The document discusses shortcomings of current clinical documentation improvement (CDI) programs and capabilities for more effective CDI. Some key shortcomings are that CDI programs are often reactive, focus only on increasing codes to boost reimbursement, do not consider long-term return on investment, and do not address the root cause of undercoding issues. More effective CDI should focus on proactively improving clinical documentation at its source to ensure accurate payment and minimize claim denials. This involves educating physicians on proper documentation practices rather than just querying cases after the fact. Advanced data analytics and tools to identify patterns of undercoding or overcoding can also help avoid denials.