Features
Audits every encounter against coding standards and payer policies
Pre-bill denial prevention with rule citations
Automated denial appeal drafting and submission
Revenue recovery from aging A/R
Real-time payer contract compliance
Specialty-specific coding (e.g., Mohs surgery, IVF, dialysis)
Autonomous medical coding at scale
Prior authorization review and submission
Automatic eligibility and electronic prior authorization (ePA)
Monitoring of payer behavior patterns and policy updates
Appeal tracking through adjudication
Customizable workflow for pre-bill and post-bill
HITRUST e1 certified data security
Supports 18+ medical specialties
Integration with EHRs like athenahealth, Epic, and more
Prebill Optimization Suite: unified coding & CDI
Coding Optimizer: surfaces missed coding opportunities
CDI Optimizer: closes documentation gaps
AI Advisor: revenue cycle research assistant
Auth Status: automated authorization checks
Claim Status: automated claim follow-ups
GenAI trained on clinical & financial data
Integration with Epic, Cerner, Meditech
13% average reduction in A/R days
300+ hours staff time saved per month
650+ hospitals and 6,500+ outpatient facilities
Generative AI optimized for healthcare RCM
