Business & Operations

Structures drug formulary reviews with efficacy, safety, cost-effectiveness, and therapeutic interchange analysis. Use when evaluating formulary additions, conducting P&T reviews, or analyzing therapeutic alternatives.

Structures FTT evaluation with growth curve analysis, caloric calculations, and workup algorithms. Use when evaluating poor growth, calculating caloric needs, or managing failure to thrive.

Applies 2021+ E/M guidelines with medical decision-making or time-based code selection. Use when coding E/M services, determining MDM level, or selecting E/M codes.

Structures environmental health evaluations with exposure assessment and risk communication. Use when assessing environmental health risks, evaluating contamination, or communicating environmental findings.

Guides workup for heat stroke, hypothermia, drowning, and envenomation. Use when managing environmental injuries, treating temperature-related emergencies, or assessing envenomation.

Guides root canal evaluation and treatment documentation with pulp/periapical diagnosis and outcome assessment. Use when evaluating endodontic cases, documenting root canal treatments, or assessing treatment outcomes.

Structures EHR implementation planning with workflow analysis, data migration, and go-live readiness. Use when planning EHR deployments, managing system migrations, or preparing for go-live events.

Guides eating disorder assessment with medical stability criteria and treatment level determination. Use when evaluating eating disorders, assessing medical stability, or determining treatment level.

Optimizes MS-DRG assignment through accurate principal diagnosis selection and CC/MCC capture. Use when optimizing DRGs, capturing comorbidities, or improving case mix index.

Tracks surgical drain output with removal criteria and complication recognition. Use when monitoring drains, documenting drain output, or determining drain removal timing.

Evaluates digital health tools and apps with clinical evidence assessment and integration planning. Use when evaluating health apps, assessing digital therapeutics, or planning digital health integration.

Administers and interprets PHQ-9 with severity-based treatment pathways and safety assessment. Use when screening for depression, interpreting PHQ scores, or initiating mental health treatment.

Structures dental radiograph interpretation with caries detection, bone level assessment, and pathology identification. Use when reading dental X-rays, identifying radiographic pathology, or documenting dental imaging findings.

Structures dental practice quality assessment with peer review and outcomes tracking. Use when conducting dental QA, performing peer review, or tracking treatment outcomes.

Evaluates medical-dental interactions with systemic disease impact on dental treatment planning. Use when managing medically complex dental patients, adjusting treatment for systemic disease, or coordinating medical-dental care.

Guides emergency dental assessment with triage protocols and immediate management documentation. Use when managing dental emergencies, triaging urgent dental conditions, or documenting emergency dental care.

Structures DSMB operations with interim analysis protocols and stopping rules. Use when managing DSMBs, conducting interim analyses, or implementing stopping criteria.

Tracks critical value notification with documentation requirements and clinical correlation. Use when reporting critical lab values, verifying notification, or documenting critical result acknowledgment.

Structures contact tracing operations with case investigation, contact identification, and monitoring protocols. Use when conducting contact tracing, managing case investigations, or monitoring exposed contacts.

Structures ACHD evaluation with lesion-specific monitoring and pregnancy risk assessment. Use when managing adult congenital heart disease, evaluating ACHD patients, or assessing pregnancy risk in CHD.

Monitors CMS Conditions of Participation compliance with survey readiness documentation. Use when preparing for CMS surveys, tracking CoP compliance, or managing survey readiness.

Structures OIG-model compliance program elements with effectiveness measurement and reporting. Use when building compliance programs, implementing OIG guidance, or measuring program effectiveness.

Structures coding compliance audit programs with sampling methodology and corrective action plans. Use when conducting compliance audits, designing audit samples, or implementing corrective actions.

Documents goals-of-care conversations with code status decisions and advance directive alignment. Use when discussing code status, documenting goals-of-care, or recording advance directive conversations.