SmarterDx utilizes clinical AI to analyze 100% of patient charts, identifying both documented and undocumented diagnoses to enhance hospital revenue integrity. The technology delivers measurable financial benefits, generating an average of $2 million in net new revenue per 10,000 patient discharges while providing a 5:1 return on investment.
Funding
$71M 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.
TCFounders
Product
Problem
Hospitals face increasing challenges in capturing the complete value of care delivered due to missed or undocumented diagnoses in patient charts. This leads to revenue leakage, inaccurate quality metrics, and difficulties in appealing denied claims, impacting the financial health of the institution.
Solution
SmarterDx offers a clinical AI platform that analyzes 100% of patient charts to identify both documented and undocumented diagnoses, ensuring comprehensive revenue capture and improved quality metrics. The platform leverages over 2,200 proprietary algorithms designed by physicians to accurately represent the patient journey. SmarterDx integrates directly into existing clinical documentation integrity (CDI) workflows, augmenting the capabilities of existing teams without disrupting their processes. By pinpointing the root cause of denials and generating evidence-backed appeal letters, SmarterDx enables hospitals to recover lost revenue and optimize their reimbursement cycle. The AI solution flags clinical evidence that's missing an optimal associated diagnosis and diagnoses with no associated evidence, which boosts compliance.
Target Audience
SmarterDx primarily targets hospitals and health systems seeking to improve revenue integrity, reduce claim denials, and enhance the accuracy of their clinical documentation.
Features
- Clinical AI analyzes 100% of patient charts, leveraging 30K+ data points per patient visit.
- Identifies missing and incorrect diagnoses to improve quality of care scores.
- Generates comprehensive, evidence-backed appeal letters for denied claims in minutes.
- Extracts data from denial documents, including faxes and scans.
- Scans the entire patient record, including provider notes, labs, meds, orders, and vitals.
- Provides supporting evidence in context to help teams understand how the patient record supports the claim.
- Integrates with existing CDI workflows without disruption.