calliora provides revenue management software for hospitals that proactively steers case processes from admission to billing. The platform identifies missing documentation, coding errors, and MD audit risks in real time, enabling clinical teams to secure reimbursement before invoices are issued. It operates on European infrastructure with ISO 27001 and BSI C5 Type 1 certifications.
Funding
Funding not disclosed
Founders
Product
Problem
Hospitals lose significant revenue because reimbursement is determined throughout a patient's stay—at admission, during documentation, and in coding—yet traditional software only reports on completed work. Missing documentation, unsupported codes, and overlooked audit risks are typically caught only at billing time, when it is too late to correct them. This leads to denied claims, MD recoveries, and revenue left on the table.
Solution
calliora provides a case-by-case process control platform that works ahead of billing to secure hospital revenue. The system consolidates all case-relevant information into a single working context and continuously checks each case against German coding guidelines, hospital-specific rules, and typical Medical Service audit patterns. It identifies missing or imprecise diagnoses, uncoded comorbidities, incorrect ventilation hours, and unclaimed supplementary fees, then guides staff to close gaps while the case is still open. The platform also manages MD review responses by bundling evidence and ensuring timely submission. By steering admission decisions, coding accuracy, case reviews, and billing readiness, calliora ensures every reimbursable service is documented and defensible before the invoice goes out.
Target Audience
Primary customers are German hospitals, including medical controlling departments, coding teams, and hospital management, that need to optimize DRG revenue and reduce MD audit risks.
Features
- Real-time case monitoring that flags unspecific main diagnoses, missing secondary diagnoses, and unclaimed supplementary fees with specific revenue impact amounts
- Admission logic that validates inpatient versus outpatient or hybrid DRG classification against the AOP catalogue and context factors to prevent primary misallocation
- Automated case review against German coding guidelines, hospital rule sets, and Medical Service audit patterns to surface unsupported codes and implausible combinations
- MD management workflow that bundles evidence and tracks response deadlines for Medical Service reviews
- Integration with existing hospital routine data without requiring a full integration project for initial value demonstration
- Operated in EU data centers with ISO/IEC 27001:2022, GDPR, and BSI C5 Type 1 compliance