1. A method of providing an accurate assessment for a medical provider comprising: storing a plurality of medical records at an electronic data storage device; at an electronic processing device, selecting at least one medical record from the plurality of medical records, the at least one medical record being associated with a medical patient, the at least one medical record having an associated initial performance assessment associated with the medical provider who provided medical services associated with the at least one medical record to the medical patient, the initial assessment being determined at the electronic processing device and stored at the electronic data storage device; at the electronic processing device, identifying gaps in service associated with the selected record; in real time and at an electronic presentation device, presenting at least portions of the at least one medical record to the provider; at an electronic user interface associated with the electronic presentation device receiving supplemental information from the provider, the supplemental information relating to the medical patient and including information at least partially filling the identified gaps in service; transmitting the supplemental information from the electronic user interface to the processing device over a communication link; at the electronic processing device, receiving the transmitted supplemental information and automatically and in real-time re-calculating the assessment using the supplemental information without the need for a third-party to approve the reassessment.