Streamline your manual coding and auditing processes, improve coding and documentation quality, and unlock your FTEs to focus on high-value work.
more efficient coding and auditing
more data quality improvement opportunities
pre-billing audit coverage
By using AI, medical coders and auditors are able to do their job better and faster. This helps save hospitals time and money, ensuring that they can keep up with the increasing pressure on HIM departments.
Data Quality Auditing
Empower your team to identify high-impact revenue and quality opportunities across coding and CDI in under 10 minutes. Our platform audits your coded charts pre-bill to validate, identify, and further specify diagnosis and procedure codes with respect to the clinical documentation, and continuously prioritizes cases with the highest impact.
Supercharge your coders by significantly reducing time to code with automatic chart summaries and code suggestions, and a unified workflow with all-in-one integration to coding tools, the EHR, and your billing system. Our platform reviews patient charts before they are coded to identify the most relevant diagnosis and procedure codes, providing a full evidence trail back to the documentation.
Our intelligent medical coding and auditing platform offers Humber River Hospital coders and auditors the additional support they need to boost efficiency and ensure data quality.
The platform integrates directly with the hospital's EMR to ingest the clinical documentation and start offering (1) autocoding suggestions and then (2) AI auditing suggestions. All suggestions are linked directly to the documentation in one user interface, so that HIM professionals can do their work faster and without having to consult multiple sources.
Medical coding and auditing are the financial and operational backbone of every healthcare provider. But, the quality of market-leading software does not match the importance of the task. Unfortunately, it has left many providers using manual, error-prone, and expensive software to complete important coding and auditing work. We believe that our healthcare systems deserve better.
Our platform uses custom clinical AI and NLP algorithms, trained on millions of records by our world-class AI team, to parse through clinical and coded data.
This allows our coding and auditing engines to better understand nuanced clinical context, incorporate changing coding guidelines and rules, and suggest high quality coding and auditing opportunities with clear evidence back to the clinical documentation.
Other vendors offering traditional computer-assisted coding or auditing tools typically use rules-based or expert-curated heuristics –not true AI.
This approach cannot truly understand clinical documentation or coding context and can lead to numerous false positives. This can slow your team down by suggesting codes not supported by the documentation or leave your team spending significant time validating the auditing opportunity within the documentation.
Semantic Health offers American hospitals and health systems a supercharged auditing platform for a 100% pre-bill review of claims data.Tell me more
Semantic Health offers Canadian hospitals an AI-powered HIM platform that auto-suggests codes and reviews 100% of coded data for quality.Tell me more