Clinical Documentation
Document encounters using structured SOAP notes with Subjective, Objective, Assessment, and Plan sections.
CLINICAL CODING & DOCUMENTATION WORKFLOWS
Clinical Documentation and Medical Coding. Better Connected.
HealthVision brings clinical documentation, diagnosis coding, and superbill management together within its EHR workflow.
From ICD-10 and SNOMED diagnosis search to CPT-coded services and encounter-based superbills, HealthVision helps clinical and billing teams work with the information needed to document and process patient visits.
ICD-10 & SNOMEDCPT CodesClinical DocumentationSuperbillsBilling Workflows
ONE CONNECTED CLINICAL WORKSPACEREAL PRODUCT SCREENS
Clinical chart + diagnosesREAL EHR SCREEN
Encounter billing + ledgerREAL EHR SCREEN
CONNECTED CLINICAL DOCUMENTATION
From Patient Encounter to Coded Clinical Records.
HealthVision connects clinical notes, documented diagnoses, medications, and encounter information within the patient record.
Diagnosis Coding
Search the ICD-10 and SNOMED databases to select coded diagnoses for the patient record.
Problem List Management
Organize diagnoses as Chronic, Acute, or Historical and maintain the patient's documented conditions.
Encounter-Based Coding
Work with clinical diagnoses and services when preparing the encounter superbill.
HealthVision EHR • Patient SummaryREAL EHR SCREEN
Clinical Notes, Diagnoses, and Billing Information in One Workflow.
HEALTHVISION CODING CAPABILITIES
The Coding Tools Your Team Needs in the EHR.
01
ICD-10 Diagnosis Search
Search the ICD-10 database and select relevant diagnosis codes to document patient conditions.
02
SNOMED Clinical Terminology
Use the supported SNOMED search alongside ICD-10 when documenting clinical diagnoses.
03
Diagnosis Classification
Classify recorded diagnoses as Chronic, Acute, or Historical within the problem list.
04
CPT Coding in Superbills
Document relevant CPT-coded services within the encounter-based superbill workflow.
05
Diagnosis-to-Service Documentation
Include ICD-10 diagnosis information alongside the CPT-coded services recorded in the superbill.
06
Scribe AI ICD-10 View
Access the ICD-10 tab in the documented Scribe AI interface while reviewing AI-generated encounter documentation.
07
Superbill Task Management
Track incomplete superbills through the Tasks module, including tasks for unfinished or unsubmitted billing records.
08
Billing Reports
Review and manage superbill information through the documented Billing Report.
From Clinical Documentation to Superbill Review.
FROM DOCUMENTATION TO BILLING
Five Steps. One Connected Coding Workflow.
Document the Patient Encounter
Start the encounter and record the clinical information, including chief complaint, relevant findings, diagnoses, medications, and clinical notes.
Select Clinical Diagnoses
Use the supported ICD-10 and SNOMED search to select and document applicable patient diagnoses.
Prepare the Superbill
Open the Superbill section within the encounter and work with the CPT-coded services and relevant ICD-10 diagnoses.
Review & Complete the Codes
Complete the applicable coding information. Any unfinished superbill remains visible through the documented task workflow.
Finalize the Encounter & Billing Work
After the encounter is signed, the billing team can continue working with the superbill and relevant financial records.
Document. Code. Review. Complete.
HealthVision Scribe AI • Actual screenREAL EHR SCREEN
AI Assists With Documentation. Clinicians Review and Sign.
AI WITHIN THE CLINICAL WORKFLOW
AI Medical Scribe Supports the Documentation Process.
HealthVision's documented Scribe AI captures spoken patient encounters and prepares clinical note drafts for clinician review.
AI-Generated Clinical Notes
Prepare draft SOAP and H&P documentation using the supported Scribe AI workflow.
ICD-10 Documentation View
Review the ICD-10 tab available within the Scribe AI interface.
Clinician Review & Editing
Review and edit generated documentation before signing.
Clinical Sign-Off
The clinician signs and attests to the note before it becomes part of the patient record.
FROM ENCOUNTER TO PRACTICE BILLING
Keep Coding and Billing Workflows Connected.
HealthVision includes documented billing functions that connect encounter information with practice financial records.
Encounter Superbills
Create and complete superbills containing the documented services and associated diagnoses.
Unsubmitted Superbill Tasks
Track incomplete coding and billing work through the Tasks module.
Patient Ledger
Review encounter-related charges, payments, adjustments, and outstanding balances.
Billing Reports
Access practice superbill information through the Billing Report.
Payer Reports
Review documented payer information for the practice.
Payment Collection Reports
Review recorded payment transactions and relevant payment details.
HealthVision EHR • Patient LedgerREAL EHR SCREEN
One Connected Workflow From Clinical Encounter to Billing Records.
Explore Billing & PaymentsMEDICAL CODING FAQs
Your Clinical Coding Questions. Answered.
Answers about documented coding tools, superbills, and the limits of current AI and E/M functionality.
Need help evaluating HealthVision?Talk to our team about your practice workflows.Request a Demo
01Does HealthVision support ICD-10 coding?
Yes. The EHR includes ICD-10 diagnosis search and supports selecting coded diagnoses within the patient record.
02Does HealthVision support SNOMED?
Yes. The product manual documents SNOMED search alongside ICD-10 for clinical terminology and diagnoses.
03Can HealthVision manage CPT codes?
The documented superbill workflow includes CPT codes for services performed during the patient encounter.
04Does HealthVision include an AI coding feature?
The supplied product PDF documents an ICD-10 tab within Scribe AI and standard clinical coding workflows. It does not confirm a separate AI-generated coding suggestion feature.
05Can HealthVision automatically evaluate E/M levels?
Automated E/M level evaluation is not established by the supplied product PDF.
06Can clinicians review and edit AI-generated documentation?
Yes. The documented Scribe AI workflow allows clinicians to review, edit, and sign or discard clinical note drafts.
07How are incomplete superbills managed?
The documented Tasks module identifies unfinished or unsubmitted superbills and provides a way to return to the relevant superbill.
08Is coding information connected to billing?
Yes. HealthVision's documented workflow associates CPT-coded services and ICD-10 diagnoses with encounter-based superbills. Billing information can then be reviewed through supported ledger and reporting functions.
EXPLORE HEALTHVISION CLINICAL & BILLING WORKFLOWS
Better Connected Documentation. More Organized Coding Workflows.
Discover how HealthVision brings clinical notes, diagnosis coding, superbills, and billing information together within the EHR.