For Independent urgent care centers and small multi-site groups, including those with an occupational medicine line
Spot E&M coding patterns drifting by provider for your coding review
Over time, one provider's visits drift toward higher E&M levels and another's toward lower ones, compared with peers seeing similar patients. Either direction is a problem: one invites a payer audit, and the other can mean documentation and codes do not match. Nobody looks until a payer sends a letter.
What it can cost you
Example: 1 provider coding level 4 on 55% of visits while peers sit near 30% = a pattern worth a chart review before a payer finds it.An illustration, not a promise. Your Opportunity Scan puts a real number on it.
What the system checks overnight
- Compares each provider's E&M level distribution with the group's over the same months.
- Flags shifts in a provider's distribution compared with their own history.
- Compares distribution by center to separate patient mix from provider habits.
- Samples visit IDs for your coding reviewer to audit, without reading charts itself.
- Tracks audit findings over time if your reviewer logs them.
Where it reads from
- Experity
- eClinicalWorks
- athenahealth
What happens when it fires
Your medical director or coding reviewer gets the pattern and a sample of visit IDs to review. The system never suggests a code.
Autonomy level: Suggest only. The brief tells you what changed and what to do. Nothing happens without you.
What we guarantee
Every provider's coding distribution is recalculated monthly and flagged when it shifts past the limit you set. We agree on the metric before the Sprint starts and measure it over the first 20 business days after go-live. If we miss it, you get half your Sprint fee back. Dollar savings are tracked in your monthly saves log, reported rather than promised.
Questions
Will it suggest higher codes?
No. It never recommends a code. It shows patterns so a qualified reviewer can check whether documentation and codes match, in either direction.
Does it read the clinical notes to judge coding?
No. It only reads the codes billed. Any chart review is done by a person in your EMR.
Do I need new software for this?
No. The system reads from the tools you already use, with read-only access by default. A guardrail layer controls exactly which data the AI can see.
What does it cost?
A 3-week Sprint is $6,000 fixed and includes the morning brief plus one automation tied to an agreed metric. Ongoing support is $1,500 a month, or $500 a month to keep it running without new automations. If the agreed metric is missed over the first 20 business days after go-live, half the Sprint fee is refunded.
How is this different from a dashboard app or a free AI kit?
A dashboard app shows numbers when you go look. A free AI kit gives you the parts, and you do the setup, the upkeep, and the checking. Here the alarms are built for your kind of business, they watch outside data like market rates and rule changes alongside yours, and on Run or Keep-Running, the person who built them keeps them working and logs what they caught.
More alarms for urgent care centers
Seven more things worth watching.
- Patients leaving without being seenCount patients who left without being seen by center, day, and hour, and flag wait times running past your own door-to-door standard.
- Provider hours out of step with volumeCompare provider hours with visits per hour by center, day, and shift, and flag next week's shifts that look overstaffed or short.
- Online check-ins droppingSpot falling online check-ins by center, broken booking links, wrong listing hours, and slipping review ratings before fewer patients walk in.
- Eligibility and registration denialsTie eligibility and registration denials back to center, shift, and payer, and flag visits checked in with no eligibility check on record.
- Open charts and visits not billedCount open or unsigned charts by provider and days since visit, flag providers about to leave with open charts, and catch visits with no claim.
- Employer accounts unbilled or past dueMatch employer-paid occ-med visits to invoices, flag employers past their payment terms, and notice when a steady employer account goes quiet.
- Front desk collections and drawer gapsCompare expected copays with what the front desk collected, reconcile payments to deposits, and flag drawers that come up short by center and shift.