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

Categories

Solutions

Description

Product Description:

CodaMetrix is a SaaS platform, hosted in the AWS Cloud environment, that uses AI and ML to interpret clinical data from the Electronic Health Record (EHR) to reduce time and cost of coding while increasing the quality of coding data sets. It works in parallel with existing coding processes, automatically billing codes and providing medical coding teams with context and suggestions for low-confidence codes. 

CodaMetrix currently supports Epic, GE, Meditech, and Cerner and can be expanded to other EHRs. It is available in Radiology, Pathology, Endoscopy, Surgery, and Evaluation & Management service lines with planned expansion into Emergency Department (ED) and other specialties. CMX Insights includes a dashboard with analytics on automation rate and accuracy, as well as Coding Decision Support tools.

About CodaMetrix, Inc.:

CodaMetrix is an AI-powered SaaS platform dedicated to transforming medical coding, serving health systems that use Epic in more than 220 hospitals, performing over 50 million patient visits with 60,000 physicians across 25 states. The CodaMetrix platform leverages the latest in AI technology to deliver automation in a growing number of specialty and sub-specialty areas. Providers using CodaMetrix experience a 60% reduction in coding costs, a 70% reduction in claims denials, a 5-week acceleration in time to cash, and an average successful automation rate above 96%.

Product Description:

Ambience Healthcare’s AI technology for scribing, coding, referrals, and patient summaries has been deployed at health systems such as 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. 

About Ambience Healthcare:

Ambience Healthcare’s AI technology for scribing, coding, CDI, and patient summaries has been deployed at health systems such as 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.

Compatibility level

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Clients

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Product Capabilities

CodaMetrix leverages AI technologies in our platform to learn relationships between clinical documentation and billing codes, as well as to adapt to each customer's unique documentation styles and coding standards. We develop and maintain our own proprietary AI algorithms in-house, including machine learning, deep learning, and natural language processing capabilities. We do not rely on or partner with any third-party AI/machine learning vendors.

The CMX Insights™ Platform displays information about charge related data received from the Customer’s EHR system, including cases which have been automated and those that have been passed along to the Customer’s existing manual solution or processed manually. The analytics can be accessed to understand why a charge was automatically coded and provides evidence of all coding decisions and predictions. Finally, CMX Insights™ are used to analyze volumes processed by date range, and case-specific information. Dashboards include but are not limited to: - Real-time performance - Financial impact analytics - Productivity monitoring - Denial management tracking

CodaMetrix has implemented both the technical and procedural safeguards to operate with HIPAA compliance at the forefront. CMX has achieved ISO 27001 certifications and SOC 2 Type 2 compliance in addition to implementing the necessary controls (encryption in motion and at rest, full audit trail, ISMS, 3rd party penetration testing, static and dynamic code vulnerability scanning, role-based security, least privileged security model, etc).

CodaMetrix is committed to reducing denials through our autonomous coding solution. We have proven to reduce denials by more than 50-60% compared to manual coding. For example, a study of radiology claims at Mass General Brigham showed that denials-for-coding dropped by more than 58.7% after implementing CodaMetrix. We also analyze denials information shared by customers to improve our artificial intelligence and autonomous coding capabilities.

Use Cases

Description:

CodaMetrix provides autonomous coding services for the following specialties for both inpatient and outpatient scenarios:

  • Diagnostic Radiology
  • Interventional Radiology
  • Anatomic Pathology
  • GI and Special Procedures
  • Surgery
  • Bedside Professional Visits
  • ED expected in 2025 
  • Ambulatory expected in 2025
Pediatric use cases:

Yes, CodaMetrix is currently contracted with Children's Health Systems. 

Users:

The primary users of the CodaMetrix platform are designated Medical Coders. A goal of our system is to alleviate doctors of the task of medical coding and other administrative burdens.

Description:

Ambience’s suite of AI applications includes:

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AutoScribe: A real-time AI medical scribe that generates comprehensive notes across all clinical specialties–including emergency medicine and hospital medicine–and integrates directly with all major EMRs;

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AutoCDI: A point-of-care CDI assistant that analyzes conversations and past EMR context to ensure that ICD-10 codes, CPT codes, and documentation all appropriately support each other, as well as full audit trails for revenue cycle teams;

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AutoRefer: AI software that improves handoffs by composing clinically relevant and well-organized referral letters to specialists for expert consult and from specialists back to primary care for long term management;

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AutoAVS: An after-visit summary tool that creates comprehensive educational handouts for patients, families, and caregivers, tailored specifically to each visit, and translated into their language of preference;

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AutoPrep (coming soon): Intelligent pre-charting that equips clinicians with relevant context and suggestions for the visit agenda, along with predictive 'suspecting' to unveil potential conditions for screening.

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https://www.prnewswire.com/news-releases/ambience-healthcare-raises-70m-to-scale-the-most-comprehensive-ai-operating-system-for-healthcare-organizations-302054056.html

Pediatric use cases:

Ambience Healthcare partnered with Pediatric Associates -- the largest private pediatric primary care group in the United States -- to co-create the single best AI solution for pediatrics. Ambience was designed to support the unique care model, workflows, and coding and billing requirements of pediatrics.

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https://www.prnewswire.com/news-releases/pediatric-associates-and-ambience-healthcare-partner-to-redefine-pediatric-care-with-generative-ai-302092581.html

Users:
  • John Muir Health 
  • University of California, San Francisco
  • Memorial Hermann Health System
  • St. Luke's Health System (Idaho)
  • Eventus WholeHealth 
  • Pediatric Associates
  • Alpine Physician Partners
  • Cityblock Health

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Pop health platform, ADT, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, Other, Meditech, athena, Athenahealth, GE

Hardware Compatibility:

Mobile / Tablet (web optimized), Desktop

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Behavioral health, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, eClinicalWorks, Athenahealth, Other

Hardware Compatibility:

Desktop, Mobile / Tablet (native app)

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:
  • Codametrix offers fully autonomous coding vs. computer assisted coding (suggested code sets) 
  • Professional coder productivity reporting
  • Ease of performing QA and auditing with Coding Manager tools for self service coding QA (including building in custom rules and sampling)
Differentiators vs Competitors:
  • Automation Accuracy: CodaMetrix exceeds 96% in this metric, setting a new standard for the industry.

  • Coding quality: CodaMetrix is built on clinically validated data to ensure superior accuracy and provides the adaptability necessary to serve your specific needs.

  • CodaMetrix offers CMX Amplify™—our coding decision support tool that measures coder productivity, accuracy, and proficiency, while helping generate high-quality data.

  • Performance analytics: The CodaMetrix platform's advanced analytics capabilities position users to make data-driven decisions more effectively. 

  • Provider-owned: CodaMetrix is a provider-owned company that is organizationally designed to deliver proven solutions to our fellow healthcare industry providers.

  • As the Epic Toolbox member that has been live with numerous Epic healthcare organizations for years, we bring unmatched experience to the market, consistently meeting Epic’s integration requirements.
Differentiators vs EHR Functionality:

Ambience provides health systems with end-to-end integrations with Epic, Cerner, Athenahealth, eCW, Elation, and other leading EHRs. 

Differentiators vs Competitors:

Platform - Ambience Healthcare supports clinicians with a suite of AI applications across the entire continuum of care, including scribing, CDI, after-visit summaries, and patient referrals.

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Coding awareness - Ambience Healthcare is the only solution that surfaces precise codes for clinicians to review based on the patient encounter. Documentation is also structured to support coding and billing at the point of care. 

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Specialty coverage - Ambience Healthcare is the only solution designed to generate comprehensive documentation for the unique care models, workflows, prior-authorization and coding and billing requirements of each specialty and subspecialty. 

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Impact and ROI - By capturing the nuances of patient and clinician conversations and surfacing precise codes for clinicians to reivew, Ambience enables clinicians to get credit for work they’re already doing. This enables health systems to achieve positive financial ROI, without needing to ask clinicians to see more patients.

Health Equity

Keywords

Images

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Videos

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Downloads

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CodaMetrix Differentiators 1-Pager - August 2024 (2).pdf

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