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

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XpertCoding
XpertCoding

Categories

Solutions

Description

Product Description:

Fathom is an autonomous medical coding platform that provides accurate, complete, touchless coding for ICD, CPT/HCPCS, E/M, modifiers, provider assignment, units, shared services, deficiencies, and all other required coding elements across specialties. With Fathom, providers benefit from:

  • 90%+ successful automation rates: Of all patient encounters provided to Fathom for coding, around 90% or more are successfully coded autonomously or correctly flagged for documentation deficiencies.
  • 96%+ accuracy rates: Ongoing audit programs ensure greater-than-human coding accuracy.
  • 30-50% cost savings: Fathom delivers an average 42.3% reduced cost to code.
  • Denials reduction: Stronger accuracy and immediate flagging of documentation deficiencies fix coding errors upstream and reduce denials.
  • RVU increase: Through higher coding accuracy, especially on E/Ms, Fathom typically results in a meaningful improvement to revenue capture.
  • Lightning-fast turnarounds: Fathom typically returns complete coding results for the day's encounters within 2 hours, averaging 57 min.
  • Industry-leading SLAs: Contractual commitments to guarantee performance for automation, accuracy, turnaround time, and other metrics.

Through a risk-free trial, Fathom enables providers to validate our coding quality for themselves before turning on production-ready models upon go-live. In production, Fathom receives clinical documentation from EMRs following patient visits, fully codes the encounters according to guidelines and payer rules, and returns complete coding results for claim submission. This consistent application of coding guidelines improves outcomes and enables enterprise-wide compliance.

About Fathom:

Fathom is an autonomous medical coding platform that uses deep learning and LLMs to provide accurate, complete coding for E/M, CPT/HCPCS, ICD, provider assignment, deficiencies, and other coding elements across specialties.

Product Description:

XpertCoding uses advanced AI, NLP, and RPA technologies to automate over 90% of medical coding tasks, processing claims within 24 hours. XpertCoding's AI-powered coding system maintains a 98% accuracy rate and reduces coding costs by over 50%. 

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.

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.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Product Capabilities

XpertDox is an automated medical coding solution that automatically codes encounters based on clinical documentation and processes claims in less than 24 hours.

An autonomous AI-powered medical coding system that is HIPAA, SOC2, ISO 27001, and ISO 22301 compliant.

Use Cases

Description:

Fathom is an autonomous medical coding platform that provides accurate, complete, touchless coding for ICD, CPT/HCPCS, E/M, modifiers, provider assignment, units, shared services, deficiencies, and all other required coding elements across specialties. With Fathom, providers benefit from:

  • 90%+ successful automation rates: Of all patient encounters provided to Fathom for coding, around 90% or more are successfully coded autonomously or correctly flagged for documentation deficiencies.
  • 96%+ accuracy rates: Ongoing audit programs ensure greater-than-human coding accuracy.
  • 30-50% cost savings: Fathom delivers an average 42.3% reduced cost to code.
  • Denials reduction: Stronger accuracy and immediate flagging of documentation deficiencies fix coding errors upstream and reduce denials.
  • RVU increase: Through higher coding accuracy, especially on E/Ms, Fathom typically results in a meaningful improvement to revenue capture.
  • Lightning-fast turnarounds: Fathom typically returns complete coding results for the day's encounters within 2 hours, averaging 57 min.
  • Industry-leading SLAs: Contractual commitments to guarantee performance for automation, accuracy, turnaround time, and other metrics.

Through a risk-free trial, Fathom enables providers to validate our coding quality for themselves before turning on production-ready models upon go-live. In production, Fathom receives clinical documentation from EMRs following patient visits, fully codes the encounters according to guidelines and payer rules, and returns complete coding results for claim submission. This consistent application of coding guidelines improves outcomes and enables enterprise-wide compliance.

Pediatric use cases:

None provided

Users:

Health systems, hospitals, physician groups, ambulatory providers, risk-bearing providers, health plans, and other organizations.

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

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Pop health platform, Home health

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, eClinicalWorks, Athenahealth, MEDHOST, Self-developed

Hardware Compatibility:

Not applicable

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

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

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:
  1. XpertCoding can autonomously code >90% of the claims, whereas competitors may only code 60 to 80%.
  2. XpertCoding offers free coding services for one month, whereas most competitors don't.
  3. The training period for XpertCoding is less than four weeks, compared with many months and even a year with some competitors.
  4. XpertCoding offers a comprehensive Dashboard for monitoring, data analytics, CDI, and audit trail. The competitor's Dashboard may or may not be as robust.
  5. XpertCoding does not require any IT support from clients, whereas many competitors require some help from the IT team.
  6. XpertCoding is HIPAA, ISO27001, and SOC2 Type 2 certified from a security perspective, whereas some competitors do not carry such certifications.
  7. XpertDox is ISO22301 certified for business continuity, whereas some competitors may not have the certification.

Health Equity

Keywords

Images

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Fathom is a medical coding AI

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Videos

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Downloads

No content provided

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XpertDox White Paper-Business Continuity Strategies in AI Medical Coding.pdf

Alternatives

Company Details

Founded in 2015

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