Skip to main content

Reviewing Suggested Queries in CDI Optimizer

Z
Written by Zeke Bergeron
Updated over 2 weeks ago

After identifying items in Suggested Queries, use the View details button from the opportunity card to begin reviewing each opportunity in depth to determine if the query is merited.

Query Details

Click on any opportunity card to open the Query Details, which includes the following elements:

  • Condition name: The name of the clinical condition associated with the query opportunity.

  • AI Summary: A summary explaining why the opportunity was surfaced. It will reference relevant vitals, medications, treatments, and other documentation from the patient record.

  • Evidence Links: Clickable links to the relevant condition and subcondition evidence from the patient’s record.

Impact

Beneath the Evidence for links, the Impact card will be expanded by default and shows:

  • Potential Code Changes: Suggested changes by AKASA AI, including examples like Set PDX, Add code, or Delete code.

  • MS-DRG and APR DRG Impacts: Shows potential changes to MS-DRG and APR-DRG codes based on the suggested changes. Baseline values are shown alongside the AI (anticipated) values if you accept the suggested changes, making comparisons easier.

  • Other Impacts: Includes HCC, EC, etc.

If multiple potential impacts are available, toggle through the available options to review the potential code changes and the associated impacts. To set a different impact, click “Use this impact”.

Criteria Cards and Evidence

Below the Impact section there will be criteria cards. Each card contains specific evidence directly related to the diagnoses on the query card.

  • Collapsed View: Each card shows an AI preview of what was found for that criterion.

  • Expanded View: Provides detailed information and allows for cross-checking evidence using links to the dashboard and documents.

Criteria & Evidence Display

When reviewing the details of a Suggested Query, AKASA displays only the clinical indicators and criteria directly related to the diagnoses listed on the query card. If any criteria or evidence - whether met or unmet - does not relate to the diagnoses shown under “Evidence for” or “No evidence for”, it will not appear in the details view.

Cross-checking Dashboards and Documents

To ensure thorough review, use the Clinical Indicators dropdown in the left panel to:

  1. Select the associated condition, which will open the Dashboard Viewer in the center panel.

  2. Review vitals, medications, treatments, and labs related to the condition.

Criteria cards contain links that will route you to evidence in the Dashboard Viewer for a more comprehensive review.

This is an interactive workflow, meaning links in criteria cards can also route you to a document that will appear in the Document Viewer in the center panel for further verification. Additionally, more data is available on hover for certain values on the dashboard.

Did this answer your question?