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

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XpertCoding
XpertCoding

Categories

Solutions

Description

Product Description:
The first Unified Automation solution built specifically for healthcare revenue cycle management. The brilliance of Unified Automation is not only its ability to observe actions, learn them, and perform them faster and more accurately than people. Unified Automation is especially brilliant because it is antifragile, which extends beyond simple resilience or robustness. Resilient systems resist variance and disorder and stay the same; an antifragile system thrives and improves as a result of that same variance and disorder. Combined with the expertise of our revenue cycle operations analysts, Unified Automation delivers unparalleled efficiency in RCM. Here’s how it works: OBSERVE We get a 360-degree view of your RCM processes. Our proprietary software gathers multi-modal data to capture work variations. LEARN Our team discretizes the data to train our machine-learning algorithm. Our algorithms then automatically construct complex flows that would be impossible to script by hand. Our model also identifies broken workflows and corrects them, often eliminating unnecessary work. PERFORM Our solution works 24/7 using the processes learned from your staff and automates full functions, quickly taking on new tasks over time. There’s no disruption to staff, no new software for your team to learn. If complexities arise, our inhouse team of RCM experts are notified to triage the problem and resolve in real-time while our solution learns from the actions they take. Your RCM operations continue uninterrupted. Continuous learning is built in, providing you with peace of mind, always.
About Alpha Health:
At Alpha Health we believe every dollar spent on healthcare matters, because healthcare matters to everyone. We believe complexity in medical billing and reimbursement in the United States drives up hidden costs that we all pay, both in terms of dollars and in the erosion of trust people have that our healthcare system will serve them well. We believe that by bringing together the best of people, data, and technology to address financial complexity in our healthcare system, Alpha Health serves as a powerful force for restoring trust to healthcare in the US. Alpha Health is pioneering Unified Automation for healthcare revenue cycle management. Unified Automation brings together the best of people, data and machine learning technology to address financial complexity in our healthcare system. Ultimately, we help providers be better stewards of the healthcare dollar.
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:

None provided

Pediatric use cases:
We work for all revenue cycle departments, regardless of speciality or place of service.
Users:

None provided

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:

Acute care EMR, Ambulatory EMR, ADT, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Allscripts, Cerner, eClinicalWorks, Epic, Meditech

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

Differentiators

Differentiators vs EHR Functionality:
Mitigate Financial Risk By Fundamentally Restructuring Operating Costs Health systems are preparing for a significant (and likely unfavorable) shift in payer mix. This transformation of the reimbursement landscape will accelerate and intensify existing efforts to not simply reduce, but dramatically restructure operating costs. By combining advanced machine learning technology and deep domain expertise, a Unified Automation approach enables RCM leaders to upgrade their organization to an entirely different cost structure.
Differentiators vs Competitors:
Unified Automation is a unique approach because it seamlessly blends human judgement and subject matter expertise with machine learning. Unified Automation is also antifragile. This means it extends beyond simple resilience or robustness. Resilient systems resist variance and disorder and stay the same; an antifragile system thrives and improves as a result of that same variance and disorder. Traditional revenue cycle vendors are focused on staff augmentation platforms that require intensive and continuous maintenance resulting in increased costs. These platforms do not significantly bend the cost curve when it comes to revenue cycle performance. Alpha Health is the only Unified Automation platform dedicated to revenue cycle. Hidden costs destroy restructuring efforts. At Alpha Health, our Unified Automation solution is purpose-built for the healthcare revenue cycle. We provide every component necessary to deploy and maintain automation in production. Coupled with our straightforward shared savings model, we can ensure transparent costs tied to real output and value. $3.41 hidden costs for every $1 spent on RPA Bot Creation and Maintenance. Alpha Health provides our clients a way to secure dramatic value with a new cost model. One with no surprises, transparent shared savings via Unified Automation While other automation solutions rely on armies of onsite consultants to shadow your staff, our deployment model has always been built on the mantra of “innovation without disruption.” This approach has always meant minimal in-person and onsite time, and we have completed entire end-to-end production deployments fully remotely.
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.

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Company Details

Founded in 2018

Founded in 2015

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