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.