Revenue Recovery Powered by AI
You did the work, now make sure you were paid for it.
CareEco’s Coding AI solution scans previously submitted claims to identify missing or underbilled revenue and helps you re-submit to capture this revenue.
Don’t miss out on the potential for millions of dollars of revenue for your organization.
Performance-Based
Revenue Recovery
Identify and capture missing or underbilled revenue without effort from your team.
CareEco’s Coding AI platform uses a Clinical Context Engine to determine the appropriate reimbursement amount and helps you recover revenue for past claims. As a bonus to additional revenue, you can use the results in training & educating your clinical and billing staff.
Value of Coding AI
Hidden Revenue
Whether you are a hospital, health system, or practice group - you are missing out on revenue for services your team already provided.
Complete Rules Engine
Payor billing rules are complicated and prone to change, leaving billing teams struggling to keep up.
Technology-Enabled Analysis
Coding AI platform analyzes previously submitted claims faster and more accurately to identify missing or underbilled revenue.
Clinical Context Application
The system adapts claim rules to the appropriate clinical context to identify the correct reimbursement amount.
How It Works
1) Performance-Based Agreements
Fees are paid as a percentage of recovered revenue.
2) Data Requirements
We analyze your past claims data, payor contracts, ERA responses, etc.
3) Re-Submission
Option 1: Turnkey Solution
CareEco Revenue Cycle Management (RCM) platform & RCM team submit corrected claims on your behalf.
Option 2: Data Handoff
CareEco returns the corrected claims file to the client for their billing team to re-submit.
4) Payment
There is no change in payment flow. Recovered funds flow into your existing bank account, similar to all other payor reimbursements. You can receive payment in as little as 30 days from the start of the engagement.