INDUSTRY: HEALTHCARE RCM

HIPAA-Compliant AI for Medical Billing

When Zapier lacks HIPAA Business Associate Agreements and complex EHR integrations exceed no-code capacity, we build production-grade systems that protect patient data and increase revenue.

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The $2.1M Risk: No-Code Compliance Gaps

Medical billing and RCM companies face critical compliance and integration challenges that no-code platforms cannot solve.

HIPAA Violations

  • No Business Associate Agreements (Liability up to $2.1M)
  • Insufficient audit trails for HIPAA compliance
  • No custom encryption or access controls

EHR Integration

  • Epic, athenahealth, eCW require custom development
  • 70,000+ ICD-10 codes exceed no-code capacity
  • Payer-specific rules require sophisticated logic

Revenue Impact

AI systems that increase collections, not just save costs

15-25%

Higher Collections

Intelligent revenue capture identifies missed opportunities.

3%

Denial Rate

Reduced from 10% to under 3% through validation.

30%

Capacity Increase

Automation enables more client capacity with same staff.

$1.4M

Additional Collected Revenue

$200K investment generated $1.4M in additional collected revenue for 40-person billing company

Healthcare-Specific Solutions

Revenue Capture

AI-powered systems that identify missed revenue opportunities, optimize billing codes, and maximize collections per provider.

  • ICD-10 coding intelligence (70k+ codes)
  • Payer-specific rule optimization
  • Automated opportunity identification

Claims Automation

Automated claims validation, submission, and denial management that reduces errors and improves first-pass acceptance rates.

  • Intelligent claims validation
  • Automated denial management
  • Real-time status tracking

EHR Integration

Custom integrations with Epic, athenahealth, eClinicalWorks, and other EHR systems with real-time data synchronization.

  • Real-time patient data sync
  • Custom API development
  • HIPAA-compliant data handling

Compliance Infra

Built with Business Associate Agreements, full audit trails, custom encryption, and SOC 2 readiness from day one.

  • BAA Included
  • Complete audit trails
  • Custom encryption
AI MODEL FINE-TUNING

Medical Coding Accuracy That Maximizes Revenue

Generic AI achieves only 75-85% accuracy on ICD-10 coding—not good enough for maximizing reimbursements and avoiding denials. Our custom fine-tuned models trained on 50,000+ coded procedures achieve:

  • 95-99% coding accuracy across all specialties
  • Understanding of payer-specific rules and documentation requirements
  • Revenue optimization through optimal code selection
  • 40% reduction in claim denials
Learn about Fine-Tuning

ICD-10 Coding Intelligence

Generic AI Accuracy 75-85%
Fine-Tuned Accuracy 95-99%
$75K-$125K

Typical Investment

15-25% revenue increase potential

Ready to Increase Collections by 15-25%?

Typical project range: $50K-$200K. Sales cycle: 3-6 months.

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