Adentris provides a real‑time audit platform that continuously reviews every chart, claim, and prior authorization across any electronic health record without requiring integration projects. The solution automates documentation compliance, coding quality assurance, and prior‑auth workflows, helping hospitals, health systems, and behavioral health networks recover revenue, prevent denials, and stay audit‑ready. Its browser‑based EMR integration drafts treatment plans and notes directly within clinicians’ existing tools, streamlining the entire intake‑to‑appeal process.
Funding
Funding not disclosed
Founders
Product
Problem
Hospitals and health systems lose significant revenue because documentation errors, coding mistakes, and denied prior authorizations are identified only after claims are submitted, often requiring time‑consuming manual reviews and integration projects to access EHR data.
Solution
Adentris offers a real‑time audit platform that continuously reviews charts, claims, and prior authorizations across any EHR without any integration effort. An AI‑driven Web Agent reads the EHR screen—capturing scanned documents, free‑text notes, and portal data—just as a human reviewer would. The platform delivers five modules: Documentation Compliance, a Documentation Co‑pilot that drafts notes directly in the EMR, Coding QA that validates every claim against the chart, Prior Authorization automation, and Appeals & Denials support that generates root‑cause analyses and appeal letters with regulatory citations. Findings are routed to the appropriate staff (coders, clinicians, compliance) via a unified workflow layer, providing actionable alerts before submission and an audit‑ready trail. Results are presented in dashboards that quantify recoverable revenue, denial risk, and compliance exposure, enabling providers to prevent losses and accelerate reimbursements.
Target Audience
Primary customers are hospitals, health systems, and behavioral health networks—including specialty groups and ambulatory surgery centers—that need automated revenue integrity and compliance across their existing EHRs.
Features
- AI Web Agent that reads any EHR interface (Epic, MEDITECH, athenahealth, etc.) without custom APIs, capturing scanned PDFs, addenda, and portal screens
- Documentation Compliance engine applying CMS, Medicare, Medicaid, state, accreditation and custom rules to every chart in real time
- Documentation Co‑pilot that drafts treatment plans, progress notes and discharge summaries directly within the clinician’s EMR via browser integration
- Coding QA module that cross‑checks each claim for under‑coding, missing add‑on codes, modifier errors, NCCI bundling, LCD, medical necessity and DME accuracy, citing the source chart
- Prior Authorization workflow that extracts diagnosis, treatment level and medical necessity, generates a payor‑ready PDF, and submits via portal, fax or phone with full pipeline visibility
- Appeals & Denials automation that performs root‑cause analysis, assembles supporting documentation, and creates appeal letters with regulatory citations
- Role‑based routing and unified dashboard that surface clinical gaps to clinicians, coding issues to coders, and compliance alerts to auditors, eliminating manual triage meetings
- Specialized capabilities for utilization review, quality measures, sepsis bundle adherence, and behavioral health documentation