HCC Coding EngineAptarro
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Related Products
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About
CombineHealth AI is the creator of Amy, Marc, Emily, and Diana — an advanced AI workforce designed to power end-to-end Revenue Cycle and Practice Management services for healthcare groups nationwide. These solutions are built on a proprietary foundational model that delivers 99.2% accuracy and ensures 100% compliance with coding and billing guidelines. The AI workforce helps reduce coding errors, enhance coder productivity, and address physician documentation challenges. Organizations using these solutions have seen a 35% increase in clean claim submissions and a significant reduction in denial rates. The AI employees work seamlessly alongside human teams, performing key functions such as medical coding, billing, data entry, A/R follow-up, and denial management — while providing detailed, auditable reasoning for every action taken.
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About
Aptarro’s HCC Coding Engine is an AI‑powered solution that integrates seamlessly with electronic medical records and practice management systems to scan every patient encounter in real time, automatically identifying and closing coding gaps to ensure all Hierarchical Condition Category (HCC) diagnoses are accurately captured for optimal risk adjustment and revenue. By applying industry‑proven rules and machine learning models, it prioritizes high‑value encounters for coder review, boosts productivity up to 300% per coder without adding provider workload, and reduces denials through real‑time validation and compliance updates. With exception‑based workflows, clear dashboards for RAF score trends, built‑in audit trails and logging, and fast implementation within existing workflows, organizations see immediate ROI in their first billing cycle and unlock millions in missed revenue while maintaining clinical focus and documentation integrity.
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Platforms Supported
Windows
Not Supported
Mac
Not Supported
Linux
Not Supported
Cloud
Supported
On-Premises
Not Supported
iPhone
Not Supported
iPad
Not Supported
Android
Not Supported
Chromebook
Not Supported
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Platforms Supported
Windows
Not Supported
Mac
Not Supported
Linux
Not Supported
Cloud
Supported
On-Premises
Not Supported
iPhone
Not Supported
iPad
Not Supported
Android
Not Supported
Chromebook
Not Supported
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Audience
Hospitals and Health Systems, RCM Services
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Audience
Revenue cycle and coding teams seeking a tool to automate and optimize HCC risk adjustment coding to maximize payments with minimal manual effort
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Support
Phone Support
Supported
24/7 Live Support
Supported
Online
Supported
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Support
Phone Support
Supported
24/7 Live Support
Supported
Online
Supported
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API
Offers API
Not Supported
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API
Offers API
Not Supported
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Screenshots and Videos |
Screenshots and Videos |
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Pricing
$1000/month
Details upon request
Free Version
Not Supported
Free Trial
Not Supported
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Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Reviews/
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Reviews/
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Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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Training
Documentation
Supported
Webinars
Not Supported
Live Online
Supported
In Person
Supported
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Company InformationCombineHealth AI
Founded: 2022
United States
www.combinehealth.ai
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Company InformationAptarro
United States
www.aptarro.com/hcc-coding
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Categories |
Categories |
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Revenue Cycle Management Features
Accounts Receivable
Supported
Claims Management
Supported
Collections Management
Supported
EHR/EMR Integration
Supported
For Healthcare
Supported
ICD-10 Compliance
Supported
Insurance Verification
Supported
Medical Billing
Supported
Patient Portal
Supported
Patient Registration
Supported
Patient Scheduling
Supported
Payment Processing
Supported
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Integrations
Amy by CombineHealth
Supported
EHR 24/7®
Supported
EPIC
Supported
Practice Mate
Supported
Service Center
Supported
athenaOne
Supported
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Integrations
Amy by CombineHealth
Not Supported
EHR 24/7®
Not Supported
EPIC
Not Supported
Practice Mate
Not Supported
Service Center
Not Supported
athenaOne
Not Supported
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