WellSpan Bringing AI Tools to Clinical Documentation Integrity
Julie Platt, M.D., M.B.A., medical director for clinical transformation at WellSpan Health, recently detailed the work that York, Pa.-based WellSpan has been doing with Premier, Inc.’s Stanson Health on adding AI-based tools to enhance clinical documentation integrity.
She said the tool they are working on is not just about smarter coding. It's about smarter collaboration. “It's designed to reduce friction, improve provider engagement and align documentation with clinical truth,” Platt said. “In today's regulatory environment, we can't afford ambiguity. Clear, accurate documentation isn't just best practice, it's essential for compliance, financial sustainability and patient trust.”
Unlike many healthcare systems, Platt explained, WellSpan does not have a dominant presence in Medicare Advantage that it owns. “This has shaped a unique approach to clinical documentation integrity. With a clear focus on doing the right thing for patients and providers, our strategy prioritizes clinical accuracy and provider engagement,” she said. “HCC risk capture is framed not as a coding exercise, but as a reflection of the true patient complexity. This matters because our care management workflows are directly informed by the risk scores, enabling more personalized, proactive care.”
She then explained why AI-based tools are beginning to transform this space. “When we began designing an ambulatory clinical documentation integrity program in 2022, we needed a solution that was people-centered, that could integrate seamlessly in our existing workflows, support our teams in improving diagnostic accuracy from the very start of the patient visit to the post-visit coding,” she said. .“Given our strong relationship with Stanson and Premier, we began collaborating in 2022 to explore a new path forward to leverage AI to streamline point-of-care diagnostic accuracy while accelerating post-visit coder efficiency.”
In March Premier’s CodingCare solution was granted official Toolbox status by Epic. “That's a rare distinction currently held by just 26 programs across the country,” she said. “I’ll be honest, I did not initially grasp how significant that designation was, but what it means is that Epic has recognized this solution as both unique and valuable, and they are actively investing resources to support its deeper integration.”
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