Top 10 OS inc. Alternatives & Competitors

Patients placed in the wrong bed status with improper documentation results in massive revenue loss and patient dissatisfaction.

Physicians can’t keep up with constantly changing criteria needed to admit patients to the hospital, and hospitals spend tons of money and resources fixing bed status issues retrospectively.

AdmissionCare provides the admitting physician with automated admission criteria - such as MCG - integrated directly into the EHR workflow to help document medical necessity that increases payer reimbursements and reduce denials.

How does it work?

• Integrate into the clinician's EHR workflow
• Determine the most appropriate bed status for each patient at admission
• Synchronize payer criteria with the clinician's documentation
• Collect revenue for the care provided, while avoiding costly denials

Producing documentation for billing, QA, patients, and care communication is a significant burden on clinicians, requiring hours away from patient care and negatively impacting patient experience and outcomes. 

Playback Health’s mission is to alleviate this burden through advanced AI technology. As the leading care-forward, cost-effective AI medical scribe and patient engagement platform, Playback is designed by clinicians for clinicians. Its unified communication suite empowers healthcare professionals to focus more on patient care and reclaim quality time in their lives. Playback ambient listening and AI features capture provider conversations and seamlessly generate notes, orders, assessments, and other essential documentation, saving hours every day. Clinicians can effortlessly share vital care information with patients and families, significantly reducing communication burdens and enhancing the patient experience. 

Playback Health allows clinical care teams to be more connected and engaged in their patients' care journey, while helping patients and families better understand their care.

This solution automates the process of checking requests under review as well as continued status changes and updates. It supports many portals such as Evicore, Magellan, UHC and others. The solution includes business rules, exception handling and daily reporting functionality with customizable dashboard views. AI is also used to do analysis and supply predictive capabilities. The solution can also be hosted and supported by CampTek as an ongoing managed service.

Theator is the pioneer of Surgical Intelligence, a category defined to revolutionize surgery through AI-driven video analysis. The platform automatically captures and analyzes every procedure, ensuring that no critical moment is missed. By generating comprehensive, structured operative reports, Theator eliminates the burden of manual documentation while improving accuracy, standardization, and reimbursement. Beyond documentation, continuous video capture fuels clinical research, quality initiatives, and surgical education, providing structured, searchable access to real-world procedural data. As the leader in Surgical Intelligence, Theator partners with hospitals and surgical teams to drive performance optimization and pave the way for real-time decision support in the OR.

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.

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.

Engage IQ™ connects pre- and post-care engagement and the 

required technology to deliver an unmatched level of personalization. 

Engage IQ™ uses a 360-degree look at your patient portfolio and historical self-pay data up-front. RevSpring then 

delivers a predictable ROI, allowing you to engineer engagement and financial outcomes that are consistent and 

coordinated throughout each patients’ entire pre- and post-care journey

No two denials are the same, and your team needs to submit appeals quickly and efficiently. Our technology automatically identifies denials that can realistically be overturned, prioritizes them based on predicted cash value, and populates payer-specific appeal forms. Denial + Appeal Management from Waystar offers:

• Disruption-free implementation
• Customized, exception-based workflows
• Robust reporting and analytics to help make process improvements
• An Appeal Wizard that integrates into your PM or EMR system
• Payer scorecards to help guide more favorable contract negotiations

Accelerate patient collections while reducing A/R days by implementing a digital first approach to payments. With Dash, organizations can improve revenue by:

• Allowing patients the flexibility to pay balances at their convenience and through payment plans, without log in requirements. 
• Monitoring payments in real time with bi-directional dashboards.
• Reducing printed statement costs by utilizing digital automated alerts.