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Healthcare & Life Sciences verified Verified Outcome TRL 9

Autonomous Medical Coding (AI)

domain Client: A Midwest integrated health system handshake Provider: CodaMetrix schedule Deploy: 2023
85 Impact
Enterprise Ready
Evidence Score: B/10
Strength: Medium

Executive Summary

ANALYST: COI RESEARCH

Adoption of multi-specialty autonomous AI coding to reduce revenue cycle costs and denial rates.

rate_review Analyst Verdict

"Low Risk. AI coding is maturing rapidly. By automating the 'easy' 70% of charts, human coders can focus on complex cases, directly improving cash flow."

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Full Audit Report Available Includes Risk Register, Technical Specs & Compliance Data.

warning The Challenge

Medical coding shortages and human error led to high denial rates and delayed billing. Radiology and pathology departments generated high volumes of repetitive charts that consumed disproportionate staff time.

psychology The Solution

Implemented CodaMetrix's AI platform. The system autonomously codes clinical notes without human intervention for high-volume specialties, only flagging complex cases for review.

settings_suggest Technical & Deployment Specs

Integrations
Epic EHR
Deployment Model
SaaS
Data Classification
Financial / Clinical
Estimated TCO / ROI
Moderate
POC Summary ( to )

"N/A"

shield Risk Register & Mitigation

Risk Factor Severity Mitigation Strategy
Audit Compliance Medium Regular random audits of AI codes

trending_up Impact Trajectory

Audited value realization curve

60% reduction in coding costs Verified Outcome
Primary KPI98% coding accuracy
Audit CycleSignificantly reduced days in A/R

policy Compliance & Gov

  • Standards: HIPAA
  • Maturity (TRL): 9
  • Evidence Score: B/10
  • Data Class: Financial / Clinical

folder_shared Verified Assets

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Verified Case Study
PDF • Version 1
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Technical Audit
PDF • Audited
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Security Architecture

The "Blind Verification" Protocol

How we verified these outcomes for A Midwest integrated health system without exposing sensitive IP or identities.

Private
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1. Raw Evidence

Audit ID: #PRIV-515
Evidence: Direct SQL Logs
Public
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2. Verified Asset

Outcome: Verified
Ref ID: #COI-515

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