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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
Reteta
Reteta

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Categories

Solutions

Description

Product Description:
Reteta is an explainable AI app that bolts onto any EHR for automating clinical scribing through ambient voice capture & extracting SOAP notes from raw patient-clinicians conversations, while giving real-time visibility into reimbursement codes.
About Reteta:

Reteta is an explainable AI app that bolts onto any EHR for automating clinical scribing through

ambient voice capture & extracting SOAP notes from raw patient-clinicians conversations,

while giving real-time visibility into reimbursement codes.

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%.

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

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:

Reteta empowers healthcare providers by automating the capture and structuring of patient-clinician interactions. Through advanced AI, Reteta generates precise SOAP notes, real-time ICD-10 medical codes, after-visit summaries, and referral letters, seamlessly integrated into the clinician’s EHR system. By reducing documentation tasks by an average of two hours daily per clinician, Reteta alleviates administrative burdens and enhances workflow efficiency. Additionally, real-time coding visibility aids clinicians in maximizing reimbursement accuracy, reducing claim denials and associated delays. This innovation shortens the clinical documentation improvement (CDI) cycle from days to minutes, delivering prompt, actionable insights to providers.

Pediatric use cases:

In pediatric practices, where patient interactions often involve complex details from caregivers, Reteta offers a vital solution. By capturing and structuring conversations seamlessly, Reteta generates detailed SOAP notes, age-appropriate ICD-10 codes, and precise documentation tailored to pediatric needs. This automation frees up critical time for pediatricians, who can now spend an average of two additional hours per day focusing on young patients rather than extensive documentation.

Reteta’s real-time coding visibility supports accurate billing, especially crucial in pediatrics, where specific codes and documentation are essential for insurance reimbursement. Additionally, Reteta reduces claim denials by helping clinicians address documentation gaps instantly. Pediatric practices can now expedite the clinical documentation improvement (CDI) process from days to minutes, ensuring high-quality, compliant records that improve patient outcomes and practice efficiency.

Users:

Primary Care Physicians

For accurate documentation and efficient workflow in general practice settings.

Pediatricians: 

To streamline documentation for young patients, including family history and developmental milestones.

Specialists (e.g., cardiologists, neurologists, orthopedic surgeons): For managing detailed specialty-specific notes and codes.

Nurse Practitioners and Physician Assistants: 

For efficient note-taking and coding in collaborative healthcare settings.

Hospitalists:

For inpatient documentation and real-time coding support to manage complex cases.

Behavioral Health Providers: 

For capturing detailed notes on patient interactions and therapy sessions.

Physical Therapists: 

To document therapy progress and treatment plans with precision.

Chiropractors and Alternative Medicine Providers: 

For accurate documentation and reimbursement in holistic care settings.

Dental Providers: For capturing clinical interactions, particularly in practices that need detailed documentation.

Healthcare Administrators: To oversee coding accuracy and reduce claim denials across clinics and hospitals.

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.

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Behavioral health, Community based organizations, Access +/or revenue cycle, Website / public online sources

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, eClinicalWorks, Allscripts/Eclipsys, Athenahealth

Hardware Compatibility:

None provided

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

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

Real-Time ICD-10 Coding Insight: 

Unlike EHRs that capture codes retrospectively, Reteta provides real-time visibility into ICD-10 coding, helping clinicians make adjustments immediately, reducing claim denials and optimizing reimbursement.

Automated Documentation and SOAP Notes: 

Reteta generates comprehensive SOAP notes and after-visit summaries from patient interactions automatically, whereas EHRs require manual entry, consuming valuable clinician time.

Advanced Clinical Documentation Improvement (CDI) Capabilities: 

Reteta’s AI-powered insights streamline the CDI cycle from days to minutes by identifying potential documentation gaps upfront, ensuring complete and accurate notes that can avoid claims rejections.

Enhanced Efficiency for Clinicians: 

By automating detailed documentation, Reteta reduces clinician administrative load by two hours per day, whereas EHRs primarily store information without significantly easing the documentation burden.

Integrated Referral Letters

Reteta automatically generates referral letters based on patient notes, a function not commonly available in standard EHRs, enhancing continuity of care and supporting clinician collaboration.

Seamless EHR Integration: 

Reteta integrates with EHR systems to provide a comprehensive solution that enhances, rather than replaces, EHR functionality, filling gaps in documentation efficiency, coding accuracy, and workflow optimization.

Differentiators vs Competitors:

Real-Time Coding and CDI Feedback: Reteta provides immediate insights into ICD-10 coding and Clinical Documentation Improvement (CDI) suggestions during patient interactions, enabling clinicians to address potential documentation gaps promptly, reducing claim denials.

Explainable AI:

Reteta offers transparent AI operations, providing clinicians with clear insights into how decisions are made, ensuring trust and control over clinical documentation processes.

Predictive Pre-Charting: Reteta's AI analyzes patient data before visits, generating predictive assessments and pre-charting suggestions. This proactive approach aids clinicians in preparing for appointments, enhancing decision-making efficiency.

Evidence Mapping: Reteta links transcriptions directly to corresponding audio files, allowing clinicians to verify and reference specific parts of patient interactions easily. This feature enhances accuracy and accountability in documentation.

Customizable Note Formatting: Reteta allows clinicians to tailor documentation templates to their preferred formats, accommodating various specialties and personal documentation styles, which enhances usability and efficiency.

Comprehensive EHR Integration: Reteta integrates seamlessly with existing Electronic Health Record (EHR) systems, ensuring smooth data flow and minimizing disruptions to established workflows. 1. Epic 2. Cerner 3. Meditech 4. Allscripts 5. eClinicalWorks 6. NextGen 7. Athenahealth 8. MedInformatix

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.

Health Equity

Keywords

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Videos

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Downloads

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Reteta - Ambient clinical Scribing.pdf
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CodaMetrix Differentiators 1-Pager - August 2024 (2).pdf

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