Abstract: A computer implemented method includes generating a first interface view showing a first diagnosis for a patient during a patient encounter with a healthcare provider, receiving a first query in response to the first interface view, the query soliciting further specificity with respect to the first diagnosis, making the query available to the healthcare provider, receiving a first response providing further specificity with respect to the first diagnosis, receiving an updated code in response to the first response, storing the code, receiving one or more further updated codes specified by the CDI specialist in response to one or more queries and responses based on further diagnoses, storing the one or more further codes, and generating an incremental query impact summary based on the updated code and one or more further updated codes to illustrate the effect of each stored updated codes in response to queries.

Abstract: A computer system implements a concurrent Clinical Document Improvement (CDI) and coding workflow, such as may be used to generate codesets for use in connection with medical bills. The concurrent workflow enables steps in the coding process to be performed close to admission and concurrently with (e.g., interwoven with) the patient visit and steps in the CDI process, thereby increasing the accuracy of the resulting codesets and the efficiency of the codeset generation process. In particular, this concurrent coding workflow may be used to resolve DRG mismatches and enable codesets to be finalized immediately upon discharge of the patient from the hospital.