Best Revenue Integrity & Recovery Solutions Products

Ambience Healthcare’s AI platform for documentation, CDI, and coding has been deployed at health systems such as Cleveland Clinic, UCSF Health, St. Luke’s Health System, John Muir Health, and Memorial Hermann Health System. Ambience is the only AI scribing and coding solution designed to support 100+ specialties and subspecialties, and is directly integrated with Epic, Cerner, athenahealth, and other leading EHRs. 

By partnering with Ambience, healthcare systems reduce documentation time by an average of 80%, improve clinical documentation integrity, and achieve at least a 5X return on investment with more accurate E&M coding. Ambience is also the only AI solution that provides clinicians with AI-assisted CDI support. Ambience surfaces precise diagnosis codes for clinicians to review based on patient conversations, then structures documentation to support selected codes. 

In an environment where codes and billing regulations are always changing, ensuring accurate charge capture can be a huge challenge for providers. Waystar handles this to ensure you aren’t leaving money on the table.  

Protect your revenue + prevent revenue loss

• Increase FTE productivity
• Rebill payers with more confidence
• Get deeper visibility into your data to identify root causes
• See just how much Charge Integrity could benefit your bottom line. Click below to get an estimate of your potential ROI.

Implementation is seamless, and you’ll see immediate results.

How is Waystar different?

• Predictive analytics go beyond a basic rule-based approach
• Machine learning algorithms analyze historical data to identify patterns
• Hospital and physician data sets are cross-referenced to identify incompatible codes and missing or incorrect charges
• In-house auditing team of certified coders (AHIMA/AAPC, RHIA, RN, CPC)
• Web-based or HIS-integrated user workflows
• Comprehensive review process across all payers and patient classes

What our clients are saying:

"We don't have time to constantly read journals to find out the latest code--I don't know anyone who does. Just one cardiology code paid for the Charge Integrity product for a few years."

-Assistant Director, Revenue Integrity, Floyd Health Care System

We are not just RPA Developers! In other words, we do not just build your automations and drop them at your door. CampTek Software is a full life cycle Managed Service provider that offers an array of Services based on your current and future requirements and can tailor hybrid solutions that you can take advantage of.

This solution automates the process of checking requests under review as well as continued status changes and updates. It supports many portals such as Evicore, Magellan, UHC and others. The solution includes business rules, exception handling and daily reporting functionality with customizable dashboard views. AI is also used to do analysis and supply predictive capabilities. The solution can also be hosted and supported by CampTek as an ongoing managed service.

Waystar leverages AI to automatically audit claims, build out detailed reports on the process and generate high-accuracy DRG assessments. DRG Anomaly Detection also gives you increased visibility into coding opportunities, case data and areas to target for improvement.

With Waystar’s DRG Anomaly Detection, your team can easily:

• Track and trend revenue loss with customizable reporting, dashboards + proactive alerts
• Employ rigorous DRG error verification
• Implement post-bill + move to pre-bill configuration
• Record detailed notes, reducing time spent reviewing performance down the line
• Categorize populations + account subsets for assessment in a pre-bill or post-bill state
• Send a ‘bill-hold’ file preventing claims with qualified DRG errors to be released for billing

Waystar is an approved CMS Network Services Vendor with direct access to CWF and MAC portals, which allows us to directly adjust approved claims on your behalf and take care of 98% of the work, with Medicare payment typically delivered within 2-4 weeks.

Transfer DRG offers:

• Fully automated review of all 278+ DRGs subject to the PACT rules
• Expert auditor review
• Common Working File (CWF) as source of truth
• MBI Look Up Tool
• Automated file extracts
• Contingency or subscription-based options

Automate Coding, Accelerate Growth

Arintra, a leader in autonomous medical coding, accelerates and optimizes reimbursements for healthcare organizations. Powered by GenAI, Arintra works seamlessly within your EHR, ensuring smooth adoption with zero workflow disruptions while providing clear, explainable coding decisions to enhance revenue cycle efficiency. Arintra’s automation handles the entire coding process—from chart capture to claim submission— all within EHR. Our customers have seen a 7% revenue uplift, a 12% reduction in A/R days, and a 43% decrease in denials.

• Maximize Revenue with Integrity: Boost revenue by over 7% with Arintra’s automated coding, ensuring accurate capture of all billable services. Identify and address missed coding opportunities to avoid leaving revenue on the table, while improving compliance.
• Optimize Coding Resources & Costs: Automate over 82% of charts, freeing coders to focus on complex cases. Effortlessly scale to handle provider growth or increased chart volumes without adding costly resources, reducing coding costs and staffing challenges.
• Gain Unmatched GenAI Precision: Arintra’s GenAI-powered engine delivers high-accuracy, precise coding six times faster than manual processes, meeting stringent payer requirements, reducing errors, and enhancing compliance.
• Lower Denials with Full Transparency: Cut denial rates by 43% with Arintra’s precise, traceable coding. Our explainable engine ensures more first-pass approvals and provides a complete audit trail, freeing staff from time-consuming denial management.
• Strengthen Compliance & Auditability: Stay audit-ready with Arintra’s transparent coding decisions, backed by clear explanations. Streamline audit reviews, expedite denial resolutions, and ensure full compliance with coding guidelines.

Key Features

• Multispecialty Capability: Arintra supports a wide range of specialties— including internal medicine, family medicine, pediatrics, radiology, cardiology, urology, OB/GYN, behavioral health, and more—allowing you to scale coding automation effortlessly across your organization, from primary care to more complex specialties.
• Seamless EHR Integration: With native integration into EHRs, Arintra operates within your existing EHR workflows, requiring no changes to your processes and minimal IT involvement.
• Clear Explainability: Arintra provides fully traceable, auditable coding decisions with clear explanations directly within the patient chart, enhancing transparency and simplifying compliance processes.
• Coding Guideline Compliant: Arintra’s engine handles all major coding standards, including CPT/HCPCS, HCC, ICD-10, LCD & NCD, CCI edits, and payor-specific rules, ensuring consistent, accurate coding you can trust.
• Rapid Go-Live Results: With Arintra’s native EHR integration, your organization can be up and running in as little as six weeks, delivering immediate gains in coding efficiency and revenue performance.

Our Customers

Top provider groups and leading health systems rely on Arintra to transform their coding operations. They’re thrilled by the remarkable boosts in revenue, accuracy, and compliance we’ve delivered. 

Ready to Supercharge Your Medical Coding?

Schedule a demo today to see how Arintra can maximize your coding operations and effortlessly accelerate your growth. Visit our website at www.arintra.com for more information.