Outpatient Coding
Bill accurately for guaranteed payout
Automate pre-bill CPT/ICD-10 coding audits for complete reimbursement.
The Problem
Inaccurate coding blocks full reimbursement
Lost Revenue from Undercoding
Providers leave money on the table when services are under-documented or mis-billed at lower levels. Missed add-on codes can compound, creating systemic revenue leakage.
Compliance Risks from Overcoding
Over-billing exposes providers to payer audits, clawbacks, fines, or fraud. Failing audits cost money, damages payer relationships, and may trigger more frequent audits in the future.
Operational Inefficiencies across the Organization
Manual reviews are time consuming, and most organizations only review 5-10% of charts. Denials create more work for billing teams, slowing down revenue cycles.
The Solution
AI Chart Review for Outpatient Coding
Capture missed revenue
Identify undercoding and additional billable services with Charta AI that review 100% of your charts for missed revenue opportunities.
Reduce risk
Limit audit exposure by flagging overcoding missteps and mismatches between documentation and billed codes. Provide corrective coding.
Scale coding capacity
Set Charta’s AI Coding engine on autopilot. Review 100% of your medical charts without adding headcount, and send results directly to your billing system to get paid.
How Charta Health Works
Step 1
Customize your Charta AI Environment
Define your clinical and billing audit criteria with your Charta AI Engineer, who will train the AI model to be customized to your organizational needs. Your dedicated AI Engineer will regularly train your environment, based on the feedback that your providers and RCM teams send back to us.
Step 2
Conduct pre-bill reviews on 100% of your charts
Charta will pull records directly from your EHR, and review 100% of the charts, progress notes, and any other documentation in real-time. We will not only verify that each diagnosis supports the billed service and identify documentation gaps, but also provide detailed reasoning and corrective recommendations if any part of the review fails.
Did we mention our AI is particularly good at reading scribbles?
Did we mention our AI is particularly good at reading scribbles?
Step 3
Automate corrections and feedback loops
After the chart review is complete, you can choose to send corrections directly back to the EMR to automatically update the charts or flag charts for manual approval.
Charta can also deliver targeted education and performance insights by generating provider-level reports after the review. Feedback can be delivered on a regular cadence to reinforce accurate documentation, improve compliance, and continuously enhance coding quality across the entire organization.
Charta can also deliver targeted education and performance insights by generating provider-level reports after the review. Feedback can be delivered on a regular cadence to reinforce accurate documentation, improve compliance, and continuously enhance coding quality across the entire 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.”
