Clinical Quality
Scale high-quality care delivery
Validate documentation to support quality measures, clinical decision support tools and clinical standards.
The Problem
Documentation must be billable and clinically defensible
Patients at Risk
Missed diagnoses, medication errors, or overlooked screenings put patient health and safety at risk. Inconsistent care leads to poor outcomes and erodes patient trust.
Low Reimbursement Rates
Many payer contracts and government programs tie reimbursement to clinical quality. Lower quality scores directly reduce reimbursement rates, risk payer contracts, and weaken reputation.
Hidden Liabilities
Poor documentation or failure to follow care standards expose providers to increased liabilities and audit risks. Plus, a lack of clear framework for care standards can cause stress and burnout for clinicians.
The Solution
AI Chart Review for Clinical Quality
Operationalize Standards
Review 100% of your charts for quality measures like HEDIS/STARS, integrate with clinical decision support tools like UpToDate or DynaMed, or define your own clinical standards for evidence-based care.
Improve Patient Outcomes
Use chart review findings to identify care gaps, automatically create real-time custom scorecards each providers, and build targeted clinical education across the organization.
Higher Reimbursement
Increased clinical quality leads to higher reimbursement, stronger payer relationships, and better practice reputation – fully supported by compliant documentation ready for payer audits.
How Charta Health Works
Step 1
Customize your Charta AI environment
Define your clinical audit criteria - based on HEDIS, STARS, UpToDate, DynaMed, and internal care standards - with your Charta AI Engineer, who will train and deploy an AI model customized to your organizational needs. Your dedicated AI Engineer will regularly train your environment, based on the feedback that your providers send back to us.
Step 2
Review 100% of your charts and documentation at scale
Charta will pull records directly from your EHR, and review 100% of the charts, progress notes, and any other documentation in real-time.
Charta AI will check each encounter against the audit criteria, and provide detailed reasoning and corrective recommendations.
Did we mention our AI is particularly good at reading scribbles?
Charta AI will check each encounter against the audit criteria, and provide detailed reasoning and corrective recommendations.
Did we mention our AI is particularly good at reading scribbles?
Step 3
Create provider education feedback loops
Charta will automatically send review results, along with the corrective recommendations, back to the EHR. You can also activate an automated workflow within our platform to send clinicians real-time feedback on the corrected items or aggregate insights in our dashboard to create a focused coaching program for the organization.
70%
Our customers have reduced up to 70% of denials by holding claims with documentation errors and LCD violations before submission.
FAQs
Frequently Asked Questions
Upload a sample batch of your past charts and billing claims to see coding opportunities our AI could have captured. Review and evaluate the results yourself before paying a penny.
Is Charta HIPAA, SOC 2 and GDPR compliant?
Yes, Charta is HIPAA, SOC 2 and GDPR compliant. You may request a copy of our compliance reports at anytime by emailing compliance@chartahealth.com.
How can I ensure my existing billing and clinical standards are followed when using AI?
Charta's AI uses advanced language models, custom-built with modern healthcare billing knowledge. Our implementation team will work closely with you during your onboarding period to learn from your feedback until you are confident our AI is following your standards precisely and consistently.
Does Charta offer any kind of free trial period?
Yes, absolutely! We are very confident that our AI will be able to create significant positive ROI for your practice. Thus, we'll happily work with you to define a free trial period together where you can confidently evaluate our technology before making any long-term financial commitments.
How do I connect my EHR with Charta?
Charta has hundreds of built-in integrations with EHRs, clearinghouses, and billing providers. It's highly likely Charta already integrates with your EHR system, automatically streaming in your charts within minutes. If not, we will happily custom-build the integration free of charge.
Does Charta provide any reporting or analytics on individual provider performances?
Yes, Charta provides both real-time dashboards and downloadable spreadsheets on how each of your providers are performing based on your clinical and billing audit criteria.
Integrating Charta Health was an easy solution. Their platform seamlessly consolidates diverse clinical and billing data into one intuitive interface that accurately pinpoints missed coding opportunities — boosting provider value and reducing coding errors that could lead to claim denials.”
Documentation review time was cut by at least 25%... instead of spending 25–30 hours per week reviewing documentation, spending more like 15 to 20 hours per week. Just because you're really focusing on the high-priority things that have been flagged—things that may be an issue for fraud, waste, and abuse.”
You basically have changed the entire work capabilities of our clinical management team. So that to me is huge.
Nobody wants to sit in an office and do workflow. That's not why people become therapists.”
Their platform helps us proactively identify documentation opportunities—such as unsupported or missing codes and E/M leveling inconsistencies—before they affect billing or audit readiness, ultimately improving the provider, payor, and patient experience. What’s been most valuable is that we’ve increased our internal pre-bill review coverage by 90% without needing to add additional QA staff.”
We didn’t even realize it could be this much better. The ability to audit 100% of claims prepayment, prevent denials, and scale efficiently has been a game-changer.”
