AI TOOL PROFILE
xpertcoding: AI Medical Coding and BI Platform
- Healthcare
- Medical Coding
- Hospitals
- Medical Practices
- Healthcare Providers
- Healthcare Payors
Pricing
Pricing was not clearly available from the provided evidence. Buyers should confirm current pricing on the vendor website.
At a glance
- Best for
- Hospitals, Medical Practices, Healthcare Providers, Healthcare Payors
- Key use cases
- Automating Medical Coding, Revenue Cycle Analytics, Risk Adjustment Management, Documentation Feedback
- Integrations
- API, RPA, SMART on FHIR, HL7-ADT messaging, athenahealth
- Official website
- Visit xpertcoding official website
How AI is used
xpertcoding is an autonomous medical coding solution that uses AI and natural language processing to assign medical codes to healthcare claims. It is designed for hospitals, medical practices, and healthcare payors looking to reduce manual coding efforts and monitor performance through data analytics.
The platform includes a Business Intelligence (BI) component with dashboards for tracking claims, performance metrics, and risk adjustment. It also supports clinical documentation improvement by providing feedback to address documentation gaps.
Buyers should confirm implementation timelines, which the vendor states range from under one week for certain major EHRs up to eight weeks for custom systems. To support the handling of sensitive health data, the software is HIPAA compliant and holds ISO/IEC 27001, ISO/IEC 22301, and SOC 2 Type 2 certifications.
Key Features
AI-Powered Autonomous Coding
Uses AI and natural language processing to automate the assignment of medical codes for healthcare claims.
BI Dashboards
Provides a screen to view coded claims and key performance metrics for revenue cycle oversight.
HCC Risk Adjustment Dashboard
Designed to help improve HCC coding accuracy and support RAF scores in accordance with CMS models.
Clinical Documentation Improvement
Offers tailored feedback to address gaps in medical documentation to support coding accuracy.
Audit Trail
Tracks modifications made by the coding engine to support transparency and compliance.
Manual Review Monitoring
Provides graphical insights into the reasons why certain claims were flagged for manual review.
Use Cases
Automating Medical Coding
Using AI to assign codes to healthcare claims to reduce manual entry.
Revenue Cycle Analytics
Monitoring claims performance and operational metrics via BI dashboards.
Risk Adjustment Management
Using the HCC dashboard to manage RAF scores and CMS compliance.
Documentation Feedback
Identifying and addressing documentation gaps through clinical improvement insights.
Integrations
- API
- RPA
- SMART on FHIR
- HL7-ADT messaging
- athenahealth
- Epic
FAQ
What is xpertcoding used for?
- It is an AI-powered platform used to automate medical coding for healthcare claims and provide BI analytics for revenue cycle management.
Does xpertcoding integrate with EHR systems?
- Yes, it connects to EHRs via API, RPA, SMART on FHIR, and HL7-ADT messaging. Implementation timelines range from under one week to eight weeks depending on the system.
Is xpertcoding HIPAA compliant?
- Yes, the platform is HIPAA compliant and holds ISO/IEC 27001, ISO/IEC 22301, and SOC 2 Type 2 certifications.
Source category: Healthcare
Source subcategory: Medical Coding
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