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What is Encipher Health?

Encipher Health is an innovative healthcare technology platform that utilizes artificial intelligence to optimize and automate various processes, including medical coding, risk adjustment, and revenue cycle management across multiple medical fields. By integrating Neuro-Symbolic AI, machine learning, optical character recognition, and knowledge graph techniques, it converts unstructured clinical documents into accurate, audit-compliant codes such as CPT, ICD-10, HCC, and HCPCS, ensuring compliance with payer and CMS regulations. The platform boasts a diverse array of products, like automated solutions for GI coding, radiology coding via Conrad AI, anesthesia coding with Sedate AI, and HCC and risk adjustment tools such as Cogent AI, RiskGen-Core, and RAF Totalizer, all designed to enhance operational effectiveness. Moreover, additional functionalities like E/M coding, home health coding, support for ICD-10-AM, accounts receivable follow-up, and denial resolution work together to cut down manual effort, lower the chances of claim denials, and speed up payment processes. With a combination of real-time and retrospective workflows, seamless integration into electronic health records, MEAT-criteria validation, modifier logic, and built-in compliance measures, the platform guarantees high levels of precision, adherence to regulatory requirements, and audit preparedness. Overall, Encipher Health emerges as a groundbreaking solution, greatly enhancing healthcare operations and driving improved financial outcomes for its users while continuously evolving to meet industry demands.

What is Healthicity Audit Manager?

Audit Manager streamlines the process of medical auditing by integrating audit management, education, and reporting within a single online platform. Developed by auditors specifically for their peers, this tool empowers users to conduct audits according to their own specifications. With immediate access to reporting, customizable templates, and comprehensive oversight of the audit process, Audit Manager enhances auditing efficiency by as much as 40%, minimizes denials, and uncovers up to 10% in overlooked revenue. Furthermore, the latest version now incorporates built-in Tableau integration, allowing for advanced analytics and detailed reporting capabilities, making it an even more valuable resource for auditing professionals.

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Media

Integrations Supported

Healthicity
Tableau

Integrations Supported

Healthicity
Tableau

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

$670/mo for 3 users
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Encipher Health

Date Founded

2023

Company Location

United States

Company Website

www.encipherhealth.com

Company Facts

Organization Name

Healthicity

Date Founded

2015

Company Location

United States

Company Website

www.healthicity.com/solutions/auditing/software-management

Categories and Features

Categories and Features

Audit

Alerts / Notifications
Audit Planning
Compliance Management
Dashboard
Exceptions Management
Forms Management
Issue Management
Mobile Access
Multi-Year Planning
Risk Assessment
Workflow Management

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

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