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Revenue integrity

Coding & documentation

E/M level suggestions, HCC capture, and documentation-integrity nudges that you can accept inline.

Notes awaiting close
9
HCC suggestions
14
Query rate
3.1%
Notes closed today
22

Suggested HCC captures

  • Lopez, Daniela · 47F
    E11.22 — Type 2 DM with CKD · A1c 7.6, eGFR 52
    high impact
  • Reilly, James · 71M
    I50.32 — Chronic diastolic HF · echo Mar · prior dx not coded YTD
    high impact
  • Nguyen, Tran · 59M
    F32.1 — Major depressive disorder, moderate · PHQ-9 = 14
    capture
  • Park, Sun-Hee · 52F
    Z85.3 — Hx of breast cancer · documented in problem list, not on claim
    capture

E/M level — today's encounters

  • Chen, Maya99213 · suggested 99214review
  • Patel, Arjun99203 · matches MDMok
  • Walker, Imani99214 · matches MDMok
  • Henderson, Marcus99215 · supported by dataok

Documentation nudges

  • Specify laterality on knee pain (M25.561 vs M25.562)
  • Link diabetes to neuropathy if clinically present
  • Document time-based billing for prolonged service
  • Update active medication list before signing