A CAC worklist shows a 98% confidence score for an MCC that is weakly supported in the record. What should the coder conclude?
Select an answer to reveal the explanation.
Short Explanation
A big confidence percentage is just the software sounding sure of itself—not proof the chart supports the code. High score, thin documentation? You still validate or query.
Full Explanation
CAC confidence metrics estimate model certainty, not clinical validity or Official Guideline satisfaction. Coders must confirm documentation supports each code. High confidence alone does not authorize assignment or replace compliant query practices when clarity is lacking.