This invention describes a system where a Clinical Document Improvement (CDI) system identifies unclear information in a patient's medical record and automatically generates a request for clarification from the doctor. Once that request is created, the CDI system then sends a notification about it to a medical coding system, specifically a Computer-Assisted Coding (CAC) system. This ensures the coding system is aware of the pending documentation improvement before final coding.
Why it matters: Filed before advanced AI could intelligently interpret complex medical text and draft nuanced clarification requests. The part of the invention that identifies documentation gaps and generates requests could now be significantly enhanced by modern NLP and LLMs, making the system more accurate and efficient.
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