Ask Pingoo: The Chart-Auditor Agent That Catches LCD Gaps Before Signature
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A feature deep dive on Ask Pingoo — the chart-auditor agent that flags LCD and Medicare compliance gaps in wound care notes before the clinician signs.
Most wound care denials trace back to missing LCD elements — measurements, conservative care documentation, vascular status, or wound etiology — that were fixable while the chart was still open. Ask Pingoo is the chart-auditor agent that catches those gaps before signature.
What Pingoo checks
- LCD element coverage — confirms each payer-required data point is present for the CPT and HCPCS codes on the note.
- Conservative care history — verifies documented offloading, debridement cadence, and prior therapies for skin substitute claims.
- Measurement recency — flags wounds without a current length/width/depth or percent area reduction trend.
- Etiology and staging consistency — catches DFU staging that contradicts the wound description, or venous ulcers missing ABI/compression notes.
- Signature-blocking vs advisory flags — hard stops for audit-critical omissions, soft nudges for best-practice additions.
Why pre-signature matters
Once a note is signed and a claim goes out, fixing a gap means an addendum, a rebill, or an appeal. Pingoo runs during charting, so the correction takes seconds instead of weeks. Paired with WISER claims and compliance, the audit trail is preserved for every flag raised and resolved.
How it fits the six-agent pipeline
Pingoo is one of six agents in the AI scribe for wound care stack. The scribe drafts the SOAP note, the coder attaches CPT/ICD-10/HCPCS, and Pingoo audits the combined output against the active LCD before the clinician signs.
What clinicians see
A short checklist in-line with the note. Green items are complete, yellow items are advisory, red items block signature until addressed or explicitly overridden with a reason.
For the full walkthrough, see Inside Ask Pingoo.