Name: XpertCoding
Rating: 4.8 (10 reviews)

Select which hospital or health system you work at and see a personalized compatibility level.

You may also be interested in:

Revenue Cycle Management Bots

CampTek Software

5

XpertDox-Multi level Coding Quality Checks.JPG

XpertCoding vs. Others.JPG

XpertDox Security.JPG

XpertCoding Workflow.jpg

XpertCoding Benefits.jpg

See all media

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	Nym's Autonomous Medical Coding Engine Learn more	Codametrix Autonomous Medical Coding Platform Learn more	Fathom Learn more
Intelligent Automation
Advanced Analytics and Reporting
Compliance and Security
Continuous Performance Improvement

EHR integration

Integrations

Acute care EMR, Ambulatory EMR, Ancillary EMR, Home health, Behavioral health, Community based organizations, Access +/or revenue cycle

EHR integration and 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

Use cases and differentiators

Use case descriptions

Healthcare systems, hospitals, and practices can harness XpertCoding to expedite claim submissions, boost accuracy, reduce costs, and alleviate physician burden.
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

Differentiators vs internal options

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.
XpertCoding provides a Dashboard to monitor claims and perform advanced analytics across all their location, whereas EHRs do not offer a coding-focused Dashboard.
XpertDox offers a Clinical Documentation Improvement module not offered by most EHRs.

Differentiators vs competitors

XpertCoding Differentiators

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.
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.
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.
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.
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.
Customizable Smart Claim Scrubber: Tailored to align with payor-specific rules, reducing claim denials and rejections to ensure smoother claim submissions.
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.
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.
ISO 22301 Certified for Business Continuity: Ensures uninterrupted service delivery during disruptions, providing operational resilience unmatched by many competitors.
Proactive Charge Recovery and Revenue Optimization: Identifies and retrieves missed charges on previously submitted claims, optimizing revenue integrity.
XpertCoding aligns billing with payor-specific contracts, ensuring precision and compliance.
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.
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.
Modifier Support for Enhanced Claim Accuracy: Provides full support for modifiers, ensuring accurate coding for services with special circumstances.
Compared to other competitors in autonomous or AI-assisted coding, XpertDox has demonstrated results across various organization types.
Designed to scale for RCM and Billing Companies: Streamlined operations, reduced coding errors, and accelerated claim submissions.
Optimal for Mid-to-large scale Practices: Minimal IT requirements and transparent pricing models make XpertCoding an ideal fit for smaller setups.
Hospitals and Healthcare Systems: Comprehensive dashboards, charge recovery, and CDI tools support enterprise-level needs.
Faster Claim Processing and Reduced Lag: Reduces charge entry lag by 40%, enabling faster claim submission and reimbursement cycles.
Improved Accuracy and Compliance: With coding errors reduced to less than 1%, XpertCoding ensures better compliance and fewer denials.

Health Equity

XpertCoding's approach to Privacy

XpertCoding sets a high standard for data privacy and security, underscored by our robust certifications. We are proud to be HIPAA compliant and hold ISO27001 and SOC2 Type 2 certifications, distinguishing us from many competitors. Additionally, XpertDox is certified under ISO22301, ensuring resilience and business continuity. These certifications demonstrate our commitment to safeguarding data and provide healthcare providers the confidence to make informed decisions about data use within their teams.

AVIA GUIDE