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Microsoft CDE One

by Microsoftazure.microsoft.com
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OVERVIEW

AI-driven, cloud-based Clinical Documentation Integrity (CDI) solution to optimize programs, improve documentation quality, and ensure appropriate reimbursement for healthcare enterprises.

Microsoft CDE One, a Nuance (a Microsoft company) solution, is an AI-powered, cloud-based platform designed to optimize Clinical Documentation Integrity (CDI) programs within large healthcare organizations. It provides in-workflow intelligence to help Clinical Documentation Specialists (CDSs) and physicians ensure documentation accurately reflects patient acuity, severity of illness, and risk of mortality, which is critical for appropriate reimbursement and quality ratings.

The platform's core capabilities center around efficiency and accuracy. It features AI-powered encounter prioritization that delivers worklists to CDSs, guiding them to cases with the greatest impact opportunity and reducing exposure to post-bill audits. It promotes real-time collaboration through electronic clarifications and a centralized inbox within the Electronic Health Record (EHR), streamlining communication between CDI teams and clinicians.

CDE One is backed by over 250 clinicians and a vast library of evidence-based content, including codebooks, coding clinics, and over 750 proven clinical strategies, providing guidance and assurance in documentation quality. The solution offers a comprehensive suite of workflow management tools, advanced program analytics, DRG impact visibility, and CDI/coding reconciliation to maximize program effectiveness across the enterprise.

It is deeply integrated with leading EHR systems, allowing it to fit seamlessly within existing clinical workflows.

RATING & STATS

Customers
500+
Founded
2018

KEY FEATURES

  • AI-powered encounter prioritization
  • Cloud-based CDI workflow management
  • Electronic clarification and query management
  • Integrated CDS Assistant (code search/evidence)
  • Advanced program analytics and peer benchmarking
  • DRG impact visibility and MS/APR DRG grouping
  • Evidence-based clinical strategies (750+)
  • CDI and coding reconciliation

PRICING

Model: enterprise
Pricing is not publicly disclosed and is typically structured for enterprise healthcare organizations based on volume, modules, and implementation services. Contact a Microsoft/Nuance sales representative for a quote.

TECHNICAL DETAILS

Deployment: saas, cloud
Platforms: web
🔌 API Available

USE CASES

Clinical Documentation Integrity (CDI) program optimizationMaximizing appropriate reimbursement and revenue integrityImproving documentation quality and complianceReducing post-bill audits and claim denials

INTEGRATIONS

EHR SystemsEpicathenahealthMEDITECHAllscriptsOracle Health

COMPLIANCE & SECURITY

Compliance:
HIPAAHITRUST CSFSOC 1 Type 2SOC 2 Type 2
Security Features:
  • 🔒Encryption of data
  • 🔒Access control and authorizations
  • 🔒Audit trails and logging
  • 🔒Business Associate Agreement (BAA)
  • 🔒Physical access restrictions (Azure)

SUPPORT & IMPLEMENTATION

Support: email, phone, 24/7 support
Implementation Time: 1-3 months
Target Company Size: enterprise
TRAINING AVAILABLE

PROS & CONS

✓ Pros:
  • +Deep, strategic integration with major EHRs (Epic, Allscripts)
  • +Backed by Microsoft/Nuance's extensive clinical and AI expertise
  • +AI-powered prioritization focuses CDS efforts on high-impact cases
  • +Strong compliance and security posture (HITRUST, SOC 2, HIPAA BAA)
✗ Cons:
  • -High cost and complex enterprise pricing structure
  • -Requires significant organizational change management for full adoption
  • -Limited public-facing documentation and pricing transparency

ABOUT MICROSOFT

Other software by Microsoft:
Azure Health Data Services (FHIR & API Management PlatformsFHIR R4/R5 server implementations)
FHIR Server (Data, Interoperability & Healthcare AIKnowledge graphs and semantic interoperability)
Microsoft Azure (IT Infrastructure & CybersecurityCloud infrastructure platforms)
Microsoft HealthVault (Personal Health Records (PHR)Standalone PHR platforms)
Microsoft PowerShare (PACS/RIS SystemsMulti-site image sharing)

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