The AI uses machine learning to analyze vast datasets of historical claims and identify patterns that lead to rejections. This allows the system to flag a claim's denial risk before it is submitted, giving staff a chance to make corrections proactively.
Leverages Natural Language Processing (NLP) to scan clinical documentation and suggest the most accurate ICD-10 and CPT codes, significantly reducing compliance risks associated with upcoding or downcoding.
Automatically identifies and records all billable services from physician notes and electronic health records, ensuring no revenue is lost due to missed charges.
Our foremost value is Accuracy, as the system's primary function is to guarantee that claims are clean, compliant, and correct on the first submission.
Intrinsically linked to accuracy, with the goal of streamlining workflows, eliminating redundant manual tasks, and accelerating the entire revenue cycle.
Manifested through intuitive dashboards and real-time analytics that provide clear visibility into financial performance, claim status, and potential bottlenecks.
Underpinning all is an unwavering commitment to ensuring robust protection of sensitive patient data and strict adherence to HIPAA regulations.
The journey begins with the AI platform being securely connected to the practice's existing Electronic Health Record (EHR) and Practice Management (PM) systems.
Once live, patient encounter data flows into the system, where AI assists with charge capture and coding.
Before submission, every claim undergoes a rigorous review, where the AI scrubs it for errors and flags it for potential denial.
After submission, the platform provides real-time tracking until payment is received.
In the event of a denial, the system facilitates an intelligent process by categorizing the reason and recommending the most effective appeal strategy.
Turning data into actionable insights for continuous financial improvement.
Find answers to common questions about our services, process, and expertise.
