Prevented pre-bill
100% pre-bill
of charts read pre-bill, citing the evidence behind every finding — never a sample.
target return hospitals expect from clinical revenue integrity, often outcome-aligned.
in recoverable, defensible revenue surfaced per 10,000 inpatient discharges.
Reads every chart from the systems you already run
Earned revenue is leaking out of your mid-cycle — and the payers already know it.
When a real diagnosis is in the record but never makes it into the code, you're underpaid and made to look like you treated a less complex patient than you did. Meanwhile, payers automate faster than your team can keep up.
Capture what you earned. Defend every dollar. Add no headcount.
Recover earned revenue
Medically reads 100% of charts pre-bill and surfaces the documented diagnoses your claims miss — so reimbursement reflects the care you actually delivered.
Prevent denials at the source
Payer-aware checks score each claim against the rules of the specific plan — flagging the missing evidence before submission, not after the denial lands.
Defend it to an auditor
Every recommendation cites the exact chart text behind it and carries a defensibility score judged against the payer's own criteria. Findings go both ways — Medically will recommend a lower code when the evidence says so — and every decision lands in a reason-coded audit ledger.
Lighten the load on your people
Your CDI specialists, coders, and physicians stop hunting through charts. Medically does the reading and points them straight to what needs a human decision.
We know your margins are under pressure and your team is stretched thin.
You're being asked to protect the bottom line while denials rise, codes multiply, and skilled staff are hard to keep. Medically was built to take that load off your team responsibly — automating the reading and the math, while keeping a human in control of every decision that touches a patient's record.
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AI for breadth. Physicians for defensibility. Together or separately.
AI is augmentation, not a replacement for expertise. Evidence-citing AI reads every chart and surfaces what's missing at scale — but the human in the loop is what makes each finding defensible. A CDI subject-matter expert reviews and certifies the AI's results against the clinical reality, so errors are caught and corrected before anything reaches a payer. Your own CDI team can do that certification; when you need added capacity or specialty depth, our board-certified physicians are here to help.
CDI by AI
Reads 100% of charts pre-bill, prioritizes the highest-impact opportunities, drafts compliant queries, and flags clinical-validation risk — citing the exact chart evidence behind every call.
- Surfaces documented-but-uncoded diagnoses across every chart
- Scores each claim against the specific payer's rules
- Evidence cited by default — explainable and audit-ready
CDI by Physicians
USMLE-passed, CDIP-certified physician reviewers validate the AI's findings, resolve the clinical-validation edge cases, and write and defend the query — engaged on demand after the AI pass, with audit-ready sign-off.
- Physician-grade validation — not generic CDI staffing
- Owns the clinical-validation denials AI can't settle alone
- Engaged per case, per chart block, or as a managed program
Three steps to a revenue cycle you can defend.
Connect your EHR
A secure, read-only connection to Epic, Oracle Health, MEDITECH and more. No rip-and-replace, no new workflow for your clinicians. Live in weeks.
Medically reads every chart
It finds the documented-but-uncoded diagnoses — and the unsupported ones — cites the evidence, scores each finding's defensibility, drafts compliant queries, and checks each claim against the payer's own rules.
You capture defensible revenue
Your team approves the findings, claims go out accurate and audit-ready, denials drop, and leadership sees the recovered revenue on one dashboard.
Responsible AI, by construction — not as a disclaimer.
When AI is adding a diagnosis to a patient's record and justifying a payment, "responsible" has to mean "defensible." So we built the guardrails into the product itself.
- Nothing is asserted that can't be traced to verbatim chart text.
- Findings go both ways — unsupported diagnoses and downgrades get the same prominence as upgrades.
- Every finding carries a defensibility score with its arithmetic, judged against the payer's own criteria.
- Every accept, reject, or query is reason-coded in an audit ledger you can export.
- A human approves every change. Your PHI is never used to train AI.
- Read the Responsible AI & compliance page
From reactive and underpaid to proactive and in control.
Without Medically
- Revenue leaks quietly; you find out at month-end.
- Denials arrive after the claim is gone — too late to fix.
- Audits feel like a threat; justification is a scramble.
- Skilled staff burn out reviewing charts line by line.
With Medically
- Earned revenue is captured before the claim goes out.
- Denial risk is flagged and fixed pre-submission.
- Every code ships audit-ready, cited to the chart.
- Your team works the exceptions, not the haystack.
Everything your revenue cycle needs, on a single AI engine.
No more disconnected tools for CDI, coding, queries, and quality. One model of clinical truth, every downstream outcome.
Pre-bill CDI review
Catch missing and imprecise diagnoses before billing, each with the evidence that supports it.
Computer-assisted coding
Auto-suggested ICD-10 and CPT codes that optimize DRG accuracy — and stay compliant.
Physician queries
Compliant, pre-drafted queries that reach clinicians in-workflow — answered in clicks, not days.
Medical Scribe
Physicians dictate; Medically structures a clean SOAP, H&P, or progress note in seconds.
Payer-aware denial prevention
Score every claim against the specific payer's rules and fix the gap before submission.
Leadership analytics
Realized revenue traced finding-to-payment, CMI lift, denial trends, and team performance — on one live dashboard.
Compliance-first engine
Two-way findings, a defensibility score on every one, payer-specific criteria, and an audit ledger your compliance officer can export.
Denials & appeals
Evidence auto-assembled from the original finding, appeals drafted with payer policy cited, submitted electronically, and tracked to the deadline.
Outpatient & risk adjustment
HCC capture with MEAT evidence, E/M and ED leveling, and missed charges — with audit-aware guardrails.
Ask any question about a chart. Get a grounded answer in seconds.
Your CDI specialists, coders, and physicians can interrogate a single chart in plain language — “Is there evidence for acute respiratory failure?”, “What’s missing to defend this DRG?” — and get an answer tied to the exact chart text behind it. No hunting through the record, no leaving your workflow.
- De-identified before the model sees itDirect identifiers are minimized and masked before analysis — the chart is redacted first, every time.
- Scoped to one chart, inside your accountThe model sees only the record in front of you — nothing else in your environment, and nothing leaves it.
- Transient and privateProcessing is transient — not retained beyond the request, and never used to train AI.
- Grounded and human-controlledEvery answer cites the chart evidence behind it; your team stays in control of the call.
Held to the same HIPAA standards and data protections as the rest of the platform.
Is there evidence to support acute respiratory failure?
Yes — the record supports J96.00. The progress note documents ABG pH 7.28, pCO₂ 68, and BiPAP initiated on Hospital Day 1.
What’s missing to defend this DRG on audit?
Link the failure to its cause. The ABG and BiPAP are documented, but no underlying etiology is stated — a query clarifying the cause (e.g., COPD exacerbation vs. pneumonia) would make the DRG defensible.
How much is your mid-cycle leaving on the table?
Move the sliders for a directional estimate built from public industry benchmarks. We'll pressure-test it against your real data in the demo.
Directional estimate from public benchmarks. Not a guarantee.
A second set of eyes on every claim — that never gets tired, and always shows its work.
You're paid for documentation, not care
When the chart says "trouble breathing" but the patient had acute respiratory failure, you're underpaid — and your quality scores and case-mix understate how sick patients really were. Across thousands of discharges, it's one of the largest, quietest drains on margin.
It reads every chart — and shows its work
Medically reads the entire record like an expert clinician, on 100% of charts pre-bill. Every finding is attributable and tied to the exact chart text behind it — so your specialists and coders stop hunting and start deciding.
Defensible by design
A hybrid, explainable approach — not a black box. Findings go both ways, each with a defensibility score whose arithmetic is stored, and anti-upcoding guardrails recommend a lower code when warranted. Payer-aware checks catch the denial before submission, while you can still fix it.
Find out what your revenue cycle has been missing.
Book a 30-minute demo. We'll walk your team through the platform and show the evidence behind every dollar — no slideware, no obligation.
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