> ## Documentation Index
> Fetch the complete documentation index at: https://docs.medera.info/llms.txt
> Use this file to discover all available pages before exploring further.

# Clinical Documentation Improvement (Outpatient)

> Add CDI validation checks to outpatient workflows

Add CDI validation to outpatient workflows so missing specificity and severity qualifiers surface before sign-off — not after the denial.

<Steps>
  <Step title="Configure your CDI rule set">
    In the Console, enable the specialty CDI rule set (BH, primary care). Optionally add custom queries for your practice.
  </Step>

  <Step title="Wire into sign-off">
    On the pre-sign-off hook, `POST /api/coding/cdi/review` with the note ID. The response surfaces queries and the documentation gap behind each.
  </Step>

  <Step title="Render queries to the clinician">
    Each query carries a rationale, the rule it tested, and the language to paste in. The clinician can accept, edit, or reject. Every decision is logged.
  </Step>

  <Step title="Audit retention">
    All CDI decisions retain for the practice-configured period (default 6 years).
  </Step>
</Steps>

See [CDI Agent](/agentic/agents/clinical-documentation-improvement) for details.