Semantic Health intervenes in medical coding and auditing to make unstructured healthcare data actionable. This actionable data layer will power various solutions across the provider ecosystem that improve operational efficiencies, care delivery, and population health management.
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.
Current processes require specialists to comb through hundreds and sometimes thousands of pages of complex clinical documentation to identify relevant information, map key clinical events, and appropriately code diagnoses and treatments. The complex and inefficient workflow design puts medical coders and auditors under significant time constraints and pressure.
Medical coding and auditing is a multi-billion dollar problem. Billing errors cost health providers payments and threaten revenue cycle integrity.
Medical coder shortages lead to extreme chart backlog, expensive overtime bills, and low quality work-life balance for employees.
Data cannot be used to power further analytics around population health management, clinical research, and care delivery.
Semantic Health has worked with stakeholders across North America to develop a proprietary solution that unifies coding and auditing workflows with AI powered insights. With our platform, healthcare providers improve clinical documentation as it is created by automatically assigning medical codes based on clinical evidence, identifying data quality deficiencies, and generating a longitudinal patient narrative.
Improve operational efficiency
Future-proof coding workflows
Build the foundation for AI
The Semantic Health team leverages the best AI talent with senior medical coding, auditing, and clinical expertise. By bridging these disciplines, Semantic Health has built a team that is uniquely qualified to tackle the challenge of unstructured clinical documentation in healthcare with recent inflections in state-of-the-art technologies.
We are on a mission to improve care delivery and operational efficiencies by transforming the use of unstructured data in healthcare within the revenue cycle.
We are using our AI solutions to help hospitals across North America achieve their mission of providing world-class care and operational excellence.
Increase Documentation Quality
Reduce Coding Errors
Increase Reimbursement | Increase Productivity | Increase Documentation Quality | Reduce Coding Errors