AI Medica
AI Medica provides an evidence-based EHR automation platform that embeds clinical risk calculators and a physician-optimized coding engine directly into provider workflows. The platform includes 40+ validated risk scores—such as CAPRINI, CHA₂DS₂-VASc, and qSOFA—and automates level-of-service coding to maximize value-based contract reimbursement. It integrates with Epic and other EHR systems to reduce documentation burden and improve care quality.
- Healthcare Technology
- Digital Health
- Software Only
Funding
Funding not disclosed
Founders
Founder details are not available yet.
Product
Problem
Value-based care is difficult for physicians to implement because clinical risk scores and evidence-based assessment tools are not readily available within their existing EHR workflows. This fragmentation forces providers to manually calculate risk scores, leading to documentation gaps, inaccurate coding, and missed reimbursement opportunities under value-based contracts.
Solution
AI Medica provides an evidence-based EHR automation platform that embeds clinical risk scores and assessment tools directly into physician workflows. The platform integrates a comprehensive library of validated risk calculators—such as CAPRINI for venous thromboembolism, CHA₂DS₂-VASc for stroke risk, and qSOFA for sepsis—so providers can compute patient risk without leaving the EHR. Additionally, the platform's physician-optimized coding engine automates level-of-service coding, reducing documentation improvement queries and accelerating chart review. The system produces auditable results designed to maximize value-based contract reimbursement while improving care quality and supporting accurate inpatient and outpatient revenue capture.
Target Audience
Primary customers are healthcare providers—including physicians, hospitals, and health systems—operating under value-based contracts who need to improve patient outcomes and maximize reimbursement while reducing documentation burden.
Features
- Embedded evidence-based clinical risk calculators including CAPRINI, CHA₂DS₂-VASc, PESI, MELD, CURB-65, HAS-BLED, APACHE II, and 40+ additional validated scores
- Physician-optimized evidence-based coding engine that automates level-of-service selection for accurate reimbursement
- Inpatient coding support that decreases documentation improvement queries and accelerates chart review
- Outpatient coding that ensures accurate revenue capture and increases physician satisfaction
- Auditable results for all coding and risk assessment activities
- Integrated directly within the EHR workflow (including Epic vendor services) to minimize disruption
- Clinical tools spanning mortality, infection, readmission, and morbidity risk domains
- Specialty-specific calculators including pediatric (PELOD-2, Neonatal EOS) and perioperative (RCRI, GUPTA MICA, ARISCAT) tools