NOVIQ Engine — Clinical Coding Intelligence Platform

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ACS Scoring

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AR-DRG Grouping

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Physician Review

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EP-2026-0001

Waiting for patient data...

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WAITING

Intent Agent

Reading and parsing EHR documents. Extracting clinical intent, diagnoses, and procedures from structured and unstructured data.

Awaiting start

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WAITING

ACS Scoring Engine

Evaluating Principal Diagnosis (PDX) and Additional Diagnoses (ADX) against ACS complexity criteria.

Awaiting intent extraction

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WAITING

AR-DRG V11.0 Grouper

Running 5-step pipeline: Pre-MDC check → MDC assignment → ADRG mapping → Split/unsplit → Final DRG.

Awaiting ACS scoring

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WAITING

Critique & Ethics Agent

Dual validation: checking for upcoding risks, revenue leakage, and clinical consistency before physician review.

Awaiting grouper completion

Ready to process

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PENDING APPROVAL

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ECCS Score

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ACS PDX Score

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Meets coding threshold (≥5)

Confidence

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⚑ Intelligence Flags

📝 Final Code Summary

Principal DX

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Procedure

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AR-DRG

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LOS

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Physician approval required before submission · assert_approved() gate active

Patient	Episode	AR-DRG	Flags	Status	Processed
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Episodes Processed

41

This month

Upcoding Flags Caught

7

Before submission

Revenue Leakage Found

3

Undercoded episodes corrected