical leadership (often per physician group) and a designated onsite point of contact trained as a Super User.

How does ClinIntell handle data onboarding and validation?

ClinIntell provides data extract specifications for coded and notes data. Your team submits a test extract for validation, and any issues are identified within 24 hours. Once finalized, baseline data (typically back to January 2019) is delivered and the ClinIntell application can be fully stood up within 24 hours.

How does ClinIntell impact the workflow of the Clinical Documentation Specialists?

ClinIntell does not impact the workflow of Clinical Documentation Specialists. Population based severity reporting insights are utilized by healthcare executives and providers.

We have our own educators; can we still use ClinIntell?

Yes. ClinIntell’s analytics will provide educators with a data-driven strategy which includes the target list of clinically relevant (to the selected specialty) conditions that will have the highest impact on achieving the group’s performance goals.

Pricing & Contracts

How is ClinIntell priced?

Clinintell’s SaaS application is priced as a subscription service taking the following variables in account:

  • Number of annual all payor discharges
  • Number of hospitals for reporting
  • Academic Medical Center Status
Are there additional costs for training or support services?

No. ClinIntell includes comprehensive training and ongoing support as part of your agreement. There are no additional service fees or per-user costs.

Does ClinIntell offer multi-year contracts or discounts?

Yes. Please contact us at info@clinintell.com for more details.

Performance & Reporting

How does ClinIntell measure the impact of documentation improvements?

ClinIntell measures impact by comparing your baseline severity documentation performance (typically the most recent 12 months) to predicted severity using Observed vs. Expected CMI. Progress is quantified as CMI gap closure, showing measurable improvement after SMART Strategies are implemented.

What types of performance reports are available for physicians, clinical leaders, and healthcare executives?

ClinIntell offers configurable monthly reports for multiple audiences, including:

  • Physicians: Monthly individualized performance reports
  • Clinical leaders: Monthly provider and physician group performance reports, plus training progress reporting
  • Healthcare executives: Facility-level financial impact reporting
Besides Case Mix Index, does ClinIntell provide severity reporting insights related to Quality Metrics?

Yes. ClinIntell predicts risk adjustment opportunities and the potential quality impact of key clinical conditions for initiatives such as Value-Based Purchasing, Star Ratings, Mortality, Readmissions, and HCC. Users can rank and select conditions by opportunity and instantly see the estimated improvement impact for each initiative.

How does ClinIntell address or mitigate denials?

ClinIntell does not track or analyze denials. Instead, it focuses on improving physician documentation accuracy and severity capture at the source, which can strengthen the clinical foundation used in audit and appeal processes. Individual results may vary.

Does ClinIntell identify and differentiate between gaps due to poor coding and/or poor clinical documentation?

ClinIntell analyzes final submitted claims, so it does not directly separate coding gaps from documentation gaps. However, coding-related issues often appear as broad, system-wide patterns, while underperformance within the same service line typically points to provider-level documentation differences.

Does ClinIntell provide insights on the Medicare population?

ClinIntell analyzes all-payer claims monthly and does not separate Medicare-specific reporting. Using all claims increases sample size and improves accuracy—especially for provider-level performance—and supports payer-agnostic insights that drive better documentation practices by physicians.

We would like reporting on only one service line at our organization. Is that possible?

ClinIntell analyzes severity documentation across all specialties and service lines using the full inpatient data set. While the assessment is built on organization-wide data to ensure accuracy and context, reporting can be filtered to focus on specific service lines as needed.

Physician Engagement

How does ClinIntell engage physicians in documentation improvement?

ClinIntell drives engagement through:

  • Credible provider-level performance insights
  • 80/20 target list of high-impact underreported conditions
  • ClinIntell’s advanced provider level attribution methodology
  • Mobile app performance tracking and training
  • Provider group incentive-ready metrics such as CMI Documentation Score
What educational resources does ClinIntell provide for physicians?

ClinIntell provides short, clinically-based training modules tailored to each provider’s highest-impact documentation opportunities—without CDI or coding jargon.

Through the mobile app, physicians access 2–4 minute videos with learning checks, customizable proficiency scoring, and progress reports that promote accountability and sustained improvement.

How does ClinIntell's platform promote physician accountability?

ClinIntell promotes accountability through transparent, objective provider-level performance insights and the CMI Documentation Score, which measures severity documentation across a physician’s inpatient population and can be utilized as a metric in the group’s annual incentive structure.

Monthly reports highlight trends and opportunities, while mobile app training scores and progress tracking reinforce engagement through feedback, visibility, and friendly competition.

Compliance & Data Security

How does ClinIntell ensure compliance with CMS and other regulatory standards?

ClinIntell supports regulatory compliance by completing CMS’s annual Data Management Plan Self-Attestation Questionnaire (DMP SAQ) and maintaining SOC 2 Type 2 compliance, with an attestation report issued annually.

What measures does ClinIntell take to protect patient data?

ClinIntell protects patient data through layered security, including encryption and access controls, staff training and routine audits, and established incident response and business continuity procedures. ClinIntell further strengthens protection by keeping all data within a fully air-gapped environment throughout its lifecycle.

What certifications or audit frameworks does ClinIntell maintain to support HIPAA compliance and data security?

ClinIntell maintains a SOC 2 Type 2 attestation, providing independent third-party validation that our security, availability, and confidentiality controls are designed appropriately and operating effectively to support HIPAA compliance and protect sensitive data.

Ongoing Support & Updates

Does ClinIntell provide training for new users or updates to existing users?

Yes. ClinIntell offers training for both new and existing users through ClinIntell University, featuring free self-paced courses, and the ClinIntell Help Center, which includes step-by-step guides, feature overviews, and troubleshooting resources for the web and mobile apps.

How often are ClinIntell's algorithms and analytics updated?

ClinIntell updates its algorithms annually to align with CMS IPPS Final Rule and MS-DRG reimbursement changes. Updates also incorporate the latest ICD-10 codes, HCCs, and Elixhauser conditions, plus an additional year of Medicare and HCUP all-payer claims data to maintain accuracy and strengthen predictive performance.