100% audit coverage.
Not a sample.
Visit-Level Quality Assurance analyzes every recorded clinical visit — guideline adherence, documentation completeness, risk language, escalation appropriateness — and delivers the defensible audit trail that $2M in QA labor used to approximate.
A 5% sample isn't a quality program.
Manual QA reviews 2–5% of visits. The remaining 95% is unreviewed — which means every audit finding, protocol deviation, and documentation gap in that invisible majority goes uncaught. Your QA team is running hard to audit a fraction, while the rest of your quality story is unwritten.
What it does
Visit-Level Quality Assurance processes every recorded visit through CogniSwitch's clinical knowledge layer — scoring against four dimensions: guideline adherence, documentation completeness, risk language appropriateness, and escalation handling. Each finding is sourced to the specific transcript line. Aggregate scores roll up to provider-level and network-level quality views.
Guideline Adherence
Did this visit follow the applicable clinical protocol?
Documentation Completeness
Were required elements documented?
Risk Language Monitoring
Was risk language handled appropriately?
Escalation Appropriateness
Were escalation criteria applied correctly?
The outcome ladder
- Defensible 100% audit coverage — every visit reviewed, every finding documented, every source cited.
- Regulatory-ready evidence: documentation that holds in payer audits, accreditation reviews, and legal inquiries.
- $2M in QA labor replaced by systematic coverage — verified at First Stop Health [FSH-4].
- QA team focus shifts from sampling to reviewing flagged cases and building protocols.
- Clinical governance story for employer and broker conversations — 100% coverage is a differentiating claim.
- VBC and Stars submissions backed by comprehensive visit-level evidence.
Paired with Provider Performance & Protection and Clinical Stewardship Monitoring
Visit-Level Quality Assurance provides the audit structure at the visit level. Provider Performance & Protection aggregates it at the individual provider level. Clinical Stewardship Monitoring applies it to specific protocol domains — antibiotic, steroid, controlled-substance prescribing. Together they cover the full quality surface.
First Stop Health
Transitioned from manual, statistically insignificant sampling to a governance model that analyzes every provider interaction — across a national network.
“We aren't projecting these numbers. This is in production today, powering our clinical governance at scale.”
$2M in annualized QA savings verified at First Stop Health — <5% manual sampling replaced with 100% automated review across 250,000+ annual visits.
Not an EMR query. Not a generic LLM. Every output is traceable.
Not a demo.
A working session.
Bring your QA rubric and a sample of flagged visits. We'll show you how 100% coverage changes what you can defend — in 45 minutes.
Request a working session