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Paper · arXiv

Closing Ambient Clinical Documentation Gaps with Automated Provider Queries

Provider queries are clarifying requests sent by clinical documentation specialists to physicians to close gaps in the clinical note and ensure accurate billing. Prior work automates note drafting, ICD-10 coding, and order extraction assuming a complete transcript, leaving these gaps unaddressed. We study whether an LLM can automate the query loop, termed DAU (Draft, Ask, Update), across those three tasks. An audit of 3,000 real visits identifies the sources of missing documentation, from which we build five transcript-degradation benchmarks on public data. Analyzing 21k clarification turns on real conversations, we find useful-question predictors are task-specific: oracle confidence domi...

AuthorsJoseph Paul Cohen, Raj Shah, Han-Chin Shing et al.
Primary categorycs.CL
Published5 October 2026
Last updated at source5 October 2026
cs.CL
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