Ensure charts prove medical necessity and services before payer audits occur. Our AI validates documentation to prevent denials and clawbacks.
Healthcare organizations face increasing audit pressure from payers. Proactive compliance prevents costly repayments and reputational damage.
High CPT volumes, peer comparison concerns, and duplicate claims trigger payer investigations that can result in extensive audits.
Incomplete treatment plans, unsupported medical necessity, and missing signatures create vulnerabilities that auditors exploit.
Prior authorization gaps, LCD/NCD violations, and state/federal regulatory non-compliance expose organizations to significant financial risk.
Our AI platform reviews every chart for compliance issues before claims are submitted, dramatically reducing audit exposure.
AI validates 100% of billed services against payer policies, LCD/NCD requirements, and documentation standards before submission.
Pre-bill error detection identifies documentation gaps and coding mismatches, preventing costly repayment demands.
Real-time provider feedback improves documentation quality across your organization, reducing future compliance issues.
Cost Efficiency
98.2%
Cheaper than human auditors for comprehensive chart review based on average US medical biller/coder salary
A simple three-step process to achieve continuous compliance across your organization.
Work with a dedicated engineer to configure payer-specific rules, LCD requirements, and compliance thresholds for your organization.
Real-time AI review of every chart identifies compliance issues, documentation gaps, and medical necessity concerns before billing.
Generate compliance reports, automate correction workflows, and compile audit-ready documentation with full traceability.
Everything you need to know about chart intelligence for payer compliance
See how chart intelligence catches compliance issues before payers do.