A patient case may be evaluated whenever new information is received or as scheduled. Evaluation may include resolving a Diagnosis-Related Group (DRG) code and determining a CDI scoring approach based at least in part on a result from the resolving. Resolving a DRG code may include determining whether a DRG code is associated with the patient case. If no DRG code is found, the system may search for an International Classification of Diseases code or ask a user to select or assign a DRG code. Using the determined CDI scoring approach, a first score may be generated and adjusted by at least one of length of stay, documentation accuracy, payer, patient location, documentation novelty, review timing, case size, or documentation sufficiency. The adjusted score may be normalized and presented to a CDI specialist, perhaps with multiple CDI scores in a sorted order.