ShiftHealth provides an AI-powered platform that automates medical coding and payment workflows by reading encounter notes and generating accurate CPT and ICD-10 codes directly in EHR systems. This technology reduces manual coding tasks by up to 80%, increases claims submission speed by 10 times, and enhances accuracy to over 98%, allowing healthcare teams to focus more on patient care.
Funding
$150K raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
Founders
Product
Problem
Medical coding and payment workflows are often manual, time-consuming, and prone to errors, requiring significant administrative overhead for healthcare providers. Inefficient coding processes can lead to underbilling, claim denials, and delays in revenue collection, impacting financial performance.
Solution
ShiftHealth offers an AI-powered co-pilot that automates medical coding and payment processes by extracting relevant information from encounter notes and generating accurate CPT and ICD-10 codes. The platform integrates directly with existing EHR systems, streamlining workflows and reducing the need for manual coding. By automating repetitive tasks, ShiftHealth increases claims submission speed, improves coding accuracy, and allows medical billing teams to focus on more complex tasks and patient care. The AI co-pilot also assists with patient services by automating benefit workflows, reducing scheduling-related calls, predicting no-shows, finding coverage gaps, and engaging patients in real time.
Target Audience
ShiftHealth targets medical billing teams, healthcare providers, and revenue cycle management professionals seeking to automate coding and payment workflows, improve accuracy, and increase efficiency.
Features
- AI-powered coding that reads encounter notes directly from the EHR to generate CPT and ICD-10 codes
- Automation of up to 80% of coding workflows, streamlining revenue cycle processes
- AI-powered payments that read patient balances directly from the EHR and communicate with patients to automate payment workflows
- Digital workers for patient services, automating benefit workflows, reducing scheduling calls, and predicting no-shows with 98% accuracy
- Robotic process automation that eliminates healthcare interoperability barriers and interacts with the EHR in the same way as staff
- Pre-built automation templates for faster results
- Integrations with various tools and apps