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Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
XpertCoding
XpertCoding

Categories

Solutions

Description

Product Description:
Our Revenue Intellect™ solution is a cloud-based, guided-analytics platform that is designed to help maximize and sustain financial margin. Revenue Intellect enables users to Identify hidden or hard-to-find sources of revenue loss and access data, ranging from targeted analyses to free-form data exploration, to provide value to all levels of a health care provider's operational structure.
About ConvergeHEALTH:
We create new digital ecosystems to shape the future of health. Businesses and stakeholders across the health care ecosystem—from health plans and biopharma, to government agencies and health care providers, to start ups and tech giants—are all building the future of health. ConvergeHEALTH is committed to delivering solutions that enable these organizations to put patients at the center of health care. ConvergeHEALTH creates new health ecosystems to enable the future of health by combining next generation platforms, deep industry experience and novel collaboration models. We move with the agility of a health startup, backed by the global reach of Deloitte to design and offer platforms and services that empower the shift to value-based personalized health care. We do this by creating digitally connected ecosystems comprised of analytics platforms, industry partnerships, and world-class consulting services, all with the unified vision of putting patients at the center of health care.
Product Description:

XpertCoding is a revolutionary technology that leverages advanced natural language processing (NLP) and machine learning algorithms to code medical claims within 24 hours automatically. By streamlining the coding process, XpertCoding enables faster claims submissions with unparalleled accuracy, resulting in maximized financial gains for clients. The breakthrough technology behind XpertCoding sets it apart as a game-changing solution for medical coding, providing a more efficient and effective alternative to traditional coding methods.

About XpertDox:

XpertDox is a software company providing a suite of products and services centered around using smart technology for healthcare administration and patient experiences. Its products include XpertCoding, an autonomous coding solution that accelerates the revenue cycle; XpertTrial, a clinical trials database management, search engine, and patient recruitment platform custom-built for each healthcare organization; and XpertScreen, a physician-facing internal platform for automated pre-screening, referral, and recruitment. XpertDox was founded in 2015 and is based in Birmingham, Alabama.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:
The healthcare industry is full of shifts and uncertainty. Reimbursement methods are moving from volume to value and Healthcare providers’ profit margins are leaking an average of over 8% annually. With disconnected data, ambiguous KPIs, and a rapidly changing regulatory and reimbursement landscape, identifying the source of revenue loss is becoming very challenging.
Pediatric use cases:

None provided

Users:
Revenue Cycle Teams
Description:
  1. Hospitals or Practices can use XpertCoding to submit claims faster, more accurately, and save costs.
  2. RCM Companies can use XpertCoding to submit claims faster, more accurately, and save costs for their clients.
Pediatric use cases:

XpertCoding is implemented at multiple pediatric practices where it automates the medical coding process.

Users:
  • Urgent Cares
  • Urology Practices
  • Pediatric Practices
  • Primary Care Practices
  • Hospitals with large urgent care, pediatrics or primary care presence
  • Any medium to large single-specialty practices

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose

Hardware Compatibility:

Not applicable

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:
Revenue Intellect™ uses comparative and predictive data analytics powered by Deloitte Analytics to deliver: **Preventative denials analytics**: Compare financial performance across multiple metrics against benchmarks compiled from the entire Revenue Intellect client base. Compare current and past performance, while monitoring the effect of specific events. **Proactive underpayment avoidance**: Count on constant updates to the analytics and functionality available within the solution, based on evolution in the industry and advancements in technology. Our out-of-the-box targeted analytics solution is designed to answer needs specific to health care organizations like yours. **Continuous support**: Access to a dedicated, ongoing Deloitte revenue cycle expert to help with identifying insights within your data and working as a partner to improvement your initiatives.
Differentiators vs Competitors:
Competitors have a limited ability to easily harness and understand revenue cycle data to quickly and effectively make business decisions. They also have limitations of “Traditional Key Performance Indicators” and may not have the advance flexible analyses you need to understand the “why” behind a following trend. Revenue Intellect features and differentiators: * One-stop shop for managing revenue cycle performance * One-click navigation for discovering critical issues, prioritized for your decision making. * Automatically-generated insights on demand * Customized reporting and filters with account level drill-down capability * User-friendly Web interface accessible anytime, anywhere * Dedicated revenue cycle expert from Deloitte's Client Services team
Differentiators vs EHR Functionality:
  1. XpertCoding is a fully autonomous medical coding solution, whereas EHRs only offer computer-assisted coding that requires provider input and a coding team.
  2. XpertCoding provides a Dashboard to monitor claims and perform advanced analytics across all their location, whereas EHRs do not offer a coding-focused Dashboard.
  3. XpertDox offers a Clinical Documentation Improvement module not offered by EHRs.

Differentiators vs Competitors:
  1. XpertCoding can autonomously code >90% of the claims, whereas competitors may only code 60 to 80%.
  2. XpertCoding offers a free pilot program, whereas most competitors don't.
  3. The training period for XpertCoding is less than four weeks, compared with many months and even a year with some competitors.
  4. XpertCoding offers a comprehensive Dashboard for monitoring, data analytics, CDI, and audit trail. The competitor's Dashboard may or may not be as robust.
  5. XpertCoding does not require any IT support from clients, whereas many competitors require some help from the IT team.
  6. XpertCoding is HIPAA, ISO27001, and SOC2 Type 2 certified from a security perspective, whereas some competitors do not carry such certifications.
  7. XpertDox is ISO22301 certified for business continuity, whereas some competitors may not have the certification.

Keywords

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Company Details

Founded in 2014

Founded in 2015

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