SmarterDx is an AI-powered clinical documentation improvement (CDI) platform designed to enhance diagnosis accuracy, optimize hospital coding, and improve revenue cycle performance. By leveraging advanced machine learning and clinical knowledge, SmarterDx analyzes both structured and unstructured electronic health record (EHR) data to uncover missed, undocumented, or underreported diagnoses.
Hospitals and health systems use SmarterDx to ensure their documentation and coding reflect the true clinical complexity of each patient encounter—resulting in better reimbursement, fewer denials, and improved compliance. SmarterDx serves as an always-on assistant, helping clinical documentation integrity (CDI) teams and coding professionals capture complete and accurate medical records.
Features
SmarterDx offers a comprehensive set of features to enhance hospital CDI and revenue integrity workflows:
AI-Powered Diagnosis Detection: Uses machine learning to identify clinically relevant, yet undocumented diagnoses from clinical notes, labs, and vitals.
Automated Chart Review: Reviews all patient data in real time without requiring manual effort from clinicians.
Clinical Context Awareness: Understands comorbidities, complications, and patient acuity for accurate coding suggestions.
Structured and Unstructured Data Analysis: Extracts insights from both physician notes and EHR data fields.
Real-Time CDI Alerts: Notifies CDI specialists and coders of potential missed diagnoses while the patient is still admitted.
Seamless EHR Integration: Compatible with leading EHR systems including Epic and Cerner.
Data-Driven Reporting: Provides dashboards and analytics on documentation opportunities and CDI team performance.
Compliance-Ready: Ensures alignment with CMS, DRG, and coding guidelines to reduce audit risk.
Low Burden on Clinicians: Works in the background, allowing providers to focus on patient care.
Rapid Implementation: Cloud-based solution with minimal IT lift for deployment.
How It Works
SmarterDx works by continuously analyzing clinical data throughout the inpatient encounter. Here’s how it operates:
Data Ingestion: Pulls structured data (labs, vitals, medications) and unstructured data (progress notes, H&Ps, discharge summaries) from the EHR.
AI Diagnosis Prediction: The AI model, trained on clinical best practices and real-world data, identifies potential diagnoses that may be missing from the documentation.
CDI Opportunity Alerts: CDI teams are alerted about under-documented or missing conditions such as sepsis, malnutrition, heart failure, or respiratory failure.
Real-Time Workflow Support: CDI specialists can act on suggestions while the patient is still admitted, increasing the likelihood of physician validation.
Reporting & Feedback: Dashboards track which diagnoses were accepted or rejected and provide performance insights over time.
SmarterDx’s approach ensures that documentation reflects the actual care delivered, helping improve both clinical accuracy and financial outcomes.
Use Cases
SmarterDx is tailored for hospitals, health systems, and CDI teams focused on improving documentation integrity and revenue performance:
Capture Missed Diagnoses: Identify comorbid conditions that affect DRG assignment and case mix index (CMI).
Improve Inpatient Coding Accuracy: Support accurate MS-DRG classification and risk adjustment.
Support CDI Specialists: Reduce manual chart review by surfacing high-value documentation opportunities.
Enhance Audit Defense: Ensure documentation supports billing and withstands payer scrutiny.
Streamline CDI Workflows: Prioritize high-impact patient records with real-time alerts.
Reduce Denials: Improve clinical specificity to reduce payer denials and appeals.
Boost Revenue Integrity: Accurately reflect the complexity of care provided to improve reimbursement.
Pricing
SmarterDx does not publish public pricing on its website. As a B2B platform for healthcare systems, pricing is typically structured through custom enterprise agreements, depending on:
Hospital size and average daily census
Number of inpatient beds and volume of discharges
EHR integration complexity
CDI team structure and usage volume
Support, training, and reporting needs
Interested organizations can request a personalized demo and pricing consultation via the SmarterDx contact page.
Strengths
SmarterDx delivers strong benefits for healthcare systems looking to improve documentation and revenue cycle management:
Increases diagnosis capture rate without burdening providers
Enhances DRG accuracy and improves CMI
Improves financial performance through better reimbursement
Reduces audit risk with compliant, accurate documentation
Provides actionable CDI insights in real time
Integrates into existing CDI and coding workflows
Supports clinical and financial alignment across departments
Fast ROI due to automation and high-value impact
Drawbacks
While SmarterDx is a powerful platform, there are a few considerations:
Not designed for outpatient or ambulatory settings
Requires initial setup and data access configuration with EHR
No self-service model for small or independent clinics
Effectiveness depends on physician documentation habits
Requires CDI and coding staff to act on AI-suggested opportunities
Comparison with Other Tools
SmarterDx operates in the space of clinical documentation improvement alongside several competitors:
3M 360 Encompass: Offers robust CDI solutions but often requires more manual input and legacy configuration.
Optum CDI 360: Strong analytics but limited AI-driven predictive suggestions.
Artifact Health: Focuses on provider query workflow rather than AI-driven diagnosis detection.
Clinithink: Uses NLP for data abstraction but lacks deep real-time integration with CDI workflows.
What differentiates SmarterDx is its proactive, AI-first diagnosis suggestion engine, which operates in real time during inpatient stays and integrates tightly with both structured and unstructured data sources.
Customer Reviews and Testimonials
While there are no public reviews on sites like G2 or Capterra, SmarterDx features strong endorsements from hospital CDI leaders and executives on its website and in press coverage.
Reported outcomes from hospitals include:
10–15% increase in diagnosis capture rates
Significant improvement in case mix index (CMI)
Millions of dollars in additional compliant revenue
Improved physician-CDI collaboration
Testimonials include:
“SmarterDx has transformed how we prioritize our CDI efforts.”
“It catches diagnoses our team would have missed.”
“The ROI has been significant, and the system learns quickly.”
Conclusion
SmarterDx is a next-generation AI platform built to enhance clinical documentation and revenue performance in hospitals and health systems. By using machine learning to uncover missed diagnoses from complex EHR data, SmarterDx helps CDI teams drive more complete, compliant, and financially accurate records.
Its real-time insights, automation, and seamless integration into clinical workflows make it an essential tool for health systems looking to reduce manual chart review, boost revenue integrity, and improve audit readiness.
For hospitals aiming to future-proof their revenue cycle operations and maximize reimbursement without compromising compliance, SmarterDx provides a powerful, intelligent, and scalable solution.
