Our solution · Revenue recovery

Missed procedure detection

Pre-bill review for missed procedures and charges, catching what was performed but never coded.

Pre-bill review → Missed HB + PB CPTs

How it works

Find what was performed but never coded

01
Pre-bill review

100% of cases scored, no manual sampling.

02
Missed procedure flags

High-confidence missed codes flagged to work queue.

03
Low review burden

85% of missed procedure flags are accepted.

POC · Large academic health system
$11.9Mper year identified by Decimal Code models
$8.2Mper year recovered by the manual audit vendor
+$3.7Madditional findings beyond the vendor
85%of missed-procedure flags are correct
POC on ~7,600 high-acuity inpatient accounts/yr

From Michigan Medicine

“We had previously missed arterial line placements and in-person ultrasound coding, with Decimal Code we are now able to recapture $2.3M annually.”

ACFO, Michigan Medicine

More of our solution

Let’s chat

See your own validation results

We will validate a locally-tuned model from your data. 80% of data is used for tuning, 20% set aside as a clean validation test set.