70% less time on documentation

How Cogninest AI Powers AI-Driven Medical Notes and Code Extraction for Billing

AI-powered automation transforming clinical documentation at GGZ Noord-Holland-Noord

Documentation time
70% reduction
Clinical record accuracy
AI-driven, minimized errors
ICD coding
Automated extraction
EHR integration
Seamless one-click push
01The Challenge

Clinicians overwhelmed by administrative documentation burden

GGZ Noord-Holland-Noord, a leading mental health organization, was facing a significant administrative challenge affecting the efficiency of its healthcare professionals. Clinicians were spending excessive amounts of time on manual documentation tasks, including transcribing doctor-patient consultations, summarizing clinical notes, and assigning International Classification of Diseases (ICD) codes. These processes were not only time-consuming but also prone to human errors, which could impact the accuracy of medical records and delay patient care. As the volume of consultations increased, the burden of documentation became even more overwhelming. Healthcare professionals had to split their attention between providing quality care and keeping up with administrative requirements, leading to burnout and inefficiencies. The lack of automation made it difficult to maintain standardized records, which are crucial for accurate medical billing, compliance, and effective patient management. The organization sought an AI-driven system to transcribe consultations with high accuracy, generate structured clinical summaries, and automatically extract ICD codes while integrating seamlessly with Electronic Health Records.

  • Excessive time spent transcribing consultations and summarizing notes
  • Manual ICD code assignment prone to human errors
  • Increasing consultation volume magnifying documentation burden
  • Clinician burnout from split attention between care and admin
  • Difficulty maintaining standardized records for billing compliance
02What We Built

End-to-end clinical documentation automation with custom fine-tuned models

Cogninest AI developed a cutting-edge AI-powered solution automating transcription, clinical summarization, and ICD code extraction with seamless EHR integration.

Audio Transcription

Custom fine-tuned Whisper model transcribes doctor-patient interactions with remarkable precision, preserving every critical detail from consultations.

Clinical Summarization

Custom fine-tuned LLM with QLoRA (Qwen2.5 8B, hosted using vLLM) generates structured and concise clinical summaries capturing patient conditions, symptoms, diagnoses, and treatment plans.

ICD Code Extraction

Automated extraction assigns the correct ICD codes to each case, simplifying billing and ensuring compliance with medical coding standards.

Review and EHR Integration

Intuitive interface empowers clinicians with tools to review, edit, and finalize summaries. Font adjustments, copy/cut options, and approval process let professionals mark records as "Ready for EHR" for seamless transition into digital health systems.

Custom fine-tuned Whisper (transcription)Qwen2.5 8B with QLoRA via vLLM (summarization)Automated ICD code extractionPython (FastAPI, Flask)React.js frontend with editing toolsAWS scalable deploymentData anonymization and end-to-end encryption

"This AI-powered documentation system has been a game-changer for us at GGZ Noord-Holland-Noord. The time saved on administrative tasks allows our clinicians to focus on what matters most, patient care. The accuracy and efficiency of the solution have significantly improved our clinical workflows."

GGZ Noord-Holland-Noord

Mental Health Organization, Netherlands

03The Outcome

Clinicians reclaimed for patient care with accurate, automated documentation

The implementation transformed clinical workflows at GGZ Noord-Holland-Noord, delivering measurable improvements across documentation, accuracy, coding, and adoption.

70%

reduction in time spent on documentation

Improved

accuracy of clinical records with minimized errors

Faster

and more efficient ICD coding for billing

Seamless

adoption by healthcare professionals