AI medical coding, answered.

AI medical coding software reads the provider's documentation for an encounter and assigns the codes a claim needs: CPT® and HCPCS codes for the services, ICD-10-CM codes for the diagnoses, the E/M level for the visit, and the modifiers, units and diagnosis pointers that tie them together. Done well, it codes routine encounters in minutes and sends the ones that need judgment to a certified coder.

No. It takes the routine, high-volume encounters off their desk so they can focus on the charts that need expertise: documentation questions, unusual services, payer disputes. You decide which encounters always go to a person.

Office and outpatient visits (99202–99205 and 99212–99215) are leveled on medical decision making under the AMA E/M guidelines: the number and complexity of problems addressed, the amount and complexity of data reviewed and analyzed, and the risk of patient management. The level is the one supported by two of the three elements, applied the same way on every visit.

No. It is designed so every code is backed by the provider's documentation. When the documented level and the level the provider selected disagree, in either direction, the encounter goes to a coder instead of being changed automatically.

We measure accuracy on your own encounters before go-live: we code a sample of your past charts and your coders review every line with us. You see the agreement rate by code type before a single claim is billed. We don't quote a generic accuracy number, because yours is the one that matters.

Outpatient and ambulatory care: urgent care, primary care and family medicine, pediatrics, and behavioral health, including psychiatric medication management visits. We do not code inpatient, surgical or facility claims.

We work with eClinicalWorks today, coding signed encounters and writing the codes back to the claim. We confirm the connection for your eClinicalWorks setup during onboarding. Using a different EHR? Tell us which one and we'll be straight with you about what's possible.

Our target is 30 to 60 days from signed agreement to go-live: EHR connection, payer and fee schedule setup, validation on your past charts, then go-live one service line at a time. Timing depends mostly on how quickly EHR access is granted.

Yes. In a 2-week trial we code up to 300 of your encounters without posting anything, and your coders compare our codes with theirs. It requires EHR access and a signed Business Associate Agreement.

We operate as your business associate under HIPAA and sign a Business Associate Agreement before we receive any protected health information. We access only the minimum necessary data to code your encounters. See our security page for details.

No. Your patients' information is used to code your encounters and for nothing else.

Pricing depends on your monthly encounter volume, your specialties and your EHR. Request pricing and we'll send it within one business day.

Yes. Billing companies can cover all their client practices under one agreement, with settings for each practice.