Abstract: Computerized systems and methods identify deficiencies in patient data that may impact payment for services rendered to a patient and facilitates collection/correction of patient data to address the deficiencies. The deficiencies occur in two main situations: (1) a physician has confirmed a diagnosis that impacts payment but the patient data does not satisfy clinical evidence, direct evidence, and treatment requirements to support the diagnosis; and (2) the patient data satisfies clinical evidence, direct evidence, and treatment requirements to support a diagnosis but a physician has not confirmed the diagnosis. When a deficiency is identified, an electronic notice is generated and delivered over a communication network to a clinician computing device. The notice may provide the clinician access to a user interface that allows the clinician to enter additional information or clarify information in the patient data to address the deficiency.

Abstract: Computerized systems and methods identify deficiencies in patient data that may impact payment for services rendered to a patient and facilitates collection/correction of patient data to address the deficiencies. The deficiencies occur in two main situations: (1) a physician has confirmed a diagnosis that impacts payment but the patient data does not satisfy clinical evidence, direct evidence, and treatment requirements to support the diagnosis; and (2) the patient data satisfies clinical evidence, direct evidence, and treatment requirements to support a diagnosis but a physician has not confirmed the diagnosis. When a deficiency is identified, an electronic notice is generated and delivered over a communication network to a clinician computing device. The notice may provide the clinician access to a user interface that allows the clinician to enter additional information or clarify information in the patient data to address the deficiency.