Top CluePoints Alternatives

iMedX, Inc. offers innovative solutions for managing clinical documentation and revenue cycles, allowing healthcare providers to focus primarily on patient care instead of administrative burdens. Their comprehensive platform combines traditional medical coding with AI technology, providing clinical documentation support, core measures abstraction, and enhanced revenue cycle processes. A standout feature is their AI medical coding, which is part of the 'RCM Companion Suite' and uses advanced machine learning to improve accuracy, reduce claim denials, and expedite payment by automating case routing, pre-filling codes, offering real-time coder guidance, and pinpointing documentation gaps before claims are submitted. Additionally, users can take advantage of features such as intelligent case assignment to the right coder, autonomous management of routine cases, immediate support through an AI tool, and built-in auditing capabilities that can uncover missed reimbursements, documentation errors, and compliance violations. By employing these sophisticated tools, healthcare organizations can greatly alleviate administrative burdens and boost their operational effectiveness while ensuring a higher standard of patient care. Ultimately, this leads to improved financial performance and operational success for healthcare facilities of all sizes.

BioGRID stands out as a sophisticated platform for managing clinical data and visual analytics, designed to streamline the management of clinical information and improve decision-making. By merging state-of-the-art AI technology with intuitive visual tools, stringent compliance functionalities, and optimized workflows for clinical trials, it fosters a seamless operational environment. This solution aggregates diverse clinical data sources, ensuring continuous data flow, trend analysis, forecasting, and predictive insights that enable teams to detect patterns and potential risks, thereby promoting proactive decision-making. Furthermore, BioGRID provides in-depth oversight of research studies, offering a detailed perspective on progress and outcomes, complemented by automated systems for patient tracking and resources for effective medical and statistical analysis. It also emphasizes active data monitoring and quality management based on risk, which plays a crucial role in preserving data integrity and adhering to industry standards by tracking key risk indicators, spotting potential inconsistencies, and ensuring thorough audit trails. By empowering clinical teams with the tools they need, BioGRID facilitates a confident and precise navigation through the complexities of data landscapes. In essence, BioGRID not only simplifies data management but also enhances the overall efficiency of clinical trials and research initiatives.

Charta Health offers an innovative AI-powered platform that optimizes the chart review process by meticulously analyzing all types of medical charts—whether they are pre-bill, pre-visit, or post-bill—aimed at uncovering revenue opportunities, ensuring accurate coding, and meeting payer compliance standards. The state-of-the-art AI technology conducts an in-depth evaluation of each patient chart, identifying issues such as under-coding, missed billable services, coding errors, and documentation deficiencies, while providing evidence-based justifications and detailed dashboards for efficient auditing and oversight. By improving revenue integrity, the platform can potentially increase RVUs per patient by up to 15.2% and contribute to an average revenue enhancement of 11%, all while delivering extensive audit coverage at a fraction of the cost associated with traditional audit methods. Furthermore, it strengthens clinical-quality workflows by ensuring that documentation aligns with standards like HEDIS/STARS, integrating seamlessly with clinical-decision support systems, and establishing feedback loops for providers, which ultimately fosters improved patient outcomes and enhanced reimbursements tied to quality metrics. This all-encompassing strategy not only drives revenue growth but also significantly raises the quality of care delivered to patients, reinforcing the importance of quality in healthcare services. By prioritizing both financial efficiency and patient care, Charta Health sets a new standard in the healthcare industry.

Transforming medical coding and auditing through cutting-edge artificial intelligence, our platform significantly improves the efficiency of manual inpatient coding tasks, enhances documentation quality, and allows your team to focus on more impactful responsibilities. Prominent hospitals are witnessing remarkable progress due to Semantic Health’s pioneering solutions. By utilizing custom-built clinical AI and natural language processing algorithms, crafted from millions of medical records by our talented AI professionals, we can meticulously analyze clinical and coded data. This capability allows our coding and auditing systems to comprehend complex clinical contexts, adjust to changing coding standards, and pinpoint premium coding and auditing opportunities, all underpinned by definitive evidence from clinical documentation. The integration of AI into the traditionally demanding processes of medical coding and auditing not only saves valuable time but also optimizes your revenue cycle. Additionally, Semantic Health offers hospitals and healthcare systems a robust inpatient auditing platform that performs thorough pre-bill reviews of claims data, ensuring every detail is carefully verified prior to submission, which ultimately optimizes operational workflows while greatly minimizing the likelihood of errors. By harnessing these advanced technologies, healthcare providers can achieve greater accuracy and efficiency in their coding practices.

Computer-Assisted Coding, commonly referred to as medical coding, significantly enhances productivity, accelerates decision-making, and minimizes issues such as denials, overlooked fees, and low-risk scores. The AGS Computer Assisted Coding module (CAC) provides a flexible and scalable coding solution that improves accuracy, efficiency, and adaptability in the coding process. Key attributes include an Integrated Encoder, which features a 'book-based encoder' to assist in selecting the appropriate code while offering comprehensive guideline information and coding clinics. Additionally, it comes with Integrated References, supplying coders with detailed visuals and anatomical information to support them during the coding process. Moreover, the system includes an Integrated and 3M grouper, with built-in DRG/MSDRG grouping; users can easily activate the 3M APR grouper through a straightforward integration with a third-party service, though additional fees from 3M apply. This ensures that coders have access to the necessary tools for precise and efficient coding.

Transform your scattered health information into a cohesive and accessible format with an interactive AI and NLP platform that delivers critical health insights for a diverse range of stakeholders. This cutting-edge technology benefits Providers by expediting the data abstraction process and validating clinical information within notes, which in turn reduces the time and expenses linked to pinpointing care gaps, evaluating care quality through dashboards, and generating registry reports. For Payers, it enhances the integration and analysis of claims data alongside clinical notes, thereby improving the management of high-risk and high-cost member populations. In the Life Sciences sector, this solution accelerates patient matching for clinical trials by utilizing both databases and clinical note data, effectively tapping into the potential of real-world clinical evidence. Ember seamlessly combines NLP with predictive analytics, optimizing healthcare analytics for unstructured data to enhance quality, efficiency, and outcomes throughout the healthcare system. Consequently, stakeholders are empowered to make well-informed decisions that not only elevate patient care but also optimize resource allocation for better healthcare delivery. Ultimately, this holistic approach fosters a more connected and efficient healthcare ecosystem.

AGS Health Company has completed the acquisition of EZDI, enhancing their revenue cycle management capabilities. Our platform is designed to assist businesses of all sizes, providing access to APIs that empower organizations to extract valuable insights from their healthcare data. It successfully merges medical coding with clinical documentation, creating a fully cohesive system that can enhance the productivity of documentation and coding specialists by as much as 45%. Additionally, our platform boosts revenue by optimizing case mix and risk scoring. We offer modern clinical APIs that are designed to integrate smoothly into existing infrastructures. To ensure exceptional accuracy, our system has been trained on over 7 million real clinical documents. Utilizing vast knowledge graph records alongside deep learning and machine learning techniques, we deliver precise code and query suggestions. Our commitment to innovation positions us to spearhead the next evolution in AI for the healthcare industry. Tailored for coders and documentation specialists, our tools enable them to work more intelligently, swiftly, and effectively right from the outset. Furthermore, our advanced Deep Learning NLP models empower healthcare professionals to navigate complex data landscapes with assurance and precision.

Sully.ai is focused on developing AI-driven agents specifically for the healthcare industry, offering solutions that streamline vital tasks such as medical coding, patient appointment scheduling, and clinical documentation management. These intelligent agents integrate seamlessly with existing healthcare systems, enabling organizations to enhance their productivity and reduce operational costs. Adhering to HIPAA guidelines, the platform ensures the protection and privacy of patient data while facilitating swift task completion. The technology is utilized in diverse medical fields, such as pediatrics, psychiatry, and primary care, and more than 100 healthcare organizations depend on it to improve workflows and elevate patient care. This dedication to innovation and data security firmly establishes Sully.ai as a pioneer in revolutionizing healthcare processes through automation, making a significant impact on the efficiency of medical operations. As the industry continues to evolve, Sully.ai remains committed to advancing these technologies to meet the growing demands of healthcare providers.

An online software platform designed to implement Quality Risk Management effectively organizes, assesses, and connects quality data to the specific risks related to patients and pharmaceutical products. What Sets Us Apart? CINCO is a risk-focused quality management solution crafted specifically for the Life Sciences industry, providing a digital alternative for monitoring every essential quality aspect of drugs and medical devices, thereby enabling well-informed quality decisions consistently. The Significance of Risk Management: Quality Risk Management offers a structured methodology that guarantees the identification and reduction of potential risks throughout the production processes of drugs and medical devices, a practice that is now a requirement for most regulatory agencies. Even though it is imperative, conventional paper-based systems commonly used in the Life Sciences sector struggle to manage the extensive amount of critical risk data, resulting in errors, increased user difficulty, and a loss of operational efficiency. Accessing vital product quality information promptly is crucial for improving decision-making and maintaining safety standards. By adopting a digital framework, companies can enhance their risk management strategies and boost overall product reliability. This transformation not only optimizes operational workflows but also fosters a culture of continuous improvement within organizations.

Ensure the dependability of your health plan while identifying precise pricing through the Context4 Health Plans Suite, our adaptable and cloud-based technological solution. Gain immediate and actionable insights for identifying Fraud, Waste, and Abuse (FWA), crafted by our team of certified experts proficient in clinical, dental, and health benefits. By utilizing reliable data along with cutting-edge cloud technology, we provide a strong and justifiable Medicare reference-based pricing (RBP) solution. Our platform integrates over 100 healthcare data sets, further enhanced by expert guidance to improve operational efficiency and maintain regulatory compliance. Moreover, our advanced medical coding software is designed to facilitate claim submissions and minimize the chances of denials. In addition, our cloud-based Payment Integrity Platform employs a distinctive analytics engine to detect coding errors, evaluate medical necessity, tackle unbundling, and identify fraud, waste, and abuse, while also assessing audit risks and uncovering pricing inconsistencies that could greatly impact your organization’s overall performance. This all-encompassing strategy not only protects your financial stability but also equips you for lasting success in the dynamic healthcare environment. With our commitment to innovation, you can navigate challenges with confidence and ensure a future of continued growth.

Intact Analytics stands out as the sole solution for evaluating audit data by seamlessly integrating traditional Business Intelligence with Artificial Intelligence, thereby shedding light on intricate data sets, uncovering root causes, and enhancing decision-making and risk-based planning processes. This innovative audit analytics tool features intuitive dashboards that present essential metrics in an easily digestible format, while its automated anomaly detection swiftly highlights underlying risks and causes. With capabilities for predictive analysis, users can anticipate future audit outcomes, thereby uncovering crucial insights from their data to address pivotal business questions, make informed decisions, and tackle significant challenges head-on. By enabling comprehensive analysis of all audits rather than a mere selection, organizations can achieve more critical audit insights in a fraction of the time, effectively identify risk factors and root causes, streamline risk-based audit planning, and ultimately safeguard the integrity and safety of their products and services. Elevate your auditing process with this powerful tool to ensure not only compliance but also strategic advantages in your business operations.

Amazon Comprehend Medical is an NLP service designed to adhere to HIPAA standards, employing machine learning to extract health information from medical documents without necessitating any prior expertise in machine learning from its users. A vast amount of healthcare data is found in unstructured formats, such as physicians' notes, clinical trial reports, and patient histories. Relying on traditional, manual methods for data extraction is not only time-consuming but also prone to errors, as rule-based automation often fails to capture essential contextual details, resulting in incomplete data retrieval. This lack of reliability can significantly undermine the effectiveness of large-scale analytics, which are critical for advancements in the healthcare and life sciences industries, ultimately impeding potential enhancements in patient care and operational effectiveness. By utilizing this sophisticated service, healthcare organizations can gain invaluable insights and improve their decision-making capabilities, ultimately leading to better outcomes for patients. This transformative approach represents a significant leap forward in how health data can be leveraged for greater efficiency and efficacy in medical practices.

Mamosis is a revolutionary AI-driven cancer diagnosis software designed to transform how healthcare providers and individuals approach early detection and health management. Its advanced deep learning models, rigorously trained and clinically validated, analyze medical images and personal wellness data to detect minute anomalies often missed by traditional methods. Mamosis generates comprehensive diagnostic reports within minutes, presenting key findings clearly to aid swift clinical decision-making. The platform’s intuitive interface allows medical professionals to upload images securely and review analyses effortlessly, saving crucial time in busy healthcare environments. Patient data security is paramount; all information is encrypted and handled with strict confidentiality, complying with international privacy standards. Mamosis also extends its benefits to individuals by translating complex health data into understandable insights and personalized guidance, supporting proactive health management. The system enhances collaboration between AI technology and expert clinical judgment, offering a reliable second opinion that improves diagnostic confidence. Users report significant improvements in workflow efficiency and diagnostic accuracy, especially in mammography analysis. With offices in the UK, Dubai, and Turkey, Mamosis is committed to expanding access to intelligent diagnostics worldwide. The platform exemplifies the future of preventative care, enabling earlier interventions and better health outcomes through innovative AI technology.

Medical AI signifies a remarkable technological leap that addresses chronic health issues with efficiency. This cutting-edge solution is notable for its ability to predict future outcomes, suggest the best courses of action, and present information in an easily digestible format. By enhancing human decision-making, DeLorean Medical AI is paving a path toward a future where machines and humans work together to achieve exceptional results. Our technology not only improves health outcomes but is also pioneering as the first AI system validated biologically through independent clinical trials. Through its ability to refine patient demographic classifications, evaluate risk factors, and anticipate changes in disease progression, Medical AI is essential for the early identification and diagnosis of numerous medical conditions. Moreover, it plays a significant role in lowering costs within healthcare frameworks. With more than ten clients currently leveraging our innovative solution, it has successfully demonstrated its potential to generate savings and minimize expenses by utilizing real-time analytics that highlight at-risk groups and provide evidence-based recommendations for action. As the landscape of healthcare continues to change, the incorporation of such advanced technologies will be crucial in promoting enhanced patient care and efficient resource allocation. The ongoing development of Medical AI indicates a promising future for patient health management and systemic healthcare improvements.

Tempus AI, a leading health tech company located in Chicago, Illinois, is focused on revolutionizing patient care through the integration of advanced artificial intelligence and precision medicine. By harnessing data and AI, the firm aims to develop customized treatment strategies spanning various medical fields, including oncology, cardiology, radiology, and mental health. Their comprehensive platform merges genomic sequencing, clinical data, and AI-driven analytics, thereby providing healthcare professionals and researchers with vital insights. Tempus enhances patient understanding through a variety of testing methodologies, such as tissue and liquid biopsies, DNA and RNA sequencing, somatic and germline testing, as well as tumor-normal matched profiling and minimal residual disease monitoring. In addition, the company presents a fast and reliable platform for test ordering, acquiring patient insights, and integrating AI technologies into medical practice. Their innovative generative AI-enabled clinical assistant further streamlines access to patient insights, improving the efficiency of healthcare delivery. This dedication to leveraging state-of-the-art technology underscores Tempus AI's mission to elevate health outcomes and propel advancements in medical research. Ultimately, Tempus AI strives to be at the forefront of a transformative era in healthcare.

Clinithink distinguishes itself as a leading technology company within the healthcare industry, specializing in artificial intelligence innovations that transform unstructured medical data into meaningful insights. Their proprietary platform, CLiX, utilizes Clinical Natural Language Processing (CNLP) to interpret complex clinical narratives, which in turn enables healthcare providers to enhance patient outcomes and boost operational efficiency. Clinithink offers tailored solutions across diverse sectors such as life sciences, revenue cycle management, and population health, effectively addressing challenges like patient cohort identification, reimbursement optimization, and disease progression tracking. With its state-of-the-art technology, Clinithink has garnered trust from major pharmaceutical and healthcare organizations worldwide, solidifying its position as a frontrunner in healthcare AI and digital health advancements. Additionally, the CLiX platform excels at recognizing a broad spectrum of complex clinical concepts, including certainty, severity, laterality, and temporality, which significantly improves its effectiveness in various clinical environments. As the healthcare landscape continues to evolve, Clinithink is dedicated to refining its technology to adapt to the shifting requirements of the industry, ensuring it remains at the forefront of innovation. This commitment to continuous improvement positions Clinithink as a critical partner in the quest for better healthcare solutions.

Arintra represents a pioneering automated medical coding solution that utilizes advanced artificial intelligence, deep learning, natural language processing, and tailored clinical language models to comprehensively evaluate patient charts and generate precise billing codes—including E/M levels, CPT, ICD-10, HCC, and HCPCS—alongside required modifiers and units, all achieved without human intervention. This state-of-the-art technology supports healthcare providers in maximizing revenue collection with improved precision and effectiveness while reducing the challenges linked to manual coding, thus preventing delays in the billing process. Moreover, Arintra integrates effortlessly with prominent electronic health record systems such as Epic and Athena, allowing coding to take place within existing workflows without necessitating extra IT support or causing interruptions. It also provides an extensive audit trail for each coding decision, which strengthens compliance, reduces risks, and improves clinical documentation methods. Additionally, the platform is equipped with a powerful analytics dashboard that empowers users to track coding metrics, accuracy rates, turnaround times, and emerging patterns, which in turn fosters operational transparency and informed decision-making. As a result, Arintra not only streamlines the coding process but also contributes to the overall efficiency of healthcare operations.

Utilizing actionable insights from a top-tier AI-powered clinical analytics platform empowers your teams to adeptly navigate risks and improve performance across studies, systems, sites, and vendor interactions. The innovative technology developed by Saama is designed to streamline workflows, automate tedious tasks, and enhance collaboration among diverse clinical functions including operations, medical review, data management, biostatistics, and pharmacovigilance. Both sponsors and contract research organizations (CROs) rely on Saama's robust data aggregation and AI capabilities, which support better decision-making, reduce delays, and significantly lower costs and timelines associated with the drug development process. By implementing Saama's solutions, you can hasten the advancement of clinical trial innovation. Centralizing and continuously updating your clinical data greatly simplifies the work of your ClinOps and medical review teams. In addition, Data Managers, who are often overlooked, can redirect their attention from mundane tasks to the essential data points that are critical for project success, thereby ensuring their skills are effectively utilized. This shift not only improves operational efficiency but also plays a vital role in enhancing the quality of clinical outcomes, ultimately contributing to more successful trials and better patient care. Embracing these advancements is imperative for organizations aiming to stay competitive in the ever-evolving landscape of drug development.

Aptarro's HCC Coding Engine represents a state-of-the-art AI tool that seamlessly integrates with electronic medical records and practice management systems, enabling real-time evaluations of all patient interactions to automatically detect and correct coding errors, thus guaranteeing that Hierarchical Condition Category (HCC) diagnoses are accurately documented for optimal risk adjustment and revenue enhancement. By employing established industry guidelines and sophisticated machine learning techniques, the engine prioritizes encounters that need coder attention, boosting coder efficiency by as much as 300% while keeping the workload for providers stable, all the while reducing denials through immediate validation and compliance improvements. This system boasts exception-based workflows, intuitive dashboards that monitor RAF score trends, integrated audit trails, and robust logging features, facilitating quick implementation within existing processes to enable organizations to see immediate returns on investment in their first billing cycle and recover millions in missed revenue, all without compromising the focus on clinical care or the accuracy of documentation. Furthermore, this pioneering strategy not only simplifies the coding workflow but also equips healthcare organizations with the tools necessary to enhance their financial outcomes while maintaining high standards of patient care, thus fostering a more efficient and effective healthcare environment.

cubeCDMS serves as an all-encompassing electronic data capture platform meticulously designed for the efficient handling of clinical trial operations, significantly improving the data collection and monitoring process. This sophisticated system integrates complete data management workflows that include automatic identification of protocol violations, query batch management, and risk-based monitoring, all of which work together to enhance data integrity and operational efficiency. Featuring a user-friendly, no-code interface, research teams can easily develop electronic case report forms (eCRFs) from a library of over 55 pre-built forms and edit checks, leading to rapid database configurations and reduced start-up durations. Additionally, cubeCDMS is designed for user convenience, allowing for single data entry that is seamlessly shared across various integrated CRScube modules, which effectively reduces redundancy and simplifies the reconciliation process. Beyond this, it presents numerous benefits such as AI-driven medical coding support, intuitive drag-and-drop tools for form creation, multilingual support, and thorough audit trails along with change history tracking, all ensuring transparency and dependability throughout the trial lifecycle. Ultimately, this cutting-edge solution enables clinical researchers to concentrate more on their investigative efforts while refining their data management strategies, thus enhancing the overall efficacy of clinical trials. Additionally, its integration capabilities allow for greater collaboration among teams, further streamlining the research process.

OnPoint Healthcare Partners offers an advanced, AI-enabled autonomous practice management platform along with a suite of healthcare technology solutions aimed at improving clinical documentation, coding precision, care coordination, revenue cycle management, and administrative tasks, thus enabling healthcare providers and their teams to focus more fully on patient care. At the heart of this innovative solution is the Iris Medical Agent AI Platform, a cloud-based tool that utilizes agentic and generative AI under clinical oversight to carry out tasks across the entire care continuum, featuring capabilities such as AI-enhanced charting, accurate coding compliance, longitudinal patient management for HCC risk adjustment, initiatives for closing care gaps, and immediate support for care coordination and referral/prior authorization, all integrated smoothly with existing EHR systems to reduce interruptions and lessen manual effort. Furthermore, OnPoint’s Practice Management as a Service model combines these autonomous AI workflows with operational expertise to address staffing shortages, lower costs, and streamline healthcare operations. This all-encompassing strategy not only boosts operational efficiency but also empowers providers to offer superior care to their patients while maintaining focus on their well-being. In essence, OnPoint is transforming the landscape of healthcare management with innovative solutions that prioritize patient care above all else.

ClinicalWave.ai, hosted on the AWS cloud infrastructure, is a comprehensive AI solution tailored for companies in the life sciences sector. Leveraging advanced natural language processing (NLP) technology, it efficiently extracts crucial insights while automating the removal and extraction of sensitive information from clinical documents. The platform comprises several key components: 1. ClinRedact AI - This redaction tool automatically detects and eliminates sensitive content from clinical records, significantly conserving time while ensuring the integrity of the data. 2. ClinExtract AI - This data extraction solution employs NLP and machine learning algorithms to gather important data from clinical documents, enhancing insights and optimizing operational workflows. 3. ClinDICOM AI - Explore the capabilities of our DICOM data extraction tool, which features targeted redaction, customizable rules, intelligent context analysis, compliance with audit trails, and an intuitive user interface. With these innovative tools, ClinicalWave.ai empowers life sciences companies to handle their clinical documents with greater efficiency and security.

Medical professionals often enter their field without a focus on mastering coding techniques. We are transforming the future of the revenue cycle with autonomous coding powered by artificial intelligence. Currently, our platform serves over a dozen prominent healthcare organizations and systems, which include more than 200 hospitals and 50,000 healthcare providers. The sophisticated coding AI system developed by CodaMetrix adeptly translates clinical data into accurate medical codes that are crucial for both patient care and the revenue cycle, supporting various care models such as fee-for-service and value-based care. This automation process is designed to be seamless, transparent, and fully traceable. By leveraging CodaMetrix's cutting-edge, multi-specialty autonomous medical coding platform, we continuously analyze and apply clinical evidence extracted from electronic health records. Our system autonomously transforms clinical notes into billing codes that comply with coding regulations, ensuring that claims truly mirror the complex and detailed nature of each patient's care journey. This significantly reduces the workload on human coders while improving overall efficiency. Consequently, healthcare providers can dedicate more time and resources to patient care, enabling them to deliver better services and outcomes. The advancements in AI-driven coding are not just a benefit to administrators but also to patients, as they lead to more accurate billing and improved healthcare experiences.

The Medidata Clinical Cloud is an advanced platform crafted to transform the clinical trial experience for patients, sponsors, CROs, and research institutions alike. As the only all-encompassing technological solution dedicated solely to clinical research, this platform covers the entire spectrum of research from its initial stages to final outcomes. It empowers organizations within the life sciences and medical device industries to cut down on development costs, effectively manage risks, and accelerate the launch of new treatments and devices into the market. Regardless of your choice for clinical trial strategies, the advantages of the Medidata Clinical Cloud will be at your disposal. Medidata stands at the leading edge of the digital transformation in clinical research. By harnessing the capabilities of artificial intelligence, machine learning, and advanced analytics, our platform facilitates connections among researchers, study coordinators, investigators, and patients, ultimately speeding up the research process. Furthermore, it features a regulatory-compliant and patient-centric electronic informed consent solution for clinical trials, which improves the experience for everyone involved. This seamless integration of cutting-edge technology not only optimizes operational efficiency but also significantly uplifts the overall quality and integrity of clinical research endeavors. Thus, adopting the Medidata Clinical Cloud means embracing a future where clinical trials are more efficient and patient-focused than ever before.

Centauri Health Solutions focuses on healthcare technology and services, driven by a strong desire to improve the efficiency of the healthcare system for clients while providing compassionate care to those in need. Our innovative software utilizes advanced analytics to assist hospitals and health plans—including sectors like Medicare, Medicaid, Exchange, and Commercial—in managing their variable revenue through a tailored workflow platform. Additionally, we offer personalized support to patients and members, ensuring they have access to essential benefits that can greatly enhance their quality of life. Our comprehensive solutions include Risk Adjustment services (such as Medical Record Retrieval, Medical Record Coding, Analytics, and RAPS/EDPS Submissions), management of HEDIS® and Stars Quality Programs, Clinical Data Exchange, Eligibility and Enrollment services, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, and both Referral Management & Analytics, while also addressing Social Determinants of Health to improve healthcare outcomes and accessibility even further. Each element is meticulously crafted to function together, ultimately fostering a more effective and compassionate healthcare experience for all stakeholders involved. By integrating these services seamlessly, we aim to create a healthcare environment that not only meets but exceeds the expectations of our clients and the communities we serve.

InQuery is redefining medical record review for insurers, attorneys, and healthcare experts with AI-driven automation designed for precision, speed, and compliance. Instead of manually sifting through hundreds of pages, users can now review, organize, and summarize complex medical files in minutes. The platform’s machine learning engine automatically indexes and labels every document by provider, type, and relevance while extracting ICD codes, medications, and treatment data. These insights are compiled into customizable case summaries and chronologies, enabling users to quickly identify patterns, key facts, and missing information. With InQuery, organizations can handle three times more cases with the same resources—cutting costs, reducing turnaround time, and improving decision quality. Automated quality checks ensure compliance and consistency, flagging regulatory or data gaps before they impact outcomes. The platform empowers teams to focus on high-value analysis rather than repetitive document handling. Its one-click export feature generates ready-to-use, fully organized case files, saving hours of preparation. Designed with strict adherence to HIPAA and SOC 2 standards, InQuery safeguards sensitive information with robust security and reliability. It’s the intelligent, modern solution for transforming medical record chaos into clarity and confidence.

Limbic represents a groundbreaking clinical-AI platform tailored for professionals in behavioral health, enhancing patient access, expediting assessments, and providing effective therapy through trustworthy AI-powered tools. It smoothly integrates into existing referral systems and features Limbic Access, an interactive intake and screening tool that conducts evaluations, predicts diagnoses, gauges risk levels, and generates thorough clinical reports for healthcare providers. Additionally, Limbic offers Limbic Care, an AI-driven companion for patients that delivers structured cognitive-behavioral therapy (CBT) interventions, regular check-ins, and continuous support customized to the patient's therapeutic journey. At the core of this platform lies the Limbic Layer, a unique clinical engine that bridges users with a vast language model, ensuring safety, clinical precision, regulatory compliance, and consistency across the board. The platform's effectiveness is highlighted by its outstanding diagnostic accuracy and is backed by peer-reviewed studies and respected regulatory approvals, including its designation as a Class IIa medical device. Moreover, Limbic's dedication to advancing mental health care aligns with a larger movement in the healthcare sector towards the adoption of technology aimed at enhancing patient outcomes, illustrating its role in the future of psychological support. The integration of such innovative solutions marks a significant step forward in addressing the growing demand for accessible mental health resources.

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.

Brellium is a cutting-edge AI-driven clinical compliance platform that performs audits on clinical documentation, billing, and payor risk associated with each patient visit. Its standout features include real-time chart reviews that utilize machine learning to meticulously evaluate every note, session, and encounter, ensuring compliance with coding standards (MDM/E/M/ICD-10), clinical quality benchmarks, payor regulations, and documentation integrity, resulting in audits that are completed up to 13 times faster and reducing chart-review costs by almost 98%. The platform effortlessly integrates with any electronic medical record (EMR) system, supports both custom and standard audit criteria, and automatically sends feedback emails to providers, while also providing trend-data dashboards that rank clinicians based on the quality of their documentation. Furthermore, Brellium offers a unique clawback-protection guarantee: should a payor withdraw reimbursement for a chart that Brellium has approved, the company will assume the associated expenses. Tailored for various specialties, including behavioral health, applied behavior analysis (ABA), home health care, chronic-care management, and telehealth services, Brellium not only enhances compliance but also promotes efficiency in clinical practice. Its innovative approach and protective guarantees position Brellium as an essential asset for healthcare providers aiming to optimize their operations and maintain high standards of care.

ClinicAid enhances your operational efficiency through its cloud-based medical billing software, which takes care of labor-intensive tasks, allowing you to prioritize what truly counts: delivering excellent patient care. By alleviating administrative pressures with advanced billing and coding solutions, you can dedicate more time to your patients' needs. The software streamlines complex procedures by automatically filling claims with relevant practice and patient details. Designed to keep your practice organized and effective, ClinicAid's physician billing software features comprehensive reporting tools that have been shaped by user feedback. This guarantees quick access to vital reports like Remittance, Rejection, and Efficiency, all readily available at the press of a button. Additionally, our medical billing software's reporting features are flexible, adapting to the changing requirements of your practice, allowing you to create and store customized reports that cover up to 46 different data points for deeper insights into your operations. With ClinicAid, you gain the ability to make well-informed decisions that enhance your practice's overall effectiveness and success, ultimately leading to improved patient satisfaction and outcomes. By streamlining your workflow, ClinicAid empowers you to spend less time on administrative tasks and more time fostering meaningful connections with your patients.