Our AI medical coding agent uses NLP to read clinical documentation and assign CPT, ICD-10, and HCPCS codes with exceptional speed and accuracy. It processes over 200 ED charts per hour while detecting errors, bundling conflicts, and missing implant codes before claims go out.
Request a Demo
Trusted by 1000+ providers
Our AI medical coding agent automates code assignment while accelerating claims, reducing denials, and powering scalable medical billing AI workflows across practices.
MedCare MSO’s AI medical coding solutions ensure compliance with payer rules, supporting audits, minimizing risk, and strengthening revenue integrity through an intelligent AI medical coding engine platform.
Our agent provides AI medical coding services that adapt to specialty workflows, delivering precise codes for complex cases while optimizing reimbursements through advanced AI medical billing and coding intelligence.
We validate documentation accuracy in real time using our AI medical coding software, reducing errors, rework, and denials while strengthening trust in our AI medical billing software outputs for your practice success.
AI medical coding agent delivers real-time suggestions during charting, accelerating workflows, improving accuracy, and supporting clinicians with intelligent AI medical coding and billing guidance tools.
This AI medical billing software integrates seamlessly with your EHR and PMS platforms, enabling end-to-end automation through connected AI medical coding services and workflows for modern practices.
With rising chart volumes, human coders spend long hours reviewing notes, tracking encounters, and fixing repetitive issues. Our AI medical coding agent automates these routine tasks by organizing encounters, validating service dates, syncing with EMRs, and preparing claims instantly. This removes heavy manual work, letting your staff focus on audits, physician queries, and complex cases instead. The workload becomes lighter, workflows move faster, and burnout across the team drops sharply.
Manual coding often costs $1.25–$3.00 per chart and increases when claims need rework or extra review time. Our AI medical billing and coding engine processes charts at a fraction of that cost, often under $0.30 per chart, while running 24/7 with no overtime, training, or staffing gaps. By cutting rework hours, reducing backlogs, and speeding charge entry, your practice lowers operating costs and accelerates overall revenue flow.
Our autonomous medical coding agent uses rule-driven logic, hierarchical code sets, and payer-specific validation layers to check every chart against clinical events in the correct order. It reads timestamps, service links, and encounter types to confirm that codes match the recorded care. This keeps coding consistent across providers and locations. With automated checks running in real time, your practice maintains high accuracy and cleaner claims across all specialties.
Our AI medical coding software reads clinical records and auto-populates all required coding fields on CMS-1500 and UB-04 claims. It assigns CPT, ICD-10, and HCPCS codes into CMS-1500 Boxes 21–24, mapping diagnosis pointers, POS codes, modifiers, units, and charge amounts. For UB-04, it completes FL 42–47 (Revenue Codes, HCPCS, Service Dates, Units, Total Charges), FL 66–69 (Diagnosis Codes), FL 31–34 (Occurrence Codes), and FL 76 (Attending Provider). The system validates payer IDs, bill type, taxonomy, and NPI fields, automatically generating clean, submission-ready claims.
MedCare MSO’s artificial intelligence coding agent applies a multi-layer compliance engine that validates every claim against national and payer-specific regulatory frameworks. It executes real-time NCCI procedure-to-procedure checks, MUE thresholds, LCD/NCD coverage rules, and AMA CPT/HCPCS update cycles. The system cross-verifies taxonomy, bill type, TOB logic, occurrence and condition codes, and POS assignments to ensure regulatory alignment. It also maintains HIPAA-secure audit logs, generates compliance exception flags, and synchronizes coding libraries with CMS, commercial payer bulletins, and state-level mandates to keep every claim error-free and audit-ready.
Our medical billing and coding AI is built with a universal interoperability layer that syncs seamlessly with all major EHR, PMS, RPM, and CCM platforms. The system connects using HL7, FHIR, X12, and RESTful API frameworks, enabling real-time data exchange for encounters, clinical notes, orders, lab/radiology feeds, and charge records. It auto-ingests structured and unstructured data, normalizes formats, maps provider IDs, and aligns encounter metadata across systems. The agent supports bidirectional updates, automated claim handoffs, and synchronous coding validation inside your existing workflows, no redesign required. This ensures smooth deployment, faster throughput, and unified coding across every clinical and billing environment.
MedCare MSO provides comprehensive revenue cycle management, including insurance verification, prior authorization, claim submission, denial management, payment posting, patient billing, and credentialing services. We specialize in Virginia’s unique requirements, like electronic filing, and compliance with state CMS laws across all major Virginia payers.
Our Virginia billing specialists analyze each denial using state-specific appeal strategies and payer requirements. We maintain detailed knowledge of Anthem BCBS, Sentara, and other Virginia insurers’ appeal processes. Our team resubmits corrected claims and pursues appeals through Virginia’s established channels, including SCC arbitration when necessary for balance billing disputes.
We stay current with Virginia’s 2021 balance billing regulations and SCC requirements. MedCare MSO ensures proper patient notifications, manages surprise billing situations according to state law, and handles arbitration processes when needed. Our compliance protocols protect your practice from violations while maximizing legitimate reimbursements within Virginia’s legal framework.
MedCare MSO specializes in Virginia practice revenue management, addressing aging receivables and denied claims using state-specific recovery strategies. We analyze your Virginia payer mix, identify missed opportunities, and implement corrective processes. Most practices see improved cash flow through our systematic approach to Virginia billing challenges.
We optimize Virginia practice revenue through HPSA incentive maximization, proper workers’ compensation billing, and efficient processing with major Virginia payers. MedCare MSO’s established relationships with Anthem, Sentara, and Virginia health systems accelerate payments. Our Virginia-specific expertise typically increases collections by 20-30% through better coding, faster submissions, and fewer denials.
MedCare MSO utilizes advanced, cloud-based billing platforms that integrate with Virginia’s major EHR systems and payer portals. Our technology includes real-time eligibility verification, automated claim scrubbing for Virginia-specific requirements, and comprehensive reporting dashboards. All systems maintain HIPAA compliance and integrate seamlessly with Virginia health system networks for efficient claim processing.
Ready to maximize your revenue while reducing administrative work? Let’s team up! Our medical billing expert will reach out within 12 hours.
Please provide the following information, so our team can connect with you within 12 hours.
Or call us as 800-640-6409
