Best Revenue Optimization and Consulting Products

Amy - AI Medical Coding solution revolutionizes healthcare revenue cycle management through advanced artificial intelligence that transforms clinical documentation into accurate, compliant medical codes across CDI, audit, and coding operations.

Clinical Documentation Improvement: Amy analyzes physician notes in real-time, identifying documentation gaps and suggesting clinical details needed for optimal coding. Amy flags incomplete diagnoses and missed documentations, enabling proactive CDI specialist engagement.

Audit Capabilities: Amy performs continuous compliance monitoring by cross-referencing coded claims against clinical evidence. Amy identifies coding discrepancies, highlights high-risk cases, and generates detailed audit trails, reducing compliance risks and claim denials.

Medical Coding Excellence: Amy automates complex coding workflows, handling 80%+ cases autonomously, interpreting clinical narratives and assigning accurate ICD-10, CPT, and HCPCS codes. Amy handles multi-specialty scenarios and HCC management while providing confidence scores for human review.

Customization & Integration: Amy's flexible architecture ingests hospital-specific coding grids, payer requirements, and institutional guidelines. The platform adapts to organizational workflows while maintaining established coding practices, ensuring AI recommendations align with each facility's unique standards.

Healthcare organizations experience improved coding accuracy, reduced administrative costs, enhanced compliance, and faster revenue realization with Amy, who continuously learns from coding patterns and delivers increasingly personalized solutions.

Incoming documents are automatically sorted as true correspondence. This includes but is not limited to denial letters, patient pre-certification, RAC Audits, or appeal letters; as well as any non-EOB paper communication. Easily view and index the documents with information such as payer, patient, document type, and others; then route for appropriate actions or tasks.

ERAs are loaded into our Cascade platform resulting in 100% of your remittances in one location. All remittance data is captured and viewable in an easy, consistent layout for all payers. Custom outputs are available and all data is accessible for searching, retrieving, and downloading on the web portal.

Transition from paper to electronic processing for paper EOBs, patient payments, and correspondence. Eliminate error-prone and routine manual processes; opening, sorting, scanning mail, and making deposits. Enjoy the convenience of all images of checks and remittances in our central web portal, Cascade.

Patient data and payment information is captured from the check and coupon or statement. A posting file is sent within 24 hours to the provider for posting to their accounts receivable software. Images and data are loaded to the web portal, with all patient payment activity available to view and research.

Reduce the time it takes to verify funds deposited to your bank account with an auto-reconciling process matching EFTs and ERAs. Identify pending or reconciled remits with a quick, easy reporting feature. Receive 835 posting files once matched.