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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 Clarus RCM?

Transform your revenue cycle with Clarus RCM, a frontrunner in risk adjustment coding solutions that encompass both retrospective and prospective HCC coding, commercial risk adjustment coding, HEDIS abstraction, RADV audits, chart reviews, data validation, and comprehensive revenue cycle management services. Our certified coders guarantee an accuracy rate exceeding 95%, coupled with swift turnaround times. Utilizing a state-of-the-art technology suite, Clarus RCM Inc provides meticulous revenue cycle management (RCM) services. By integrating RCM with healthcare consulting, we enable hospitals and physicians to optimize their existing revenue streams, uncover new payment opportunities, and improve RCM efficiencies. In addition to holding an ISO/IEC 27001:2013 certification, we strictly comply with HIPAA regulations and ISMS standards. Our operations have been rigorously evaluated by UL-DQS, an American accreditation organization, affirming our commitment to delivering exceptional healthcare services with a focus on quality and security. This unwavering commitment to excellence not only supports our clients’ needs but also contributes positively to the broader healthcare ecosystem, fostering improvements across the industry.

Media

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Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Not specified

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Not specified

Training Options

Online Training

Company Facts

Organization Name

Encipher Health

Date Founded

2023

Company Location

United States

Company Website

www.encipherhealth.com

Company Facts

Organization Name

Clarus

Date Founded

2014

Company Location

United States

Company Website

www.clarusrcm.com

Categories and Features

Medical Coding

Not specified

Categories and Features

Medical Billing

Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Practice Management
Quotes/Estimates

Medical Coding

Not specified

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