TrustRadius: an HG Insights company

What is XpertCoding?

XpertCoding is an automated turnkey solution that improves coding efficiency and accelerates the revenue cycle.

Media

the dashboard where the user identifies and retrieves overlooked charges from previously submitted claims, enhancing revenue integrity.
the Clinical Documentation Improvement (CDI) interface, that enhances compliance and documentation accuracy, supporting stronger financial outcomes and more efficient workflows.
the XpertCoding Business Intelligence Platform, which delivers real-time insights into performance metrics and overall financial health.
some of the available data insights, such as benchmarks for providers, and clinic performance.

1 / 5

High level medical coding for busy medical practices

Use Cases and Deployment Scope

My company (a large, national urgent care chain) has used XpertCoding for about 2 years now in order to streamline our medical coding. We have worked with their team to tailor the product to our specific setting as they are very open to suggestions that lead to improvement. We have had many iterations and needed many months but ultimately their algorithm is much faster and more efficient than human coders. They have helped us optimize our billing in terms of making sure that charts go to the payors with the correct billing codes and are able to process them so quickly in order for us to be paid for our services in a timely manner.

Pros

  • Enables a large volume of charts to be sent to payors for reimbursement with a fast turnaround time
  • Allows updates to the algorithms so that charts can be appropriately coded
  • Assures that charts are sent to payors with the most accurate billing codes which can help in the case of an audit

Cons

  • Integrate more AI into the product so there is less manual coding needed for the algorithms
  • Allow more customization of their dashboard

Return on Investment

  • The initial work required to get the product fully up to speed was a heavy lift for several employees but now the product works smoothly allowing for a large return on investment
  • The product has freed up our medical coder to be able to spend more time on education and the charts that have increased complexity

Usability

Xpertdox XpertCoding helped save our practice and is making practicing medicine and more enjoyable again

Use Cases and Deployment Scope

Xpertdox XpertCoding has been priceless for us and using AI for real-time billing, and coding.

As doctors in our practice this has allowed us to be more efficient with patient care without having to worry about spending too much extra time on billing and coding.

prior to using Xpertdox XpertCoding we were getting behind on claim submissions

we started using Xpertdox XpertCoding we were able to get into real time and recover our revenue, faster and better.

thanks for all you do to help all of us in Medical practices.

Pros

  • Coding
  • Claims submission
  • Dashboard

Cons

  • Need to do better about spreading the word to help more medical practices

Return on Investment

  • Revenue cycle management.
  • Saving us time and exam rooms

Usability

Other Software Used

eClinicalWorks

Great ROI easy implementation great team to work with

Use Cases and Deployment Scope

We use XpertCoding to review our Medical charts and claims prior to billing. The visits are reviewed for proper documentation. They are also checking for an accurate level of service, ensuring we are not over or under billing for the time and services provided. They are also ensuring that proper CPT codes and rates are billed.

Pros

  • Communication
  • Subject Matter Experts
  • Innovative Technology

Cons

  • None noted as of yet

Return on Investment

  • The cost is outweighed several times by the additional reimbursement
  • Insight into Providers that under-document has been a valuable training tool
  • Insight into CPT codes we were not utilizing has ensured we are up to date on all Coding and Billing practices

Usability

Other Software Used

Epic, AssuranceCM, FTI Consulting