CodaMetrix

CodaMetrix processes over 100 million clinical documents annually across multiple service lines including Radiology, Emergency Department, and surgical specialties. The platform analyzes longitudinal patient records and contextual data to select appropriate codes from over 100,000 ICD and CPT options.

CodaMetrix integrates directly with major EHR systems including Epic. The platform supports HL7 and FHIR healthcare interoperability standards, enabling automated data exchange and direct billing submission without manual intervention.

The platform undergoes updates every six months to incorporate new procedures, treatments, and diagnostic criteria. Machine learning models are continuously retrained to ensure compliance with evolving ICD and CPT code sets and payor-specific billing rules.

CodaMetrix delivers 5x ROI over five years according to their published metrics. Health systems experience 60% reduction in coding costs, 70% reduction in manual coding workload, and up to 60% decrease in coding-related claim denials.

The CMX CARE platform processes over 300,000 patient encounters daily. Clinical encounters are bundled into cases, analyzed for chargeable activities, assigned appropriate medical codes, and submitted directly to billing systems for claim generation.