AI-powered coding assistant for SNF/ALF primary care providers
Analyzes de-identified clinical notes and returns tiered ICD-10 and CPT coding recommendations with HCC capture guidance — built for primary care providers practicing in skilled nursing facilities and assisted living communities.
What this tool is NOT
Red, yellow, and green alerts for hospice modifier issues, place-of-service errors, and denial risks. Displayed first so you catch problems before submitting.
Recommends the appropriate E/M code (99307–99310 for SNF, 99334–99337 for ALF) based on medical decision-making complexity documented in the note.
Diagnoses fully supported by the assessment and plan, ready to bill on today's claim. Each recommendation includes the ICD-10 code, rationale, and HCC relevance.
Clinically ambiguous findings presented as decision trees. The tool identifies what's in the note and asks the questions a coder would ask — you decide which branch applies.
Future HCC capture opportunities — conditions hinted at in the note that aren't documented enough for today's claim. Useful for annual wellness planning and recapture workflows.
Sidebar showing RAF-relevant conditions, capture status, and annual recapture tracking. Especially relevant for Medicare Advantage patients.
G2211 add-on, CPT-II quality measures, advance care planning codes, and Z51.x encounter codes — billable items often missed in SNF/ALF visits.
Toggle at the top of results. Provider View (default) is streamlined and action-oriented. Detailed Coder View unlocks deeper analysis — MDM breakdowns, audit-ready rationales, compliance notes, and expanded billing alert details. Takes a moment to load as the tool does a deeper pass on your note.
The "Get documentation language" button on each recommendation generates exact clinical phrasing ready to paste into your A&P. Each recommendation has its own button. Takes a moment to generate the first time you click it.
Loads when you click the frailty card in the summary dashboard or switch to Coder View. Covers qualification status, frailty indicators with ICD-10 codes, advanced illness conditions, dementia medications as proxy, HEDIS measures that get excluded, and copy-paste language for undocumented indicators.
Ask coding questions in context of the analyzed note. The AI remembers your note and prior analysis, so you can ask things like "Why not I50.9?" or "Does this qualify for 99310?"
The tool uses a two-call AI architecture: a fast initial analysis renders the provider view progressively as sections complete, followed by lazy enrichment when you request the detailed coder view or copy-paste documentation.
The three-tier system is designed to prevent overcoding. Tier 1 includes only diagnoses fully documented in the A&P. Tier 2 requires explicit provider confirmation. Tier 3 is informational only and should never appear on today's claim. All output is HCC-aware and written in provider language, not coder jargon.