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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 Billient?

Billient is a cutting-edge medical coding solution that leverages artificial intelligence to improve the speed, accuracy, compliance, and efficiency of revenue cycles. Acting as an impeccable AI medical coder, Billient allows healthcare organizations to effortlessly convert clinical documentation into validated coding suggestions, which reduces delays, simplifies claims processing, speeds up reimbursements, and enhances cash flow. It efficiently ingests medical notes from electronic health record systems through compliant integrations such as HL7/FHIR, CCDA parsing, automated workflows, or direct file uploads. Its intelligent AI engine carefully examines each patient encounter to discern diagnoses, procedures, documentation context, and the complexities involved in medical decision-making. In addition, Billient autonomously generates recommendations for ICD-10, CPT, HCC, DRG, modifiers, and related codes, complete with confidence scoring and validation to help prioritize cases that require thorough manual review. With Billient's advanced capabilities, healthcare providers can improve not only their coding accuracy and efficiency but also their overall financial health and operational effectiveness. By adopting this innovative platform, organizations can stay ahead in a rapidly evolving healthcare landscape.

Media

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Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
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

Billient

Date Founded

2025

Company Location

United States

Company Website

billient.ai/

Categories and Features

Categories and Features

Revenue Cycle Management

Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing

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