LITERAL EVIDENCE / DETERMINISTIC RULE CONTEXT / HUMAN CONTROL
MDS / PDPM coding review.
Show the support.
ChartTrace connects SNF source documentation, literal evidence and deterministic rule context so qualified reviewers can inspect a proposed MDS/PDPM result before approving it.
EVIDENCE BEFORE APPROVAL
Beyond finding a mismatch.
Understand the reason.
If you are evaluating MDS audit software or an MDS scrubber, a flagged item is only the beginning. Your team still needs to find the supporting documentation, understand the applicable instruction and decide what to do next.
ChartTrace’s approach to MDS accuracy review keeps those pieces together. AI assists with extracting relevant statements. Deterministic checks evaluate defined inputs. A human reviews the evidence, resolves gaps and owns the decision.
Oral-hygiene observation
The activity was completed at the sink.
02Staff provided verbal cues only; no physical assistance was needed.
One excerpt. Assessment timing and usual performance are not established here.
The supporting words stay linked to line 02.
Compare the observation with the applicable assistance definitions and assessment instructions.
The excerpt suggests supervision. It cannot establish the final assessment response by itself.
Confirm the assessment window, usual performance and any conflicting documentation before approving a result.
AI-ASSISTED MDS CODING
Automation with
a review boundary.
Automated MDS review is useful when the team can inspect its basis. An AI-generated statement is not a substitute for the source record.
- 01
Find the supporting statement
Keep the exact source language and location visible alongside the coding question.
- 02
Inspect the rule and exceptions
See the applicable context, missing support and conflicts instead of treating a candidate as a completed assessment.
- 03
Keep the final call with a reviewer
Approve, reject or return a recommendation for clarification. Retain the reasoning behind that action.
A focused role in
your SNF workflow.
ChartTrace supports evidence-backed coding and billing review. It is not presented as a complete EHR, billing platform, clearinghouse, collections service or outsourced RCM team.
Confirm supported MDS items, PDPM rules, source inputs and deployment requirements during evaluation. Rule coverage and available capabilities are established for the agreed scope.
PUT THE REVIEW IN CONTEXT
Bring a review question.
Trace the answer.
Discuss your MDS/PDPM review process, current documentation challenges and the capabilities your team needs.