Rinova AI automates medical coding and billing processes to accelerate claim submissions and reimbursement timelines. The solution reduces revenue cycle management costs by 50-70% through high-accuracy automation.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare providers face challenges in accurately and efficiently coding medical charts and submitting claims, leading to delayed reimbursements, increased denials, and higher administrative costs. Manual coding processes are prone to errors, require significant time investment, and struggle to keep pace with evolving coding guidelines and regulations.
Solution
Rinova AI offers an AI-powered solution that automates medical coding and billing processes, integrating directly with existing EHR and billing software to streamline revenue cycle management. The platform extracts doctor's notes, uses advanced AI models to assign ICD and CPT codes with high accuracy, and automatically submits claims to insurers. For claims that do not meet a high confidence threshold, a human coder reviews them to ensure compliance and accuracy. Rinova AI continuously audits past claims and learns from the practice's specialty to improve accuracy over time, reducing reimbursement time and minimizing claim rejections.
Target Audience
Rinova AI targets healthcare providers, including physicians and medical practices, seeking to automate and optimize their medical coding and billing processes.
Features
- Real-time coding and billing: Processes notes as soon as a doctor signs them, eliminating backlogs.
- AI-based chart coding: Uses advanced AI models to accurately assign ICD and CPT codes.
- Automated claim submission: Instantly submits high-confidence claims directly to insurers.
- Human coder review: Claims below high-confidence standards are reviewed by a human coder.
- Continuous learning and auditing: Audits past claims and learns from the practice’s specialty to improve accuracy over time.
- EHR integration: Seamlessly integrates with existing EHR and billing software.
- Compliance monitoring: Stays aligned with the latest healthcare regulations and coding guidelines.