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

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XpertCoding
XpertCoding

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Solutions

Description

Product Description:

Key Capabilities:

PromptWrx seamlessly connects to existing healthcare systems, including EMRs and administrative systems, pulling real-time data directly from sources without requiring centralized storage.

AI-Powered Analytics:

  • Natural Language Processing for instant data analysis and insights generation
  • Real-time visualization and reporting capabilities
  • Customizable interactive dashboards created through simple prompts

Business Impact

  1. Operational Efficiency - The platform significantly enhances revenue cycle management by automating processes, improving documentation accuracy, and optimizing claims processing.
  2. Clinical Excellence - Healthcare professionals can access patient summaries, track clinical outcomes, and identify trends instantly, supporting better decision-making and patient care.
  3. Financial Performance - By streamlining administrative processes and improving revenue cycle management, PromptWrx helps healthcare organizations enhance their financial performance while reducing operational costs.

The platform is designed to scale from small practices to large hospital networks, with built-in HIPAA compliance and robust security features to protect sensitive healthcare data.

About PromptWrx:

We exist to make AI work for healthcare providers.

Healthcare systems today are a labyrinth of disconnected technologies, complex workflows, and massive amounts of data buried in silos. According to a Deloitte study, doctors spend nearly a third of their time wrestling technology instead of treating patients and up to 20% of healthcare practice revenue is lost due to a lack of data access and the inability to generate accurate claims and appeal denials.Ultimately this operational inefficiency not only leads to burnout and loss of revenue but also impacts the quality of care and patient outcomes.

Mission Statement

We believe AI should handle the routine tasks and enable healthcare providers to spend less time on the keyboard and more time with the patient. Our platform integrates with existing hospital systems and turns complex, dispersed data into simple conversations in natural language to support medical doctors. Ai agents automate administrative tasks to decrease operational costs and increase reimbursements. The result? Less time on keyboards, more time with patients, better reimbursements, and reduced burnout.

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.

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

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. Clinical Use case: Empowering Orthopedic Specialists 

Justin, an orthopedic hand surgeon, outlined key challenges during our interview:

  1. Technology That Works for Me: "I need technology that works for me, not the other way around. With 50 patients a day, I need a holistic, clear, consolidated summary for each one to include medical history, lab, imaging results, and procedures prior to the visit. This allows me to focus on my patients during our limited time together instead of wasting energy navigating rigid systems, hunting for information." ​
  2. Access to Critical Information: "When I’m researching treatment options with patients, I need to quickly access personalized information about procedure costs, coverage, and alternatives. Right now, fragmented systems slow me down, forcing me to piece together data to prepare for patient visits. It’s both frustrating and inefficient." 
  3. Time-Consuming Administrative Tasks: "After seeing 50 patients in a day, I spend several hours at home searching for the correct billing code or working through authorizations, often late into the night. I’m often wasting at least 20% of my time on unnecessary tasks like these."

How do we help Justin?

  1. A companion designed to make his life easy: PromptWrx integrates seamlessly within the EMR, allowing Justin to prepare for the next day using natural language in his primary system while pulling and synthesizing data from internal and external sources. As a result, he can review all relevant data through a single, simple interface that adapts to his workflow. 
  2. More time to do what he loves: With patient-specific insights at his fingertips and an intelligent companion, Justin can reduce the time he spends each night preparing for the next day, freeing up hours, reducing burnout.
  3. Task Automation: Tasks like generating pre-filled consent forms, responding to routine messages, dealing with insurance issues and sending reminders are handled automatically, enabling Justin to spend more time focusing on the things that matter.

The Results for Justin’s Practice:

  • 30%+ Time Reduction in Pajama Time: Freeing up hours spent on administrative tasks and preparation, reducing burnout. 
  • 20% Reduction inInsurance Issues: A companion with access to the latest information and a deep insurance knowledge base leads to better results with less effort.
  • Improved Patient Satisfaction: Better preparation and more rest leads to better visits and higher patient satisfaction.

2. Administrative Use Case: Empowering Administrative Teams

Maria, a key member of the revenue cycle team, shared her challenges with us:

  1. Making Technology Work for Me: “I need technology that works for me, not against me. With thousands of patients, I struggle to quickly pull up benefits information, see balances, or create personalized payment plans. I'm wasting valuable time trying to navigate fragmented systems.” ​
  2. Insurance benefits and claims: “Fragmented systems make it impossible to quickly answer benefits questions for patients and clinicians. For example, helping patients navigate financial responsibility is no easy task. I also need better tools to prioritize and automate claims for appeal to keep our reimbursements high and denials low.”
  3. Getting Actionable Insights: “Reporting feels like a constant uphill battle with data spread across multiple systems. I spend too much time looking for retrospective data, when what I really need are insights that drive proactive decisions.”

How do we help Maria?

  1. Technology That Works for Her: With a conversational interface integrated seamlessly into existing systems, Maria can simply ask, "Show me rejected claims for appeal" or "Pull up this patient’s financial summary." - PromptWrx delivers the information instantly in one easy-to-use platform - no more navigating fragmented systems. PromptWrx AI learns and adapts to the user’s behavior and not the other way around, including frequently used prompts.
  2. Practice Insights: PromptWrx connects real-time data from revenue cycle systems, scheduling platforms, EMRs, and external sources like EDI gateways. Maria has instant, easy access to patient benefits, balances, claims, and costs, enabling her to create personalized payment plans and answer financial questions effortlessly.
  3. Task Automation: Tasks like billing, coding, and generating pre-filled forms are handled automatically. PromptWrx even sends reminders and notifications to patients, clinicians, and staff, freeing Maria from repetitive manual work. 

What does this mean for Maria ?

  • >20% time savings: Maria can reallocate hours spent on administrative tasks to higher-value practice support.
  • Driving Growth and Profitability: With rapid access to insights, Maria can help reduce claim denials, prioritize appeals, and contribute to the financial health of the practice.
Pediatric use cases:

PromptWrx AI is designed to provide value to all medical doctors thathave to interact with technology while providing care for their patients.

Users:

Physicians, Clinicians, Medical doctors

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:

None provided

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app), Other

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

None provided

Differentiators

Differentiators vs EHR Functionality:

AI-Enhanced Workflow Integration - While traditional EHRs focus on data collection and storage of clinical information, PromptWrx transforms this static data into actionable intelligence through Generative AI. Our platform seamlessly integrates with existing EHR systems and pulls data from external systems as well with the goal of reducing administrative burden and enhance clinical workflows.

Natural Language Interface - Unlike conventional EHR systems that require structured data entry and navigation through multiple screens, PromptWrx offers an intuitive natural language interface that allows healthcare professionals to access and analyze information through simple conversational queries.

Operational Benefits

Automated Intelligence - Traditional EHRs primarily serve as digital repositories requiring manual data entry and retrieval. In contrast, PromptWrx:

  • Automates routine documentation tasks
  • Provides predictive insights for patient care
  • Generates real-time analytics for operational efficiency

Enhanced Decision Support - While EHRs offer basic decision support, PromptWrx leverages advanced AI algorithms to:

  • Analyze patterns across multiple data sources
  • Provide personalized data summaries
  • Alert clinicians to potential risks proactively

Revenue Cycle Optimization - Traditional EHRs handle basic administrative processes, but PromptWrx elevates this functionality by:

  • Streamlining billing workflows
  • Reducing documentation errors
  • Accelerating reimbursement cycles
  • Identifying revenue opportunities through AI-powered analytics

By complementing existing EHR capabilities with advanced AI functionality, PromptWrx helps healthcare organizations maximize their technology investments while improving clinical outcomes and operational efficiency.

Differentiators vs Competitors:

Unlike traditional healthcare software vendors that are retrofitting AI into legacy systems, PromptWrx was built from the ground up with AI at its core. This enables more sophisticated natural language processing, predictive analytics, and automation capabilities that directly address clinician burnout and administrative inefficiencies.

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.

Health Equity

Keywords

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Company Details

Founded in 2015

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