CDIMD is a physician-centric company whose primary mission is to support the clinical integrity of ICD-9-CM and ICD-10 codes that are ultimately based upon provider documentation using terminology mandated by HIPAA-transaction sets. By engaging CDIMD, hospitals and providers adhere to AHIMA's and ACDIS's industry standard of having an coding or CDI escalation policy when documentation does not fit the clinical circumstances or if there is disagreement on how an encounter should be coded or sequenced. As a result, each encounter's severity and risk is dependably reported. CDIMD, upon the request of and in consultation with its clients, reviews at-risk medical records in cooperation with their medical, CDI, and coding staff and strategically supports communications among invested individuals that ultimately results in ICD-9-CM or ICD-10 defendable code assignments. We also provide interim support for established physician champions who need a second opinion or a well-deserved rest. While not involved in direct patient care and certainly not responsible for the patient's final diagnoses or treatments nor the provider's or facility's final ICD-9, ICD-10, or CPT code assignment, CDIMD does support the interdependent relationship providers and coders must have if accurate code assignment is to be achieved.