IKS Health recently introduced its new AI-driven autonomous coding engine. This global leader in care enablement now offers enhanced RCM solutions. The platform currently delivers up to 95% coding accuracy. Additionally, it helps healthcare providers significantly reduce claim denials. The autonomous coding engine integrates seamlessly with the Epic Connection Hub. It combines sophisticated AI logic with expert human review. This process ensures audit-ready codes from the initial chart to the final claim.
The system utilizes structured documentation to analyze patient charts effectively. Subsequently, it suggests specific CPT, ICD, and E/M codes. The engine also provides a confidence score for every code. Human experts review any codes with low confidence levels. Meanwhile, AI-approved codes pass through rigorous payer validation. Accuracy is further secured through a pre-bill review layer. Furthermore, the engine performs compliance validation and payor propensity analysis. It accepts charts from any clinical source. Every claim includes justification reports citing clinical evidence.
Improving Financial Sustainability and Clinical Focus
“Our AI-driven autonomous coding engine is frictionless and allows clinicians to be clinicians while keeping administrative and financial operations flowing and on track,” said Mayank Pant, Executive Vice President, Product Management. “We’ve created a sophisticated autonomous coding engine with human expertise that preactively overcomes denials and other claims issues, giving healthcare organizations much needed sustainability. Every code is scored, validated, and backed by clear justification for compliant, clean claims with shared accountability for results.”
This vendor-agnostic technology also works with Scribble Now. Consequently, it creates an agentic AI-powered workflow. This integration unlocks massive value from chart to revenue. The autonomous coding engine ensures a 100% audit trail. Additionally, it automatically codes more than 80% of charts.
“Our new autonomous coding workflow is a key part of our full RCM platform, and is a total win for accuracy and reimbursement,” said Sachin K. Gupta, Founder and Global CEO of IKS Health. “Using AI-driven technology combined with human expertise removes unnecessary burdens from clinicians while strengthening the administrative and financial aspects of healthcare organizations, enabling them to operate more effectively and deliver better care to the patients they serve.”
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News Source: Businesswire.com
