A GenAI-enabled pre-bill audit solution designed for the mid-revenue cycle, integrating Clinical Documentation Improvement (CDI), Utilization Management (UM), and coding workflows. This unified approach helps hospitals streamline operations, reduce administrative overhead, minimize claim denials, ensure accurate reimbursements, and improve quality performance indicators.
Leverages predictive modeling and NLP to detect undocumented or missed HCCs, improving capture rates and coding accuracy.
Enables real-time and forward-looking reviews to ensure timely and accurate risk adjustment before and during patient encounters.
Continuously analyzes patient
risk profiles and documentation
to identify gaps and maximize
Risk Adjustment Factor
(RAF) scoring.
Ensures full traceability, regulatory alignment, and documentation integrity essential for RADV audit preparedness and ongoing compliance.
Improved Documentation
Accuracy
Real-Time Coding
Integrity Checks
Faster Turnaround & Reduced
Compliance Risk
Established in 2022, Alpine Pro Health. delivers accurate, compliant, and efficient medical coding and RCM solutions. Trusted by U.S. healthcare providers for expert-driven, end-to-end services.
131 Continental Dr, Suite 305, City of Newark, County of New Castle, Delaware 19713.
97, 98, Level 1, Magna Square, Jawaharlal Nehru Rd, Ashok Nagar, Chennai, Tamil Nadu, 600083, India
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