Outpatient Coding

Bill accurately for guaranteed payout

Automated pre-bill CPT/ICD-10 coding audits catch errors before submission, ensuring accurate reimbursement and reducing compliance risks.

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The Challenge

Healthcare organizations face critical coding challenges that impact revenue and compliance

Lost Revenue from Undercoding

Services under-documented or billed at lower levels create significant revenue leakage. Missed add-on codes and incomplete documentation leave money on the table.

Compliance Risks from Overcoding

Over-billing exposes providers to audits, clawbacks, and substantial fines. Without proper review, coding errors can lead to serious compliance violations.

Operational Inefficiencies

Manual reviews are time-consuming and inconsistent. Most organizations only audit 5-10% of charts, delaying revenue cycles and missing critical errors.

AI Solution

AI-Powered Chart Review

Transform your coding workflow with intelligent automation that scales

Capture Missed Revenue

Analyze 100% of charts to identify undercoded services, missed add-on codes, and documentation gaps that impact reimbursement.

Reduce Compliance Risk

Flag overcoding, documentation mismatches, and LCD violations before claims submission to prevent audits and clawbacks.

Scale Coding Capacity

Increase audit coverage without adding headcount. AI handles the volume while your team focuses on complex cases.

How It Works

A simple three-step process to transform your coding workflow

1

Customize Your AI

Work with a dedicated engineer to configure the AI environment for your specific coding requirements and payer rules.

2

Pre-Bill Review

Conduct real-time reviews on 100% of charts before submission, catching errors and identifying optimization opportunities.

3

Automate Corrections

Implement automated feedback loops to your EMR, streamlining corrections and improving documentation quality over time.

Up to 70%

Our customers have reduced claim denials by holding claims with documentation errors and LCD violations before submission.

Frequently Asked Questions

Everything you need to know about chart intelligence for outpatient coding

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See how chart intelligence catches coding errors before they become denials

Most organizations only have time to review 5% of their records. Our AI reviews 100% of your charts with total transparency, turning an abyss of unread data into an audit-ready engine for increased revenue.

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