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Real-time Analysis
AI-powered documentation review
Documentation Completeness
92%
Compliance Score
88%
Coding Accuracy
95%
Specificity Index
78%
Processing Timeline
Document parsing
0.3s
NLP extraction
0.8s
Compliance checking
1.2s
ICD-10/CPT coding
0.9s
Generating recommendations
0.5s
Total Processing Time3.7 seconds
AI Coding Suggestions
Instant ICD-10 & CPT recommendations
ICD-1096% confidence
Type 2 diabetes with hyperglycemia
Current
E11.9
Suggested
E11.65
Reason: Documentation supports more specific code with complications
Impact: Increased specificity & reimbursement
CPT92% confidence
Office visit - moderate complexity
Current
99213
Suggested
99214
Reason: Documentation supports higher level E/M code
Impact: Better reflects work performed
ICD-1088% confidence
Add hypertensive heart disease
Current
I10
Suggested
I10 + I11.9
Reason: Documentation mentions cardiac involvement
Impact: More complete diagnosis picture
Compliance Findings
Detailed rule-by-rule analysis
2 Issues2 Warnings3 Passed
highCMS - CMS-DOC-001Auto-fixable
H&P Documentation Incomplete
History of Present Illness section lacks required temporal elements
Location: Page 1, Section 2
criticalAHIMA - AHIMA-DOC-003
Missing Provider Signature
Progress note requires attending physician signature
Location: Page 3, Footer