Patients are getting sicker and margins are getting slimmer. It isn't easy to be a hospital navigating the complexity of healthcare data in today's world. But enhanced revenue integrity is possible. With review of 100% of charts, we're driving revenue cycle outcomes and improving quality scores with zero risk using your current teams and processes.
Hospitals and health systems operate on razor-thin margins and struggle to be paid fairly for the care they provide. Generating accurate and complete receipts requires a deep understanding of the nuances of clinical care and medical billing rules. That's where we come in: We'll reconcile your clinical and billing worlds, identify gaps and help you capture millions in missed revenue.
Our clinical AI is focused on capturing the correct diagnoses with evidence-based findings, which may include DRG downgrades. While our proprietary algorithms analyze your data automatically, our findings are never sent to billing without validation by your CDI team. That's what we like to call "peace of mind": improving compliance all while capturing net new revenue.
Missing details in documentation can misrepresent the patient’s true complexity and severity, lowering quality metrics like mortality and readmissions. By analyzing the entire patient record, we fill in holes in your documentation to tell the most complete and accurate story of the patient and the care you provided. That means you get the quality of care metrics your staff works so hard to earn.
Capturing revenue is vital, but if you don’t know where it came from, you’ll just have the same problem again next month. We provide dynamic dashboards to track every cent of revenue captured, so you can dig down to analyze performance at every level. Which means you can fully understand revenue improvement and spot opportunities for upstream process improvement.
Solutions that cost millions before they’re even up and running are tough bets to make. Our implementation doesn’t require heavy investment from your tech teams and our results-based pricing means no risks, no upfront costs and you pay only for approved and billed findings. When you partner with us, you can bet on a sure thing.
Every dollar counts in healthcare. So let us crunch the numbers to see how much net new revenue we could capture together.
SmarterPrebill works in the prebill phase, analyzing the entire patient record for every discharge with more than 800 proprietary clinical algorithms. And when we say “entire” we mean everything — even what's not documented. We're talking provider notes, labs, med, orders, vitals, and the results of radiology and pathology studies. Then our clinical AI presents the recommended opportunities for documentation and/or coding improvement in seconds. Talk about lightning-fast results.
More than 800 proprietary clinical algorithms
No other solution examines the entire patient record for every discharge
Ultimately CDI relies on human intelligence. That’s why each of our recommendations include the full clinical reasoning behind it, with all the relevant data from the record. Your CDI teams can see everything they need in one place, eliminating searches for backup and other manual administrative tasks.
That gives them time to focus on meaningful work, like validating the findings. Everyone feels smarter when they work smarter.
Get a first-hand look at the ROI of AI. We give you the tools to analyze total revenue improvement and impact per recommendation from every angle: location, service, DRG, provider, CDI reviewer and missing data-type, all the way down to case level. That lets you continuously improve training and processes to ensure the quality and consistency of both documenting and coding.
SmarterPrebill works seamlessly with your existing people, processes and technologies — no need to rip and replace. That means you can implement SmarterPrebill into your current workflow and tech stack in weeks and start seeing net new revenue on Day 1 without adding staff or impacting processes.
1,652 beds
70,000 patient discharges
Cerner
CDI leader: 15+ years experience, advisory board, ACDIS chapter lead
0 net new FTEs, 10-week go-live
3,239 beds
122,000 patient discharges
Epic, Accuity, Cloudmed, PWC SMART
Revenue and quality review, 100% coverage
0 net new FTEs, 8-week go-live
1,811 beds
70,000 patient discharges
Cerner, Nuance,
Accuity
CDI leader: 10+ years experience, centralized CDI and coding
0 net new FTEs, 11 week go-live
Ready to learn more? Get in touch with us today and we’ll set you on the path to revenue integrity.
