AI-powered compliance scoring for Clinical Documentation Integrity queries. Evaluate against ACDIS/AHIMA 2022 guidelines before sending to physicians.
6
Compliance Dimensions
4
Regulatory Bodies
AI
Powered Analysis
Compliance Report
MODERATE2 findings require attention
View full report for recommendations
Every query is scored across five critical dimensions defined by ACDIS/AHIMA 2022 guidelines and enforced by CMS and OIG regulations.
Identifies phrases that steer physicians toward a specific diagnosis, violating ACDIS/AHIMA neutrality standards.
Validates that queries cite specific, patient-episode clinical evidence drawn directly from the documented record.
Ensures all plausible diagnoses are listed alongside 'Unable to determine' and 'Other: ___' options.
Reviews the query title for neutrality, it must name the clinical question, not suggest the expected answer.
Detects re-submission of the same query until a desired physician response is obtained a critical violation.
Zero-tolerance scan for DRG references, reimbursement framing, quality scores, or any financial considerations.
Built on industry-recognized compliance standards
ACDIS
Query Practice Brief 2022
AHIMA
CDI Guidelines
CMS
Medicare / Medicaid Rules
OIG
Fraud & Compliance