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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
PromptWrx AI
PromptWrx AI

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Categories

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:

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:

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:

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:

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, 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

None provided

Awards

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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:
  • 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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