Inside Ask Pingoo: The Chart-Auditor Agent That Reviews Wound Notes Before Signature
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A deep dive into Ask Pingoo, WoundScribe's chart-auditor agent that surfaces compliance, coding, and measurement gaps in plain language before you sign.
Ask Pingoo is the second brain on every WoundScribe encounter — a chart-auditor agent that reads your finished SOAP note, billing, and imaging, then hands back a plain-language review before signature. This is a look at what it inspects and how it decides.
What Ask Pingoo actually reviews
- SOAP coherence. Does the Assessment reflect the Subjective and Objective? Are new diagnoses supported by documented findings?
- Measurement completeness. Length, width, and depth for every open wound. A missing depth on a diabetic heel ulcer triggers an amber flag tied to E/M 99213 documentation guidance.
- Medication reconciliation. Cross-checks documented antibiotics and analgesics against the plan and any noted infection signs.
- Coding integrity. Confirms CPT-to-ICD-10 pairing (e.g., 11042 debridement paired with L97.419), checks for modifier 25 when an E/M is billed with a procedure, and flags NCCI edits.
- Care-plan gaps. Offloading for diabetic foot ulcers, compression for venous ulcers, nutrition referral for stalled wounds.
How the review is delivered
Each finding lands as a card with three parts: the flag, the citation (CMS NCCI Policy Manual, LCD, or internal clinical guidance), and a suggested next step with the associated CPT or HCPCS code and approximate Medicare reimbursement. Amber flags allow signing; red payer-specific flags block it until resolved or acknowledged with a one-click fix.
Where it fits in the agent chain
Summarizer, Assessment, and Planner draft the note. The Validator returns a verdict. Ask Pingoo runs after — the reviewer, not the writer — so its findings reflect the chart you're about to sign, not a draft. See the coding agent deep dive for how code suggestions are generated upstream, and the AI-powered EMR for wound care for the full workflow.