Prevent Revenue Leakage Before Claims Leave the Building
AI-powered coding validation, charge capture review, documentation analysis, and claim readiness for Medical and Dental organizations.
Why Traditional Coding QA Fails
When 95–98% of claims never get audited, errors compound silently. Issues found after submission mean denials, rework, and delayed cash.
Every Stage Reviewed Continuously
Neuriphy AI monitors each step from patient encounter to submission — no stage escapes review.
STAGE 01
Patient Encounter
Visit documented
STAGE 02
Clinical Documentation
Notes & orders captured
STAGE 03
Code Assignment
ICD-10, CPT, CDT
STAGE 04
Charge Capture
All charges reconciled
STAGE 05
Claim Creation
Built and validated
STAGE 06
Submission
Clean claims out
Neuriphy AI reviews every stage continuously — in real time, before submission
AI-Powered Validation Across Every Claim
The Neuriphy AI Validation Engine ingests CPT, ICD-10, HCPCS, modifiers, and HCC codes — then cross-references documentation, payer rules, and clinical necessity to surface every risk before it reaches the payer.
Undercoding Detection: Identifies missed procedures and services not captured in the claim.
Overcoding & Upcoding Flags: Alerts to codes unsupported by clinical documentation, reducing audit exposure.
Missing Modifier Identification: Catches absent or incorrect modifiers before they trigger denials.
HCC & DRG Optimization: Surfaces hierarchical condition category opportunities and defends DRG assignments.
Documentation Gap Analysis: Pinpoints missing clinical justification before payers can request it.
Optimize Every CDT Submission
Dental claims carry their own code set, payer rules, and documentation requirements. Neuriphy reviews every CDT submission before it leaves — catching missing procedures, unsupported codes, incomplete narratives, and missing attachments so denials don't happen in the first place.
What gets reviewed at every dental claim
Missing procedures — services performed but not billed
CDT code accuracy — correct code for documented service
Clinical documentation — notes support billed procedures
Payer requirements — plan-specific edits and limitations
Narrative completeness — required narratives present and sufficient
Attachment validation — X-rays, perio charts, photos attached
Revenue opportunities — unbilled services and charge leakage
One Platform. Multiple Revenue Protection Layers.
Neuriphy's Revenue Integrity Command Center unifies every protection layer into a single continuous workflow — so nothing slips through.
Coding QA
AI validation of every CPT, ICD-10, and modifier before a claim leaves your system.
Charge Capture
Reconciles services, orders, and billing data to surface missed and duplicate charges.
Claim Analysis
Pre-submission payer-specific edits and denial risk scoring on every claim.
HCC Review
Identifies hierarchical condition category opportunities and closes documentation gaps.
Revenue Leakage
Detects underpayments, contract variances, and unbilled service patterns at scale.
Denial Risk
Predicts and scores denial likelihood per claim, routing high-risk cases for human review.
Autonomous Revenue Integrity at Scale
The choice isn't between quality and speed — it's between reactive spot-checks and proactive full coverage.
- Reviews 2–5% of total claim volume
- Findings are reactive — issues surface after submission
- Coverage limited by staff capacity and hours
- Inconsistent payer rule application across coders
- Scales linearly — more volume means more headcount
- 100% of claims reviewed — no sampling, no gaps
- Proactive prevention — issues caught before submission
- Continuous 24/7 coverage — no capacity ceiling
- Payer-specific logic applied consistently to every claim
- Scales elastically — volume growth requires no new hires
From Coding QA to Autonomous Revenue Integrity
A staged path from point-solution validation to fully autonomous revenue cycle management.
Coding Validation
CPT, ICD-10, CDT, HCPCS, and modifier review on every claim before submission. Denial risk scoring included.
Revenue Integrity
Charge capture reconciliation, HCC optimization, documentation gap analysis, and leakage detection.
Claim Readiness
Payer-specific pre-submission edits, audit risk scoring, clean claim certification, and readiness dashboards.
Autonomous RCM
Full revenue cycle automation — denials, appeals, underpayments, analytics, and knowledge management unified.
What Clients Typically Improve
Vendor-reported benchmarks from Neuriphy platform deployments across hospital and provider organizations.
Coding Accuracy
Reduced Preventable Denials
Reduced Revenue Leakage
Higher Claim Rate
Start Protecting Revenue on Day One
Neuriphy integrates with your existing EHR, clearinghouse, and payer portals. No rip-and-replace. HIPAA and SOC 2 aligned environment with continuous monitoring.