Coding Consultant SNF / ALF Primary Care
6ee0999
No file selected
How to use this tool
📋
No note analyzed yet
Paste a de-identified note on the left and confirm compliance to begin.
Connecting...
Coding Analysis
Ask a follow-up question

Coding Consultant

AI-powered coding assistant for SNF/ALF primary care providers

Quick Start

What this tool does

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

  • Not HIPAA-regulated — but designed with privacy in mind
  • No data is stored, retained, or viewed by anyone
  • No advertising, no tracking, no model training on your data
  • No data sharing with any third party
  • Notes are processed by Claude (Anthropic) and discarded — no data retention
  • You are responsible for de-identifying notes before submission

Three steps

1
Paste a de-identified clinical note
2
Click Analyze Note
3
Review tiered recommendations
Each note is analyzed in real time by AI — expect about 30 seconds before results start appearing. You'll see billing alerts, E/M code selection, and three tiers of ICD-10 recommendations.
De-identify before pasting. Remove or generalize: patient name, date of birth, MRN, specific dates of service, facility name, geographic details, and any other PHI. Use initials or pseudonyms for referring providers.
Output Walkthrough

Initial analysis (loads automatically)

1. Billing Alerts

Red, yellow, and green alerts for hospice modifier issues, place-of-service errors, and denial risks. Displayed first so you catch problems before submitting.

2. E/M Code Selection

Recommends the appropriate E/M code (99307–99310 for SNF, 99334–99337 for ALF) based on medical decision-making complexity documented in the note.

3. Codes Supported by Encounter

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.

4. Tier 2: Confirm with Provider

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.

5. Tier 3: Documentation Flags

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.

6. HCC Scorecard

Sidebar showing RAF-relevant conditions, capture status, and annual recapture tracking. Especially relevant for Medicare Advantage patients.

7. Additional Codes

G2211 add-on, CPT-II quality measures, advance care planning codes, and Z51.x encounter codes — billable items often missed in SNF/ALF visits.

Interactive features (click to activate)

8. Provider View vs. Detailed Coder View

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.

9. Copy-Paste Documentation

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.

10. Frailty & Advanced Illness Analysis

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.

11. Follow-up Q&A

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?"

Trust & Sources

How it works

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.

Methodology

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.

Clinical references

  • 2021 AMA/CMS E/M Documentation Guidelines
  • CMS-HCC Risk Adjustment Model (V28)
  • ICD-10-CM 2026 Code Set
  • NCQA HEDIS 2025 Technical Specifications (Frailty/Advanced Illness)
  • CMS SNF Prospective Payment System (PDPM)

Limitations

  • No live CMS database verification — codes are based on the AI's training data
  • Single-note context — the tool cannot access the patient's full chart history
  • Not a substitute for certified coder review on complex claims