Bulk auditing and correcting historical medical claims used to be a pain. Until now.
Intelligent post-payment reviews and happier health information management teams at the push of a button.
Signs your process needs a health check
Incomplete records lead to submission delays
Inaccurate or fragmented patient documentation means claims aren’t ready for submission, delaying revenue and increasing rework.
Coding errors cause denials and lost revenue
Inconsistent or outdated ICD-10 and CPT coding increases the risk of claim denials and reimbursement delays.
Non-compliance triggers penalties
Failure to meet Medicare and MIPS requirements results in audits, penalties, and heightened scrutiny from regulators.
Manual rework
drains resources
Relying on manual reprocessing of existing documentation wastes time, adds to administrative overhead, and diverts focus from higher-priority tasks.
Your solution for post-payment claim reviews and revenue cycle management
ClaimsQ™ automates post-payment claim reviews to ensure adherence to current regulatory guidelines. It generates precise coding and compliance reports that support audits, improve billing accuracy, and reduce denials and administrative burdens.
Generate accurate and compliant encounter records
Transform your existing patient documentation into accurate, compliant encounter records—ensuring every claim is ready for submission.
Automated, up-to-date ICD-10 and CPT coding
Reduce errors and prevent claim denials by leveraging AI to code documentation in accordance with the most current ICD-10 and CPT guidelines.
Compliance guaranteed
Continuously validate claims against Medicare and MIPS standards to ensure full compliance and mitigate audit risks.
Reduce administrative burden
Automate documentation processing to reduce administrative workload, freeing your team to focus on higher-priority tasks.
Automate post-payment reviews, boost compliance, and
improve data quality with one powerful tool.
ClaimsQ™ leverages advanced AI and Human-in-the-Loop Machine Learning (HITL-ML) to streamline post-payment claim reviews with exceptional speed and precision. By combining state-of-the-art automation with expert oversight from certified human coders, ClaimsQ™ ensures strict regulatory compliance, streamlines encounter coding, and optimizes revenue cycle management.
ClaimsQ™ is in compliance with
ClaimsQ™ automatically extracts key information from historical claim
records, eliminating manual data entry.
Flagged anomalies are reviewed by
U.S. certified coders to ensure high-
quality, compliant coding while minimizing false positives.
Advanced AI automatically codes bulk EMR notes and performs compliance checks against the latest Medicare, CMS (LCD/NCD), and regulatory
guidelines.
Validated claim data is confirmed and prepared for seamless integration into your workflow, ensuring efficient post-payment reviews and audit readiness.
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