Semantic Health Information Platform: Revolutionizing Medical Coding and Auditing with AI

Semantic Health Information Platform is an advanced AI-powered solution designed to streamline and enhance medical coding and auditing processes for acute care facilities, pediatric hospitals, and revenue cycle management (RCM) outsourcing organizations in both the United States and Canada. By leveraging proprietary clinical AI and NLP algorithms trained on millions of records—including specialized pediatric data—the platform delivers real-time, concurrent coding and auditing to ensure accuracy, compliance, and financial optimization. It automates the secondary review of claims data before billing, significantly reducing denials and revenue leakage while improving documentation quality and operational efficiency. With a unified workflow, touchless deployment in secure, HIPAA- and SOC2-compliant environments, and seamless integration with major EHR and billing systems, Semantic Health empowers healthcare teams to make data-driven decisions with confidence.

Key Features:

• AI-Powered Concurrent Coding & Auditing: Real-time analysis and suggestions during patient admission and chart creation.
• Semantic Coder: Automatically assigns medical codes based on clinical evidence with a clear, traceable evidence trail in documentation.
• Semantic Auditor: Reviews 100% of coded charts pre-bill to validate diagnosis and procedure codes, flagging missed, inaccurate, or unsupported codes.
• Real-Time Audit Opportunities: Identifies data quality issues such as unspecified codes, incorrect principal diagnoses, and insufficient clinical support instantly.
• Pediatric-Specific AI Training: Tailored models for pediatric hospitals to deliver relevant and accurate coding suggestions.
• Compliance-Driven Insights: Provides explainable audit findings backed by clinical documentation, inpatient coding guidelines, and internal directives.
• Pre-Bill Denial Prevention: Catches errors before claims are submitted, reducing denial rates and optimizing reimbursements.
• 5x ROI Potential: Proven to generate significant financial returns through improved coding accuracy and revenue cycle integrity.
• Unified Workflow Interface: Combines coding and auditing tools into a single, intuitive platform for streamlined operations.
• Integration with EHR & Billing Systems: Works seamlessly with all major electronic health record and billing platforms.
• Secure, Flexible Deployment: Available on-premise or via secure cloud (Microsoft Azure) with SOC2 and HIPAA compliance.
• Longitudinal Patient Narrative Generation: Builds comprehensive clinical summaries to support data analytics and population health management.
• Touchless Implementation: Easy, secure, and rapid deployment with minimal disruption to existing workflows.
• Support for CIHI Submissions (Canada): Ensures accurate and compliant reporting for Canadian healthcare institutions.
• API Access: Enables integration with existing data pipelines and internal systems.

Pricing: Semantic Health Information Platform operates on a freemium model, offering a demo request option for prospective users to explore its capabilities, with tailored pricing available for enterprise and institutional clients based on scale and customization needs.

Conclusion: Semantic Health Information Platform is a transformative AI solution that enhances accuracy, compliance, and efficiency in medical coding and auditing. Trusted by leading hospitals and proven to increase coder productivity by up to 20% and uncover up to 25% more quality improvement opportunities, it stands as a vital asset for healthcare organizations aiming to optimize revenue cycles and improve data integrity—making it an indispensable tool for modern health information management.