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XpertCoding

XpertCoding

XpertCoding

Overview


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Avia Summary

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XpertCoding is a solution provided by XpertDox which was founded in 2015. It belongs to multiple categories of digital health solutions including Revenue Cycle Management (RCM), Payer Intelligence, and Coding & Documentation.
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It has 7 verified clients.
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XpertCoding integrates with major EMRs such as Epic, Cerner, and Meditech.

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.

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Product capabilities

Intelligent Automation

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.

AVIA GUIDE
What is intelligent automation?
Utilizes AI and machine learning to automate routine tasks Employs robotic process automation (RPA) for repetitive, rule-based processes Reduces manual data entry and associated errors Example: An RCM solution that automatically codes encounters based on clinical documentation and updates claims in real-time.
Capability Comparison Grid

XpertCoding

XpertCoding

Intelligent Automation
Advanced Analytics and Reporting
Compliance and Security
Continuous Performance Improvement
EHR integration

Acute care EMR, Ambulatory EMR, Ancillary EMR, Home health, Behavioral health, Community based organizations, Access +/or revenue cycle
Use case dependent
Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, MEDHOST, MedWorx, Healthland, QuadraMed, Self-developed
Not applicable
Use cases and differentiators

  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.

XpertCoding is implemented at multiple pediatric practices where it automates the medical coding process.

  • 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
  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.

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

Company information

Founded in 2015

2.1M total equity funding

Media


Images

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XpertCoding vs. Others.JPG
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XpertDox Security.JPG
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Videos

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Downloads

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XpertCoding Flyer.pdf
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XpertDox-White Paper_PatientDataProtection.pdf
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XpertDox White Paper-Business Continuity Strategies in AI Medical Coding.pdf
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[Free White Paper]RPA in Healthcare: Revolutionizing Business Processes and Enhancing Healthcare Efficiency
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https://resources.marketplace.aviahealth.com/top-revenue-cycle-management-rcm-companies-report-2024/
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[Free White Paper]Decoding Office E&M Coding: Navigating Accurate Evaluation and Management Coding for Outpatient Success

Reviews


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Overall Score
4.8

8 reviews


4.6

Features

4.6

Ease of use

4.7

Customer Support

4.6

EHR Integrations

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Reviewer’s Role
  • End user
  • Project manager
  • IT / Technical support
  • Executive sponsor
  • Internal consultant
  • Other

Reviewer’s Org Size
  • XL ($5B+ NPR)
  • L ($3-5B NPR)
  • M ($1-3B NPR)
  • S ($0.2-1B NPR)
  • XS (< $0.2B NPR)

Reviewer’s Org EMR compatibility

Reviewer’s Org Type
  • AMC
  • Pediatric Facilities
  • ACO
  • Rural Presence

January 6, 2025

verified
new review

January 6, 2025

XpertCoding: One product, Endless Possibilities

XpertCoding has significantly improved our claims process by reducing denial percentages. Their automated coding solution has streamlined our workflow, ensuring greater accuracy and compliance with insurance requirements, which has resulted in fewer claim denials. The system's ability to quickly adapt to changing regulations and incorporate new rules is a major advantage, allowing us to update our coding processes in real time without delays. Additionally, XpertCoding's customer service is exceptional; they provide prompt, knowledgeable support whenever needed, making the entire experience smooth and efficient. This combination of accuracy, speed, and excellent service has made a tangible difference in the efficiency of our claims handling.

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Kimberly Davidson

kimberly@positiveresultsbilling.com, End user working with XpertCoding

Helpful(0)

December 19, 2024

verified
new review

December 19, 2024

Game Changer

Xpertdox has truly transformed the way our coding team works. This platform is an exceptional tool that significantly enhances team efficiency.It has and extremely user-friendly interface and a highly reliable system, Xpertdox provides a seamless coding environment that supports our team’s needs at every stage of development.

It has signinfigantly cut down on our team's work load to allow us to take on more!

Support is also very responsive and helpful.

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End user working with XpertCoding


Helpful(0)

December 12, 2024

verified
new review

December 12, 2024

Xpert Coding is an innovative solution to our billing and coding process.

Xpert Dox has helped our office to streamline our billing and coding process with the integration of AI. It provides accurate billing to help minimize errors and submit claims in a timely manner. It also helps us to stay compliant with the latest ICD and CPT regulatory updates. I would recommend Xpert to any office looking to streamline their billing and coding process, to decrease errors in billing and to stay up to date with billing regulations. Overall, it has been a positive change for our office. 

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Sandy P

Billing Manager , End user working with XpertCoding

Helpful(0)

November 26, 2024

verified
new review

November 26, 2024

An Excellent Tool

XpertCoding is a great platform to increase the efficiency for coding teams. Their system is very robust & they perform regular updates & improvements. Customer service is second to none. They provide easy communication methods & direct contact with knowledgeable technical teams. They also provide an account dashboard for reporting & analytics.

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Chad Donnelly

VP of Operations, Project manager working with XpertCoding

Helpful(0)

November 25, 2024

verified
new review

November 25, 2024

Great product that will help your coding/billing team

My company has used XpertCoding for a year and half now. We have worked with their team to tailor the product to our specific setting and they are very open to suggestions to make things better. We have had many iterations and needed many months but ultimately their algorithm is much faster than human coders. They have helped us optimize our billing in terms of making sure that charts go to the payors with the correct billing code and get to them quickly so we can be paid for our services in a timely manner.

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Devin Grossman

Physician, Internal consultant working with XpertCoding at PM Pediatrics

Helpful(0)

July 13, 2023

verified

July 13, 2023

Seamlessly integrates into our workflow.

Medical coding is a very labor-intensive process and it has a huge compliance risk. XpertDox coding is integrated within our EHR and made it a seamless workflow. This allowed us to process a much higher volume with a high level of accuracy without adding staff. 

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Piyush Kedia

CEO, End user working with XpertCoding

Helpful(0)

July 11, 2023

verified

July 11, 2023

A great addition to our coding team!

XpertCoding has freed up our coding team to focus on other important processes to better our organization. The communication between myself and the XpertCoding team is always timely and helpful. The XpertCoding team is always available to update logic, faciliate changes to payers, answer specific questions, and build additional features in our coding dashboard. Thank you for your continued support  

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Director of coding working with XpertCoding at PM Pediatrics


Helpful(0)

July 6, 2023

verified

July 6, 2023

XpertCoding improves the coding and billing process

Implementation of XpertCoding at our urgent care centers has resulted in the need for fewer coding FTEs to keep up with surging volumes, more accurate and consistent coding across claims, and accelerated claim submission leading to faster collections. The product is customizable, integration is seamless, and the support team is very responsive.

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End user working with XpertCoding


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