Alternatives to Semantic Health
Compare Semantic Health alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Semantic Health in 2026. Compare features, ratings, user reviews, pricing, and more from Semantic Health competitors and alternatives in order to make an informed decision for your business.
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Healthicity Audit Manager
Healthicity
For medical auditing, Audit Manager streamlines the way you manage audits by merging audit workflow, management, education, and reporting into one easy-to-use, web-based solution. Audit Manager brings simplicity by helping you: Identify Revenue Evaluate financial impact. Minimize denials and identify up to 10%, per provider, in missed revenue with extensive reporting and analytics tools. Increase Efficiency Improve your auditing efficiency by up to 40%. Reduce the amount of time you spend completing audits with our user-friendly interface. Improve Accuracy Customize your audit templates. Include your own standards, MAC carrier guidelines, and claim scrubber tech for ideal results. Audit Manager features: Built-in Tableau integration for in-depth analytics and reporting. Flexible Audit Management: View the status, and each associated status, of every audit, by any auditor. E/M Calculator Automatically calculate E/M codes with a built-in calculator.Starting Price: $670/mo for 3 users -
2
Charta
Charta
Charta Health offers an AI-powered platform that automates chart review by analyzing every medical chart (pre-bill, pre-visit, or post-bill) to capture missed revenue opportunities, ensure coding accuracy, and support payer-compliance needs. Its proprietary AI engine reviews 100% of patient charts, surfacing under-coding, missed billable services, coding errors, and documentation gaps, with evidence-based justifications and dashboards for auditing and tracking. For revenue integrity, the platform can increase RVUs per patient by up to 15.2% and average revenue uplift of 11%, while enabling full audit coverage at one hundred percent for a fraction of the typical audit cost. It also addresses clinical-quality workflows by validating documentation against standards such as HEDIS/STARS, integrating with clinical-decision support tools, and generating provider feedback loops, which help improve patient outcomes and reimbursement tied to quality. -
3
iMedX
iMedX
iMedX, Inc. provides clinical documentation and revenue-cycle solutions designed to help healthcare providers focus on patient care rather than administrative burdens. The platform supports AI medical coding, standard medical coding, clinical documentation, abstraction of core measures, and revenue-cycle-management workflows. Their AI medical coding offering, part of the ‘RCM Companion Suite’, uses advanced machine-learning to improve accuracy, reduce denials, and accelerate payments by automating case-routing, pre‐populating codes, guiding coders in real time, and surfacing documentation gaps before claims leave the organization. Users gain features such as intelligent case routing to the right coder, autonomous resolution of routine cases, in-moment assistance through an AI assistant, and embedded audit tools that identify missed reimbursement, documentation errors, and compliance risks. -
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Brellium
Brellium
Brellium is an AI-powered clinical compliance platform designed to audit clinical documentation, billing, and payor risk across every patient visit. Its core capabilities include real-time chart review using machine learning to check every note, session, and encounter for coding compliance (MDM/E/M/ICD-10), clinical quality standards, payor rules, and documentation integrity, delivering audits up to 13x faster and reducing chart-review costs by approximately 98%. Brellium integrates with any EMR, supports custom and prebuilt audit criteria, sends automatic provider-feedback emails, and provides trend-data dashboards that stack-rank clinicians based on documentation quality. It also offers a unique clawback-protection guarantee: if a payor retracts reimbursement on a Brellium-approved chart, Brellium will cover the cost. The platform serves specialties such as behavioral health, ABA, home health, chronic-care management, and telehealth. -
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AGS Computer-Assisted Coding
AGS Health
AGS Health's Computer-Assisted Coding (CAC) software helps hospitals and physicians simplify the ICD-10, CPT, HCPCS, and E/M coding process; increases your coder productivity while cutting denials, missed charges, and low-risk scores. Computer-Assisted Coding also known as medical coding software helps to boost productivity and make critical decisions faster while reducing denials, missed charges, and low-risk scores. The AGS Computer-Assisted Coding (CAC) module enables flexible and scalable coding of professional and facility operations to increase accuracy, productivity, and flexibility. Features:- - NLP-Based ICD-10-CM, PCS, CPT, and E&M Code Automation: Leverages NLP to automatically suggest billable codes from different types of clinical documents. - One-Click Coder Validation & Acceptance: Automatically identify charts that have potential queries for seamless validation and acceptance. - Always Up to Date: Our Clinical NLP engine is always learning and improving base. -
6
EZDI
EZDI, an AGS Health Company
EZDI is Acquired by AGS Health Company. We enable businesses of all sizes, from startups to large enterprises to use our revenue cycle management platform and APIs to bring insights out of their healthcare data. An integrated clinical documentation and medical coding platform. Fully integrated platform that gives you the ability to increase documentation and coding specialist productivity upto 45%, while growing revenue from improved case mix and risk scoring. Easy-to-use, modern clinical APIs that integrate seamlessly into your infrastructure. Trained on more than 7 million real clinical documents to provide cutting-edge accuracy. We leverage millions of knowledge graph records, deep learning, and machine learning to provide clear code and query suggestions. We’re prepared to lead the next wave of AI in healthcare. Built for coders and documentation specialists to work smarter and faster from day one.Starting Price: $0.15 per patient -
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PwC SMART
PwC
PwC SMART (Systematic Monitoring and Review Technology) increases the efficiency and effectiveness of your inpatient and outpatient coding quality evaluation process, and enables a mechanism for quality and compliance review. Coupled with the support provided by PwC Health Information Advisory, SMART bolsters your efforts to monitor coding and data quality. SMART Inpatient includes 1,000+ pre-defined business rules that identify potential coding inaccuracies and documentation improvement opportunities. You can also customize business rules for your specific areas of focus. Reporting and data analysis help you evaluate your staff’s performance and pinpoint education opportunities for Coding, Clinical Documentation Improvement (CDI), Quality and Providers. SMART Outpatient improves the accuracy of claims and identifies charge capture issues and areas for workflow improvements. It also improves regulatory compliance by decreasing the risks caused by inaccurate coding. -
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Encipher Health
Encipher Health
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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CluePoints
CluePoints
CluePoints is a cloud-based AI-driven risk-based quality management and clinical data oversight platform that leverages advanced statistics, machine learning, and deep learning to improve the integrity, accuracy, and safety of clinical trial data and processes; it provides real-time anomaly detection and centralized statistical monitoring that identifies outliers and data risks traditional methods might miss, enabling teams to manage risks proactively and accelerate issue resolution in line with FDA, EMA, and ICH guidelines. It includes specialized solutions such as Risk-Based Quality Management (RBQM) for real-time risk detection, Medical & Safety Review (MSR) for consolidated review and query workflows, Intelligent Medical Coding to automate consistent clinical coding suggestions, Intelligent Query Detection (IQD) to streamline discrepancy detection, and tools like the Site Profile & Oversight Tool (SPOT) for adaptive site monitoring. -
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Arintra
Arintra
Arintra is a GenAI-native autonomous medical coding platform that uses advanced artificial intelligence, deep learning, natural language processing, and clinical large language models to process entire patient charts and instantly generate precise billing codes, including E/M levels, CPT, ICD-10, HCC, HCPCS with correct modifiers and units, without human intervention, helping providers capture revenue more accurately and efficiently while reducing manual coding workloads and bottlenecks. It integrates bi-directionally and seamlessly with major electronic health record systems such as Epic and Athena, so coding happens within existing workflows with zero IT lift or workflow disruption. Arintra provides a detailed, explainable audit trail for every coding decision to improve compliance, reduce risk, and support clinical documentation improvement, and it includes a powerful analytics dashboard to track coding volume, accuracy, turnaround times, and trends. -
11
Clarafi
Clarafi
Clarafi is an AI-native Electronic Health Record (EHR) and medical scribe platform that transforms clinical documentation and chart management by leveraging advanced artificial intelligence to read handwriting, interpret clinical content, and automatically generate structured patient notes, such as SOAP (Subjective, Objective, Assessment, Plan), in as little as 90 seconds, significantly reducing manual charting work and administrative burden. It captures and organizes problem lists, complete medication histories, review of systems, and other clinical data from existing documentation or clinician input, creating a coherent, EHR-ready medical record that supports e-prescribing, coding, and clinical workflows without extensive typing or manual formatting. Clarafi’s AI automates repetitive tasks, accelerates chart completion, and helps clinicians spend more time with patients rather than on paperwork, and it integrates seamlessly into practice workflows.Starting Price: $99 per month -
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CodaMetrix
CodaMetrix
Physicians didn’t go to medical school to learn how to code. We are reimagining the future of the revenue cycle with AI-powered autonomous coding. The company’s platform is in use at more than a dozen premier provider organizations and health systems, representing over 200 hospitals, and 50K providers. CodaMetrix’s platform is a multi-specialty coding AI platform that translates clinical information into accurate sets of medical codes for patient care and revenue cycle processes, from fee-for-service to value-based care models. The automation is touchless, transparent, and completely traceable. CodaMetrix's cutting-edge, multi-specialty autonomous medical coding platform leverages AI to continuously learn from and act upon the clinical evidence in the EHR. We autonomously translate clinical notes into billing codes that satisfy coding requirements, ensuring claims consistently represent the unique and complete episode of care, reducing human coding workload. -
13
WorkDone Health
Wrkdn, Inc.
WorkDone Health is an AI compliance copilot that prevents small medical documentation errors from becoming costly disasters. WorkDone Health integrates directly with hospital EHRs, monitors clinical activity in real time, and uses AI agents to detect and fix issues — like missed discharge notes or wrong medication times — before they trigger claim denials or audits. When a problem is found, our AI opens a quick conversation with the responsible staff member to confirm and correct it immediately. WorkDone Health doesn't just alert. We resolve — and help clinics and hospitals improve patient outcomes, get more revenue quicker, reduce claims denials, and reduce pressure on clinical teams. -
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Context 4 Health Plans Suite
Context4 Healthcare
Protect the integrity of your health plan and determine accurate pricing with the Context4 Health Plans Suite, our modular, cloud‑based technology platform. Immediate, actionable, and defensible Fraud, Waste, and Abuse (FWA) detection built by our team of certified clinical, dental, and health benefits experts. Accurate data and cutting-edge cloud technology combine to create a proven and defensible medicare reference-based pricing (RBP) solution. More than 100 healthcare data sets, with professional support to optimize efficiency and compliance. Advanced medical coding software designed to expedite claim submission and minimize denials. Our cloud based Payment Integrity Platform utilizes our proprietary analytics engine to identify coding errors, medical necessity, unbundling, fraud-waste-abuse, audit risks, pricing and other aberrations that can impact your business. -
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MediLogix
MediLogix
MediLogix is a comprehensive AI-powered clinical documentation platform designed to radically simplify and streamline how healthcare providers create medical records. With MediLogix, clinicians record a single patient encounter, and the system’s AI translates that recording into eight complete document types; full transcripts, patient summaries, treatment plans, wound-care or medication instructions, coding suggestions, reusable templates, and protocol analyses. The AI isn’t limited to basic speech-to-text; it analyzes clinical context in real time and adapts output to specialty-specific details (e.g., cardiology versus orthopedics), preserving the physician’s voice, reasoning, and decision-making patterns rather than producing generic notes. All AI-generated outputs are reviewed by human medical transcriptionists to ensure accuracy and interpret nuanced context (tone, sentiment, clinical subtleties).Starting Price: Free -
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DeepScribe
DeepScribe
DeepScribe’s AI-powered scribe captures the natural conversation between a clinician and patient and automatically writes medical documentation, allowing clinicians to focus on patient care instead of note-taking. Through an easy-to-use mobile app, DeepScribe records the natural clinical encounter and transcribes it in real time. Our proprietary AI then extracts the medical information from the transcript, classifies it into a standard note, and then integrates that note directly into a clinician’s electronic health record system. Unlike traditional scribes, dictation tools, or other solutions, the ambient nature of DeepScribe means it doesn’t intrude on the patient visit or disrupt the clinical workflow. Providers can simply talk to their patient like normal, then review their notes after the visit and sign-off in their EHR. DeepScribe handles documentation, charting, and even populates suggested diagnostic coding based on the information extracted from the visit. -
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AizaMD
NeuroCareAI
AizaMD™: The Future of Optimized Clinical Documentation. AizaMD is an ambient clinical documentation system that converts clinical encounters into structured SOAP notes effortlessly. It enhances workflow, ensures accurate documentation with automated ICD-10 and procedure coding, and reduces medico-legal liability. AizaMD now also supports procedure notes, letters, and other medical documents—boosting operational efficiency, saving time, and allowing providers to focus on patient care. -
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IMO Core
Intelligent Medical Objects
IMO Core streamlines clinical workflows to help clinicians document with specificity and manage medical problem lists. The clinical workflows designed to document and manage clinical patient data can be disjointed and unnecessarily complex, inhibiting providers from delivering the best possible care. These workflow challenges also effect data quality, with real downstream impacts on billing, reimbursement, quality reporting, and population health initiatives. IMO Core simplifies documentation, problem list management, and access to clinically relevant patient insights, ensuring high quality data, reducing the clinician HIT burden, and optimizing reimbursements. Allows clinicians to document in their own words. Prompts for specificity and secondary codes at the point of care. Flags unaddressed HCCs to optimize coding and documentation. Includes granular descriptions that capture clinical intent. -
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Dragon Medical One
Microsoft
Dragon Medical One is a speech-driven clinical documentation platform that helps healthcare professionals streamline their workflow and reduce the time spent on administrative tasks. Designed for ease of use, it integrates with Electronic Health Records (EHRs) and uses advanced speech recognition to capture clinical notes with high accuracy—no voice profile training required. Dragon Medical One offers real-time dictation, auto-punctuation, and customizable voice commands, making it easy for clinicians to document patient interactions and navigate systems hands-free. The platform also supports mobile access, enabling clinicians to work efficiently across various care settings, ultimately improving patient care and clinician satisfaction. -
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Clinically AI
Clinically AI
Clinically AI is a suite of AI-powered tools for behavioral health documentation that generate complete, compliance-aligned clinical notes in seconds while preserving clinician control and oversight. It is chart-aware, meaning it understands and references a patient’s treatment plan, interventions, goals, and progress to maintain a “golden thread” linking notes to care delivery. It supports ambient and dictation modes, capturing sessions via live audio or post-session input, across telehealth platforms (Zoom, Google Meet, Teams) or in-person settings, and works with any browser-based EHR via a Chrome extension or API integration. Clinically AI handles discrete and narrative fields, fills dropdowns, checkboxes, and conditional logic, and can generate up to 50 individualized notes from a single group session while maintaining personalization. It offers real-time audit support to flag compliance issues proactively, and supervision tools for reviewing clinicians’ work. -
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Sully.ai
Sully.ai
Sully.ai offers AI-driven agents specifically designed for the healthcare industry, providing solutions that automate tasks such as medical coding, patient appointment scheduling, and clinical documentation. These intelligent agents integrate seamlessly with existing healthcare systems, allowing organizations to enhance efficiency and reduce operational costs. Sully.ai's platform is HIPAA-compliant, ensuring the security and privacy of patient data while delivering high-speed task execution. With applications in pediatrics, psychiatry, primary care, and more, Sully.ai is trusted by over 100 healthcare organizations to streamline workflows and improve patient care. -
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Centauri Health Solutions
Centauri Health Solutions
Centauri Health Solutions is a healthcare technology and services company driven by our desire to make the healthcare system work better for our clients and to provide compassionate support for individuals in need. Our analytics-powered software enables hospitals and health plans (Medicare, Medicaid, Exchange and Commercial) to manage their variable revenue through a custom-built workflow platform. While our tailored support of their patients and members provides them with access to life-enhancing benefits. Our solutions include Risk Adjustment (Medical Record Retrieval, Medical Record Coding, Analytics and RAPS/EDPS Submissions), HEDIS® and Stars Quality Program Management, Clinical Data Exchange, Eligibility and Enrollment, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, Referral Management & Analytics, and Social Determinants of Health. -
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HCC Coding Engine
Aptarro
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. -
24
CMS-1500 Software
Med Claim Software
Our CMS-1500 software is an excellent choice for submitting claims by paper. Download a free trial. We can get you started with the software right away! Order online and our secure shopping cart will guide you through the process to receiving a code which will activate the software any time of the day or night. Type data on the screen as it would be typed on the form itself. Or import from excel (xls or xlsx). Print on pre-printed red Medicare forms or print the entire form in black & white. Align print perfectly with any printer. Save common data for quick completion and to eliminate redundant typing. UB-04 Forms are medical insurance claim forms used by facilities such as hospitals, inpatient and outpatient clinics and ambulatory surgery centers to bill insurance companies for services rendered. The CMS-1500 software functions on any Windows operating system. The software functions on networks or stand-alone personal computers and will work with any printer.Starting Price: $69.95 one-time payment -
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Synergy EMR
HealthCare Synergy
HealthCare Synergy’s Synergy EMR (Electronic Medical Records) is a software designed for home health and hospice agencies, post-acute care providers and other health care service providers. Synergy EMR provides you with online access to your patients medical records and can be accessed from just about any device with a web browser and an internet connection. Synergy EMR provides your entire home health or hospice agency access to critical patient information all in one application. The embedded clinical documentation, helps you and your agency, achieve and stay in compliance with Healthcare industry standards. Synergy EMR will also help you to understand how the answers within your charts can help to drive your outcomes using our complimentary, built-in clinical audits and comprehensive reports. -
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3M M*Modal CDI Engage One
Solventum
3M™ M*Modal CDI Engage One™ is a cloud-based application that utilizes advanced artificial intelligence (AI) and natural language understanding (NLU) to enhance clinical documentation integrity (CDI). By embedding proactive clinical intelligence into both front-end and back-end workflows, it aids physicians and CDI teams in creating complete and accurate clinical narratives. The system analyzes electronic health record (EHR) notes and narrative documents in real time, identifying and closing gaps in patient care and documentation. For back-end CDI workflows, it offers evidence-based analysis, worklist prioritization, and a clinically driven review process, streamlining query processes and ensuring documentation and revenue integrity. Integration with the 3M™ 360 Encompass™ System further enhances its capabilities, providing customizable, continuously prioritized worklists and access to comprehensive reporting tools. -
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Gesund.ai
Gesund.ai
Gesund is the world’s first compliant AI factory on a mission to help bring clinical-grade AI solutions to market. To help comply with regulatory requirements, our platform audits and validates 3rd party medical AI solutions for safety, effectiveness, and equity. Gesund orchestrates the entire AI/ML lifecycle for all stakeholders by bringing models, data, and experts together in a no-code environment. Standardized, unified, and diversified data customized for your ML needs and regulatory requirements. Gesund.ai assesses model validation needs and provides a suitable mix of high-quality data from its multiple and diverse clinical partner sites. Model owner shares clinical study with Gesund.ai for curation of appropriate dataset(s), and uploads their model onto Gesund.ai's federated validation platform, which resides on hospital premise or private cloud. The model runs against a previously unseen validation data set that has been curated on the hospital side. -
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Fathom
Fathom Health
Fathom is an autonomous medical-coding platform powered by deep learning and natural-language processing that enables health systems to code patient encounters at scale with enterprise-grade speed, accuracy, and security. It supports fully automated production coding, processing millions of charts per day, with no human intervention required; handles backlog processing to accommodate staffing fluctuations or seasonal surges; and offers real-time auditing to review and flag coding for quality assurance. It is integrated with major EHRs and has achieved industry certifications (including HITRUST i1) to protect PHI and support compliance. It delivers measurable value by reducing total coding operations cost by up to 50 percent, cutting turnaround time by days rather than hours or minutes, and achieving automation rates above 90 percent for complete encounters, thereby increasing revenue capture, lowering denials, and enabling health systems to redeploy coding staff. -
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PatientStudio
PatientStudio
Maximize your appointment calendar with improved visibility into your clinic's schedule and provider availability. View and schedule appointments across many providers, rooms or locations to ensure a steady patient flow. Automatically invite patients to complete patient intake online. Custom digital paperwork can be completed and submitted using a smartphone or personal device. The patient's data will sync directly to their patient chart. Reduce no-shows with perfectly timed patient reminders via email and text message. Patients and staff can communicate, confirm or reschedule with two-way text messaging. Easily generate claims from patient notes and suggested ICD-10 codes. Automatically scrub and submit claims electronically. Services to manage your entire billing process, from submission to payment collection. Quickly create defensible, legible, and comprehensive clinical notes with documentation templates, assessment reports and pre-populated patient data. -
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ClinicalWave.ai
Cloudbyz
ClinicalWave.ai built on AWS cloud platform is an integrated AI platform tailored for life sciences organizations. It offers automated redaction and extraction of sensitive data and leverages cutting-edge NLP technology to extract valuable insights from clinical documents, streamlining your workflows like never before. It consists of: 1. ClinRedact AI- Our Redaction product which automatically identifies and redacts sensitive information in clinical documents, saving time and ensuring data integrity. 2. ClinExtract AI- The AI Data Extraction product that utilizes NLP and machine learning to extract relevant data points from clinical documents, providing valuable insights and streamlining workflows. 3. ClinDICOM AI- Experience the power of our feature-rich DICOM data extraction and redaction product offering targeted redaction, customizable rules, intelligent contextual analysis, audit trail compliance, redaction preview, and a user-friendly interface. -
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eClinicalWorks
eClinicalWorks
Patient medical record retrieval is just a search away. The PRISMA health information search engine is here to bring together medical records from primary care providers, specialists, clinics, urgent care centers, and hospitals to create a searchable, timeline view of a patient’s health history. Our Customer Success Stories illustrate real-world applications of our healthcare IT. See how eClinicalWorks customers are achieving value-based care and improving healthcare. At eClinicalWorks, we are 5,000 employees dedicated to improving healthcare together with our customers. More than 130,000 physicians nationwide — and more than 850,000 medical professionals around the globe — rely upon our EHR software for comprehensive clinical documentation, along with solutions for telehealth, Population Health, Patient Engagement, and Revenue Cycle Management. Privately held, and driven by innovation and excellence, we have a single focus — providing our customers with secure, cloud-based solutions.Starting Price: $499.00/month/user -
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eDoc Health
Biz Technology Solutions
Our solutions lower the cost of operations, risks, enhance patient care and profits for our clients. We have proven experience in the healthcare domain. We use software development best practices to deliver solutions for clinics, medical practices, hospitals, TPAs, and billing clearinghouses. In the healthcare world of today, the volume of clinical and financial data is not only overwhelming, but it is also poorly structured and not easily accessible for analysis. Intelli-Health is a business intelligence (BI) technology built to address such issues. The ability to analyze large amounts of data, whether clinical or financial, can yield better evidence-based decision-making for your organization. Intelli-Health technology can evolve your information into visualized data to support evidence-based decisions for your healthcare system. Biz Technology Solutions, Inc. provides a number of electronic medical claim processing solutions based on the HIPAA EDI X12 industry standards. -
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OneAdvanced GP Document Workflow
OneAdvanced
OneAdvanced GP Document Workflow is a cloud-based solution designed to help GP practices manage incoming clinical documentation efficiently. Previously known as Docman10X, it streamlines the processing, sharing, and storage of electronic clinical documents from multiple care providers. The software supports thousands of GP practices across the UK and is listed on the NHS Framework. It enables practices to manage high volumes of documents daily with full auditability and control. Intelligent workflow tools help staff file, code, and route documents accurately. Built-in reporting provides visibility into document volumes and processing performance. GP Document Workflow improves efficiency while supporting better patient outcomes. -
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MedReport AI
MedReport AI
AI-Powered Scribe For Clinical Documentation. The most advanced and comprehensive AI solution for mental health practitioners in Australia. Boost your efficiency, accuracy, and patient outcomes like never before. MedReport AI is committed to enabling healthcare providers to improve efficiency and deliver better care to more patients through the power of AI.Starting Price: $149 per month -
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Crosby Health Apollo
Crosby Health
Thousands of providers use Apollo by Crosby Health to generate, submit, and track appeals. Reducing the provider burden from clinical denials. Apollo has been trained to understand the clinical context and beats every other medical language model on core metrics. Apollo has been fine-tuned to handle billing tasks with high precision such as auditing, charge capture, and denial management. The fastest clinical language model with the largest context length. Outputs are generated on average at 60 words per second and can intake up to 300 pages. Our AI crafts winning appeal letters for every denial with meticulous arguments for maximum recovery. Eliminate multiple payor portals and fax numbers. One platform that submits and tracks every appeal. Eliminate the provider burden to generate appeals. AI trained to identify medical necessity within documentation. One-click submission to any insurance company. -
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SmartCare
Select Data
Select Data is the first to leverage the power of AI to transform home health coding and documentation to optimize clinical quality and financial outcomes with its platform, SmartCareTM. Combining industry-leading NLP and AI with a commitment to CDI excellence, Select Data delivers more precise coding, accurate reimbursement, and actionable feedback to home health agencies. Achieve accurate reimbursement and lower risk of audit with professional onshore coding. Powered by advanced technology, Select Data’s SmartCare™ platform enables its expert team of coders to deliver high quality coding with a quick turnaround. Our experts use SmartCare’s clinical algorithms to identify corrections and areas likely to have documentation deficiencies. Select Data improves accuracy in OASIS assessments and coding, leading to better patient care and success with PDGM. -
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Savana
Savana
Savana is an AI-driven clinical intelligence platform that transforms unstructured electronic medical record text into deep real-world evidence through advanced natural language processing. Since its inception in 2014, Savana has enabled the structuring and analysis of billions of clinical documents across multiple languages and countries, unlocking previously hidden insights embedded within healthcare data. Its EHRead NLP models power anonymization and pseudonymization tools capable of handling both structured and free‑text data at scale, having processed over 35 million documents. Savana serves hospitals, researchers, and health systems by generating actionable, research-grade evidence to support precision medicine, epidemiological studies like COVID-19 predictive analyses, and broader clinical data strategies, all while remaining among Europe's top HEOR (Health Economics and Outcomes Research) contributors. -
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MDofficeManager
MDofficeManager
MDofficeManager is a leading provider of revenue cycle management, medical coding, credentialing, A/R management, ambulatory care, electronic health record (EHR) and practice management software, medical, business and legal transcription services, to acute, non-acute facilities, outpatient surgery centers, ambulatory care practices, LTC facilities including SNF, NF, & ALF of all sizes across the US. Our products and services streamline administrative and clinical processes via Cloud-Based or Server Based solutions. They promote efficiency and reduce cost by facilitating information exchange and seamless communications between healthcare participants. This enables more informed decision making with increased efficiency, and ultimately, higher quality patient care at a lower cost. MDofficeManager’s Documentation Management reduces costs while delivering effective, timely solutions to optimize your operations. -
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Microsoft Dragon Copilot
Microsoft
Microsoft's Dragon Copilot is a powerful AI-driven solution designed to enhance clinical workflows by automating documentation and reducing administrative burdens. Integrated with Microsoft Cloud for Healthcare, it helps clinicians streamline their work by creating detailed, accurate documentation from patient-clinician conversations. Dragon Copilot supports multiple languages and works even without internet connectivity, capturing patient data and converting it into specialty-specific notes. The tool uses AI to suggest improvements for clinical encounters, automatically fills in orders, and allows clinicians to query notes and access medical information, improving operational efficiency and patient care. -
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Oracle Health Pharmacy
Oracle
Help your pharmacy staff facilitate accurate, beneficial medication therapy decisions, outpatient drug utilization, and adherence management with our pharmacy solutions. Oracle Health Inpatient Pharmacy plays a pivotal role in ensuring medications are provided safely and effectively throughout a patient’s time in care. Inpatient Pharmacy medication management can help your pharmacy and clinical personnel automate their processes to provide patients with the right medication at the right time. Fully integrated within our EHR, Oracle Health Outpatient Pharmacy medication management offers the functionality you need to operate your outpatient pharmacy effectively—including shared clinical intelligence and decision support, drug database configuration, and a unified medication profile. -
41
Swiftaudit Pro
SpringSoft Medical
Say hello to Swiftaudit! Built just for you, we’ve created a comprehensive online tool designed to speed up your internal and external chart reviews and improve your compliance and clinical documentation practices. Our screens are simple to use and will quickly and efficiently analyze your patient encounters and help you identify coding errors. And yes, Swiftaudit is also a great ICD-10 lookup! We'll help you find just the right code and then let you browse all of the Guidelines with a single click. Apply the power of Swiftaudit to your practice and have the confidence that your coding and billing process will produce the payments you deserve. Do you work in a busy practice? Or maybe you run a growing auditing company with many clients and auditors? We have a solution for you! We’re happy to introduce our built-in Team functions, easily accessible from your Swiftaudit subscription. -
42
Claude for Healthcare
Anthropic
Claude for Healthcare is a HIPAA-ready AI platform built on Anthropic’s advanced Claude models that helps healthcare organizations move faster without sacrificing safety, accuracy, or compliance by connecting to trusted medical, payer, and clinical data sources. It enables use cases such as prior authorization review, insurance claims appeals, clinical documentation generation, patient message triage, care coordination, and other administrative workflows by validating provider credentials, medical codes, coverage requirements, and drafting recommendations or summaries with traceable sources for verification. Claude can integrate with industry standards and databases, including CMS coverage policies, ICD-10 codes, provider registries, and PubMed, and supports secure connection to personal health records (e.g., lab results and medical histories) with user consent so patients or clinicians can get plain-language summaries and insights.Starting Price: $17 per month -
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Latent Health
Latent Health
Latent Health is an AI-powered medication access platform built to streamline and accelerate the administrative processes that delay patient access to specialty and life-saving therapies, especially prior authorizations, appeals, and 340B eligibility workflows. Its clinical-AI system indexes and reasons over electronic health records and external evidence such as clinical guidelines and literature to surface relevant patient data, answer specific authorization questions, evaluate medical benefit criteria, and even draft appeal letters, reducing review and turnaround times from hours or days to minutes while improving accuracy and compliance. It integrates seamlessly with major EHR systems using healthcare standards like SMART on FHIR, supports centralized pharmacy operations, and provides workflow orchestration that decreases administrative burden, increases throughput, and frees clinical staff to focus on patient care. -
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ClinicMind
ClinicMind
A more efficient, more profitable practice is possible with ClinicMind. If you are spending too much time and energy managing small issues and not enough time on what matters for your practice, you’re not alone. It’s what we hear most from practitioners who are still struggling with inefficient software or laboring through manual processes. We’ve built our EHR software and RCM solutions based on industry best practices and real-world solutions to clinical challenges. Our teams of coding, billing, and medical compliance analysts have 20 years of experience, and we’ve served 16,000 users and counting. ClinicMind solutions work for any specialty or integrated practice, including chiropractic and mental health practices. Our software development and industry expertise is broad and flexible enough to understand and resolve the unique operational challenges in each specialty area. -
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HealthConnect
Softech Systems
HealthConnect is a comprehensive suite of application modules for the healthcare industry, packaged to meet the needs of different segments in the industry. Standard product offerings are available for hospitals, small to mid- sized clinics and medical laboratories. The solution caters for the full life-cycle of the processes in a modern hospital, incorporating comprehensive work flows for patient registration, appointment scheduling, out-patient & in-patient management, machine interfacing with lab and radiology equipment, patient billing and complete patient medical records, surgery, blood bank and financial and inventory management. -
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3M M*Modal Fluency Direct
Solventum
3M™ M*Modal Fluency Direct enables physicians of any medical specialty to conversationally create, review, edit, and sign clinical notes directly in their electronic health record. This solution leverages Solventum's natural language understanding technology for contextual comprehension of the patient's narrative, enhancing documentation accuracy from the first word. With built-in computer-assisted physician documentation functionality, the technology continuously analyzes and monitors the clinical narrative, providing real-time nudges for additional information or clarification to improve the quality of care and clinical documentation. Integrated with more than 250 EHRs, including major platforms like Epic, Meditech, eClinicalWorks, Cerner, and athenaClinicals, Fluency Direct facilitates faster EHR adoption, higher-quality documentation, and reduced transcription costs. -
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Artsyl ClaimAction
Artsyl Technologies
Processing high volumes of medical claims through intelligent automation helps businesses deliver higher levels of efficiency that does more than reduce costs. For organizations that rely on manual processes, managing medical claims documents and data is labor-intensive and error-prone, injecting unnecessary risk into the process. With ClaimAction medical claims processing software from Artsyl, your organization can improve margins, minimize touch points and eliminate processing bottlenecks. Capture medical claims data without the need for custom software coding. Route claims data and documents automatically to the right claim examiner, based on your business rules. Configure complex benefits and reimbursement rules to streamline processing and reduce payment delays. Respond quickly to changing government regulations and support data, document and process compliance. -
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RapidClaims
RapidClaims
Reduce administrative costs and improve reimbursements, all while maintaining compliance. Supercharge your RCM process with RapidClaims AI-driven magic. Slash admin costs, boost reimbursements, and stay compliant effortlessly. Streamline your coding process, and automate or empower your coders with our personalized solutions. Code thousands of charts with speed and precision while catering to unique client requirements. Our Large language model can interpret unstructured data, creating a longitudinal patient record by converting notes into structured codes and disease patterns. Never make the same mistakes twice. Create mass-level coding-related rules with plain English and easily apply them to your charts at scale, segregated by specialty, code type, and coders. Gain a deeper understanding of code-level trends for different sites and take action to improve the revenue cycle. Our platform analyzes charts to identify claim denial patterns and helps you capture them. -
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Ember
MetiStream
Unite and free your unstructured health data Interactive AI and NLP solution delivering health insights to Providers. Payers. Life Sciences. Interactive AI and NLP solution to unlock health insights from unstructured clinical notes data for: Provider. Accelerate data abstraction from and clinical validation of information contained in clinical notes. Decrease time and reduce costs required to identify care gaps, review care quality dashboards, and generate registry reports. Payer. Integrate and analyze both claims data and clinical notes to more effectively manage high risk and high cost member cohorts. Life Sciences. Rapidly match patients to clinical trials–and vice versa–using clinical trial databases and data from clinical notes. Leverage the power of real world clinical data and evidence. Ember is an end-to-end solution at the intersection of NLP and predictive analytics. Streamline. Healthcare Analytics for Unstructured Data to Improve Quality, Efficiency, and Outcomes -
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DRG Claims Management
DRG Claims Management
It’s fair to say that “not all DRG vendors are created equal.” Despite overlapping marketing efforts, there are two general categories of DRG auditing products: those that primarily serve provider hospitals and those that are designed to identify overpayments on behalf of health plans and payers. Just as an attorney typically specializes in defense or plaintiff representation, auditing vendors specialize in the unique needs, cultures and priorities of the parties they respectively serve. Even within the category of payer-based vendors, there is also a wide range of approaches to DRG auditing and overpayment identification. We extend our scope of services to our physician review team to produce clinical validation findings for situations where the identified issues are unsubstantiated clinical diagnoses documented by treating physicians and therefore exceeds the scope of coders. Our results prove that our coding compliance model will produce verified savings.
