Top 10 Codametrix Autonomous Medical Coding Platform Alternatives & Competitors

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.

In an environment where codes and billing regulations are always changing, ensuring accurate charge capture can be a huge challenge for providers. Waystar handles this to ensure you aren’t leaving money on the table.  

Protect your revenue + prevent revenue loss

• Increase FTE productivity
• Rebill payers with more confidence
• Get deeper visibility into your data to identify root causes
• See just how much Charge Integrity could benefit your bottom line. Click below to get an estimate of your potential ROI.

Implementation is seamless, and you’ll see immediate results.

How is Waystar different?

• Predictive analytics go beyond a basic rule-based approach
• Machine learning algorithms analyze historical data to identify patterns
• Hospital and physician data sets are cross-referenced to identify incompatible codes and missing or incorrect charges
• In-house auditing team of certified coders (AHIMA/AAPC, RHIA, RN, CPC)
• Web-based or HIS-integrated user workflows
• Comprehensive review process across all payers and patient classes

What our clients are saying:

"We don't have time to constantly read journals to find out the latest code--I don't know anyone who does. Just one cardiology code paid for the Charge Integrity product for a few years."

-Assistant Director, Revenue Integrity, Floyd Health Care System

Ambience Healthcare’s AI technology for scribing, coding, referrals, and patient summaries has been deployed at health systems such as UCSF Health, St. Luke’s Health System, John Muir Health, and Memorial Hermann Health System. Ambience is the only AI scribing and coding solution designed to support 100+ specialties and subspecialties, and is directly integrated with Epic, Cerner, athenahealth, and other leading EHRs. 

By partnering with Ambience, healthcare systems reduce documentation time by an average of 80%, improve clinical documentation integrity, and achieve at least a 5X return on investment with more accurate E&M coding. Ambience is also the only AI solution that provides clinicians with AI-assisted CDI support. Ambience surfaces precise diagnosis codes for clinicians to review based on patient conversations, then structures documentation to support selected codes. 

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.

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.

Our Virtual Scribes help you to securely manage patient data in your EMR in real-time. Our Virtual Scribe service was created by doctors, for doctors, and was designed to save healthcare providers time and earn more money. We train our Virtual Scribes to work with you and your EMR before Day 1 -- there is no need for you to train them. Our specialty-specific Virtual Scribes are knowledgable in ICDs, CPTS, PQRS, MU, and MACRA; and they are expert EMR data managers.

Powered by Nym's innovative clinical language understanding (CLU) technology, Nym's autonomous medical coding engine fully automates the medical coding process enabling hospitals, health systems, and provider groups to accelerate payment cycles, improve quality, and reduce coding-related costs. 

3M™ M*Modal Fluency Align creates time to care and enables clinicians to focus on the patient while it works in the background. This ambient clinical documentation solution uses our conversational artificial intelligence (AI) and ambient intelligence to automate clinical documentation, making it a byproduct of the patient visit and not a separate, burdensome task for the physician.

Fathom is an autonomous medical coding platform that provides accurate, complete, touchless coding for ICD, CPT/HCPCS, E/M, modifiers, provider assignment, units, shared services, deficiencies, and all other required coding elements across specialties. With Fathom, providers benefit from:

• 90%+ successful automation rates: Of all patient encounters provided to Fathom for coding, around 90% or more are successfully coded autonomously or correctly flagged for documentation deficiencies.
• 96%+ accuracy rates: Ongoing audit programs ensure greater-than-human coding accuracy.
• 30-50% cost savings: Fathom delivers an average 42.3% reduced cost to code.
• Denials reduction: Stronger accuracy and immediate flagging of documentation deficiencies fix coding errors upstream and reduce denials.
• RVU increase: Through higher coding accuracy, especially on E/Ms, Fathom typically results in a meaningful improvement to revenue capture.
• Lightning-fast turnarounds: Fathom typically returns complete coding results for the day's encounters within 2 hours, averaging 57 min.
• Industry-leading SLAs: Contractual commitments to guarantee performance for automation, accuracy, turnaround time, and other metrics.

Through a risk-free trial, Fathom enables providers to validate our coding quality for themselves before turning on production-ready models upon go-live. In production, Fathom receives clinical documentation from EMRs following patient visits, fully codes the encounters according to guidelines and payer rules, and returns complete coding results for claim submission. This consistent application of coding guidelines improves outcomes and enables enterprise-wide compliance.