HCC Coding EngineAptarro
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Related Products
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About
Encipher Health is a comprehensive AI-powered healthcare technology platform that automates medical coding, risk adjustment, and revenue-cycle processes across specialties. Using Neuro-Symbolic AI, OCR, ML, and knowledge-graph logic, it converts unstructured clinical documentation into accurate, audit-ready codes (CPT, ICD-10, HCC, HCPCS) while enforcing payer, CMS and compliance rules. Its products — including GI coding automation, radiology coding (Conrad AI), anesthesia coding (Sedate AI), HCC/risk adjustment (Cogent AI / RiskGen‑Core / RAF Totalizer), E/M coding, home-health coding, ICD-10-AM support, AR follow-up and denial resolution — streamline workflows, reduce manual effort, minimize denial risk, and accelerate reimbursements. Real-time and retrospective workflows, seamless EHR integration, MEAT-criteria validation, modifier logic, and compliance guardrails ensure high accuracy, regulatory alignment and audit readiness.
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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
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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
Providers, Health Plans, Payers, ACOs and Billing and Coding Companies
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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
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24/7 Live Support
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Online
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Support
Phone Support
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24/7 Live Support
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Online
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API
Offers API
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API
Offers API
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Screenshots and VideosNo images available
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Pricing
No information available.
Free Version
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Free Trial
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Pricing
No information available.
Free Version
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Free Trial
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Reviews/
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Reviews/
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Training
Documentation
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Webinars
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Live Online
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In Person
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Training
Documentation
Supported
Webinars
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Live Online
Supported
In Person
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Company InformationEncipher Health
Founded: 2023
United States
www.encipherhealth.com
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Company InformationAptarro
United States
www.aptarro.com/hcc-coding
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Integrations
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Integrations
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