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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Health equity
Keywords
Media
Company details
XpertCoding
XpertCoding
Avaamo Ambient
Avaamo Ambient

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Categories

Solutions

Description

Product Description:

XpertCoding is an AI enabled autonomous medical coding platform that automates over 90% of medical coding with 99% accuracy within 24 hours. XpertCoding also includes a Business Intelligence suite with a Clinical Documentation Improvement (CDI) Dashboard and a Comprehensive Data Analytics Dashboard, providing essential insights for healthcare leaders and teams to optimize operations.

What organizations can expect from XpertDox:

Unmatched Automation and Accuracy

  • Fully Automated Medical Coding: Automates 94% of claims without human review, ensuring speed, accuracy, and efficiency with minimal supervision.
  • Performance-Based Coding: Tracks quality and performance metrics effectively with support for Category II CPT codes.
  • Reduces Coding Errors to Less Than 1%: Ensures compliance and minimizes claim denials, delivering precise and consistent coding outcomes with >99% coding accuracy
  • Faster Claim Processing in less than 24 Hours: Accelerates claim submission timelines, ensuring faster reimbursements and reduced backlogs.
  • Smart Claim Scrubber: Customizable to align with payor-specific rules, reducing denials and rejections for smoother claim submissions.
  • EMR or EHR-Agnostic Solution: Enables easy data extraction and Fully Automated Claim Submission, ensuring uninterrupted workflows with any EMR or EHR system.
  • Modifies and Improves 80% of Claims: Streamlines workflows, eliminating bottlenecks and enhancing operational efficiency.

Enhanced Financial Outcomes for Clients

  • Flexible Pricing Model: Offers transparent, per-claim pricing for scalable and cost-effective solutions tailored to your needs.
  • Delivers a 15% Increase in Charge Capture: Optimizes revenue generation and ensures accurate billing practices.
  • Reduces Claim Denials by 22%: Strengthens the revenue cycle and minimizes payment delays.
  • Drives 23% Growth in PMPM Payments: Boosts practice revenue by up to 19%, significantly enhancing financial performance.

Revenue Cycle Optimization and Advanced Insights

  • Revenue Cycle Dashboard: Provides real-time visibility into key performance metrics and financial health, empowering data-driven decisions.
  • Clinical Documentation Improvement (CDI): Optimizes compliance and documentation accuracy for improved financial outcomes and streamlined workflows.
  • Advanced Analytics Suite: Benchmarks provider and clinic performance with actionable insights, helping healthcare teams make informed, strategic decisions.
  • Proactively Recovers Missed Charges: Identifies and retrieves overlooked charges from previously submitted claims, enhancing revenue integrity.

Secure and Risk-Free Implementation

  • HIPAA-Compliant Infrastructure: Ensures secure data privacy and full regulatory compliance, offering peace of mind for healthcare organizations.
  • Risk-Free Implementation: Includes zero upfront fees and a complimentary first month, allowing you to experience the benefits without risk.
  • ISO 27001, ISO 22301, SOC2 Type II compliant

Proven Results

  • Reduces charge entry lag by 40%, ensuring timely claim submissions. Achieves less than 1% coding errors, significantly improving compliance and reducing denials.
  • Enhances efficiency and accuracy, enabling healthcare teams to focus more on delivering high-quality patient care.

XpertCoding by XpertDox

XpertCoding is XpertDox's premier autonomous medical coding platform, designed to accelerate the revenue cycle with unmatched accuracy and efficiency. With risk-free implementation, zero upfront fees, and a complimentary first month, healthcare organizations can experience the transformative benefits of XpertCoding firsthand.

About XpertDox:

XpertDox is a healthcare technology company committed to reducing administrative burdens for physicians, healthcare teams, and leaders while enhancing patient care through AI-driven solutions. XpertDox employs AI, RPA, and Big Data technologies to improve healthcare outcomes.

XpertDox's commitment to innovation is demonstrated by its flagship product, XpertCoding, an autonomous medical coding software with Clinical Documentation Improvement(CDI) designed to accelerate the revenue cycle by processing medical claims with high accuracy in less than 24 hours.

XpertDox was founded in 2015 and is currently based in Scottsdale, Arizona.

Product Description:

Addressing Documentation Challenges

The average healthcare provider has minimal clinical documentation support, which often leads to burnout, inefficient workflows, and reduced patient interactions. Avaamo Ambient steps in to simplify and streamline the process, ensuring you can focus on delivering quality care. It captures and organizes medical conversations into clear, structured formats, allowing you to accurately document the full patient narrative while enhancing your workflow efficiency.

How Avaamo Ambient Works

Avaamo Ambient records your patient consultations and leverages advanced machine-learning models to create detailed transcripts. These transcripts are transformed into structured SOAP note drafts, helping you document care more effectively.

Features You’ll Love:

AutoScribe:

AutoScribe is an AI-powered ambient tool that accurately captures and understands clinician-patient conversations. It offers customizable, specialty-specific templates and adapts note formatting based on encounter type. With advanced speech recognition and deep learning, it ensures precise, real-time documentation for healthcare practices.

AutoAVS:

Avaamo Ambient offers specialty-specific After Visit Summary (AVS) templates, allowing clinicians to generate tailored patient notes. Using Natural Language Processing (NLP), it translates medical jargon into clear, patient-friendly language while maintaining accuracy.

AutoCDI:

AutoCDI offers automated, specialty-specific suggestions for ICD-10 and CPT codes, helping clinicians streamline accurate billing and coding. It allows for customizable code mapping, real-time editing, and seamless integration with EHR and billing systems.

AutoCarelinks:

AutoCarelinks - automatically detects follow-up visit mentions, medication orders, and lab test orders during conversations, capturing key details such as scheduling, dosages, and test specifics. It seamlessly integrates this information into the clinician's workflow for review and confirmation.

Natural Conversations:

Record the conversation naturally without needing to use wake words or dictation commands. Simply talk with your patients, and Avaamo Ambient takes care of the rest.

About Avaamo:

Avaamo is the leading healthcare Conversational AI platform used by both payers and providers. Avaamo provides a highly secure environment (HIPAA compliant, PHI, PII, PCI, ISO27001, etc) in both text and voice, can be deployed quickly on any channel, in any language, with the vast majority of healthcare use cases already built and ready to be customized to your environment.

Compatibility level

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Clients

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Product Capabilities

XpertCoding uses AI, NLP, ML, Big Data, and RPA to automate medical coding, processing claims in under 24 hours. It achieves a 94% automation rate, reduces coding errors to less than 1%, and corrects discrepancies in ICDs and CPTs. The platform connects effortlessly with EMR or EHR systems without IT support and works across small to large practices, RCM organizations, billing companies, and large healthcare systems.

XpertCoding provides real-time monitoring, CDI feedback, predictive analytics for denial management, and benchmarking tools to identify areas for improvement. It offers coding insights, granular analysis, and fee schedule alerts to enhance coding accuracy and revenue optimization. Customizable dashboards allow healthcare leaders to monitor KPIs and streamline operations effectively.

XpertCoding meets high standards for data security and compliance with certifications in HIPAA, SOC 2 Type 2, ISO 27001, and ISO 22301. It offers detailed audit logs, robust encryption, and business continuity measures to ensure secure and uninterrupted operations.

The platform provides CDI feedback, benchmarking against industry standards, and alerts for CPT anomalies to reduce denials and improve accuracy. It supports ongoing training and real-time performance monitoring to drive continuous efficiency and maximize revenue potential.

Use Cases

Description:
  1. Healthcare systems, hospitals, and practices can harness XpertCoding to expedite claim submissions, boost accuracy, reduce costs, and alleviate physician burden.
  2. RCM companies can utilize XpertCoding to expedite claim processing, improve accuracy, and deliver cost savings for their clients.
Pediatric use cases:

XpertCoding is implemented at multiple pediatric practices where it automates the medical coding process.

Users:
  • Urgent Cares
  • Pediatric Practices
  • Primary Care Practices
  • Obstetrics & Gynecology Practices
  • Healthcare Systems
  • Hospitals with large urgent care, pediatrics or primary care presence
  • Any other medium to large single-specialty practices
Description:

AutoScribe:

AutoScribe is an AI-powered ambient tool that accurately captures and understands clinician-patient conversations. It offers customizable, specialty-specific templates and adapts note formatting based on encounter type. With advanced speech recognition and deep learning, it ensures precise, real-time documentation for healthcare practices.

AutoAVS:

Avaamo Ambient offers specialty-specific After Visit Summary (AVS) templates, allowing clinicians to generate tailored patient notes. Using Natural Language Processing (NLP), it translates medical jargon into clear, patient-friendly language while maintaining accuracy.

AutoCDI:

AutoCDI offers automated, specialty-specific suggestions for ICD-10 and CPT codes, helping clinicians streamline accurate billing and coding. It allows for customizable code mapping, real-time editing, and seamless integration with EHR and billing systems.

AutoCarelinks:

AutoCarelinks - automatically detects follow-up visit mentions, medication orders, and lab test orders during conversations, capturing key details such as scheduling, dosages, and test specifics. It seamlessly integrates this information into the clinician's workflow for review and confirmation.

Pediatric use cases:

1. SOAP Notes

2. H&P (History and Physical) Notes

3. WELL Child Visit Format

4. PALS Notes (Pediatric Advanced Life Support)

5. Bright Futures Format

Users:

Clinicians, Physicians and Administrative professional in healthcare

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Home health, Behavioral health, Community based organizations, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, MEDHOST, MedWorx, Healthland, QuadraMed, Self-developed

Hardware Compatibility:

Not applicable

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner, Athenahealth, Meditech

Hardware Compatibility:

None provided

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:
  1. XpertCoding is an AI-powered, fully autonomous medical coding solution, whereas EHRs only offer computer-assisted coding that requires provider input and a coding team.
  2. XpertCoding provides a Dashboard to monitor claims and perform advanced analytics across all their location, whereas EHRs do not offer a coding-focused Dashboard.
  3. XpertDox offers a Clinical Documentation Improvement module not offered by most EHRs.

Differentiators vs Competitors:

XpertCoding Differentiators

  1. XpertCoding Achieves Automation Rates Exceeding 94%. Far surpassing competitors who typically automate only 60-80% of claims, XpertCoding minimizes manual intervention, ensuring faster and more accurate claim processing.
  2. Designed for a Wide Range of Organizations: Unlike most competitors XpertCoding is built to work with RCM organizations, billing companies, small practices, healthcare systems, and hospitals, providing scalable solutions that adapt to the unique needs of any healthcare setup. 
  3. Risk-Free Trial with Complimentary Coding Services for One Month: Unlike most competitors, XpertCoding offers a no-cost trial, allowing organizations to experience the platform's capabilities before committing.
  4. Rapid Implementation with Minimal Training Time: It requires less than four weeks for onboarding and claim processing, compared to competitors' lengthy timelines, which may span several months or even a year.
  5. Comprehensive and Robust Dashboard: Provides real-time monitoring, advanced data analytics, Clinical Documentation Improvement (CDI), payer-specific performance analytics, and a detailed audit trail, empowering healthcare teams with actionable insights.
  6. Customizable Smart Claim Scrubber: Tailored to align with payor-specific rules, reducing claim denials and rejections to ensure smoother claim submissions.
  7. Seamless Connection Without IT Support: XpertCoding connects easily with any EMR or EHR system and operates without requiring IT support from clients, making implementation hassle-free.
  8. Certifications for Security and Compliance: Fully certified for HIPAA, ISO 27001, and SOC 2 Type 2, guaranteeing the highest standards of data privacy and regulatory compliance.
  9. ISO 22301 Certified for Business Continuity: Ensures uninterrupted service delivery during disruptions, providing operational resilience unmatched by many competitors.
  10. Proactive Charge Recovery and Revenue Optimization: Identifies and retrieves missed charges on previously submitted claims, optimizing revenue integrity. 
  11. XpertCoding aligns billing with payor-specific contracts, ensuring precision and compliance.
  12. Category II Coding and Value-Based Care Support: Supports Category II CPT codes, enabling organizations to track quality metrics effectively and integrate seamlessly with value-based care frameworks.
  13. Optimized for FQHCs and Medicaid Providers: Fully compliant with FQHC requirements and Medicaid coding guidelines, XpertCoding ensures organizations remain compliant while maximizing revenue cycle efficiency.
  14. Modifier Support for Enhanced Claim Accuracy: Provides full support for modifiers, ensuring accurate coding for services with special circumstances. 
  15. Compared to other competitors in autonomous or AI-assisted coding, XpertDox has demonstrated results across various organization types.
  16. Designed to scale for RCM and Billing Companies: Streamlined operations, reduced coding errors, and accelerated claim submissions.
  17. Optimal for Mid-to-large scale Practices: Minimal IT requirements and transparent pricing models make XpertCoding an ideal fit for smaller setups.
  18. Hospitals and Healthcare Systems: Comprehensive dashboards, charge recovery, and CDI tools support enterprise-level needs.
  19. Faster Claim Processing and Reduced Lag: Reduces charge entry lag by 40%, enabling faster claim submission and reimbursement cycles.
  20. Improved Accuracy and Compliance: With coding errors reduced to less than 1%, XpertCoding ensures better compliance and fewer denials.
Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

Deep EHR/EMR Integrations:

Avaamo Ambient seamlessly integrates with leading EHR/EMR platforms like Epic, Cerner, and Meditech. Unlike competitors, Avaamo embeds directly within the EHR workflow, reducing the need for clinicians to switch between systems and enabling real-time data synchronization, enhancing usability and efficiency.

Progressive Note Generation:

Notes are prepared dynamically during the consultation, allowing clinicians to see a completed draft immediately as the encounter concludes. 

Follow-Up Visit Capturing from Conversations in Real-Time:

Avaamo detects follow-up visit details mentioned during conversations, such as scheduling or specific instructions, and captures them accurately. This automation eliminates the need for manual input, offering a competitive edge over systems that require additional steps for capturing such details.

Medication Orders Captured from Conversation:

Medications discussed during the consultation are automatically captured and structured for clinician review, reducing errors and saving time.

Specialty-Specific Listening Modules:

Avaamo Ambient offers tailored listening capabilities for over 50 specialties, ensuring accurate transcription and note preparation that aligns with the unique terminology and workflows of each field.

Adopt Writing Guidelines:

Avaamo automatically adheres to clinician-specific and organization-specific documentation standards, ensuring notes meet compliance and quality benchmarks. 

Advanced Evaluation Dashboard:

Avaamo provides a robust dashboard that tracks system performance, clinician efficiency, and documentation quality. Administrators gain actionable insights into ROI and usage trends.

AutoCDI - Coding Improvement Automation:

Avaamo’s AutoCDI module ensures accurate ICD-10 and CPT coding, reducing claim denials and maximizing reimbursement. AutoCDI offers real-time coding suggestions during the consultation, minimizing errors and improving billing efficiency.

Generate After Visit Summary (AVS):

Avaamo automatically generates patient-friendly after-visit summaries based on the consultation. These summaries simplify patient communication and align with compliance requirements.

Customizable Note Formats:

Avaamo allows organizations to tailor note formats to their specific needs, ensuring alignment with specialty, organizational policies, and clinician preferences.

Health Equity

Keywords

Images

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Videos

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Downloads

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XpertDox White Paper-Business Continuity Strategies in AI Medical Coding.pdf
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Avamo Ambient One Pager New.pdf

Alternatives

Company Details

Founded in 2015

Founded in 2014

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