Our client is a growing gastroenterology practice striving to enhance Clinical Documentation Integrity (CDI) across their providers. With a mix of high patient volumes and complex cases, the practice needed a way to capture documentation that fully reflected the clinical picture — without adding administrative burden to physicians.

The Challenge

The practice faced common CDI pain points:

• Time-consuming documentation that distracted from patient care
  
  
• Missed details leading to undercoding and revenue leakage
  
  
• Inconsistent note quality across providers
  
  
• Limited tools for ensuring compliance and audit readiness
  
  

The Solution

The team adopted Ember, an AI-powered platform designed for specialty practices like GI. Unlike traditional dictation tools, Ember did more than transcribe. It proactively flagged missing documentation, ensured completeness, and supported coding accuracy.

Key Highlights:

• Captured full complexity of GI encounters with comprehensive notes
  
  
• Increased provider confidence that documentation matched the care delivered
  
  
• Proactive CDI alerts to safeguard against undercoding or compliance risks
  
  
• Enabled providers to focus on patient engagement, not paperwork
  
  

TL;DR:

• Better CDI = more accurate, defensible coding
  
  
• Reduced administrative burden for GI physicians
  
  
• Greater consistency across the practice
  
  

The Results

Within weeks of adopting Ember, the practice experienced:

• Strong improvements in CDI completeness
  
  
• Fewer missed elements impacting coding
  
  
• Increased adoption driven by peer advocacy
  
  
• Confidence to retire outdated transcription tools
  
  

As one physician noted:

“Ember makes sure we’re capturing everything we do, so we can focus on our patients and know the documentation will stand up.”