Implementation of a Real-Time Documentation Assistance Tool: Automated Diagnosis (AutoDx).
Clinical documentation improvement programs are utilized by most health care systems to enhance provider documentation. Suggestions are sent to providers in a variety of ways, and are commonly referred to as coding queries. Responding to these coding queries can require significant provider time and do not often align with workflows. To enhance provider documentation in a more consistent manner without creating undue burden, alternative strategies are required.
Author(s): Cerasale, Matthew T, Mansour, Ali, Molitch-Hou, Ethan, Bernstein, Sean, Nguyen, Tokhanh, Kao, Cheng-Kai
DOI: 10.1055/a-2319-0598