Coming Soon! Intelligent Billing Optimization is in development. Join the waitlist to get 50% off when we launch.
Join WaitlistStop Leaving 18% of Revenue on the Table
Your documentation supports higher reimbursements—you're just not billing for it. Our AI analyzes every encounter to optimize coding, capture missed charges, and maximize legal reimbursement.
The Undercoding Epidemic
Conservative coding is costing you a fortune
Money You're Leaving Behind Every Day
These commonly missed charges add up to $180K+ annually
Undercoded E&M Levels
Missed Testing Procedures
Unbilled Minor Procedures
Modifier Opportunities
Vision vs Medical Routing
Documentation Gaps
AI That Thinks Like a Certified Coder
Every note analyzed, every opportunity captured
Real-Time Documentation Analysis
AI reads your entire encounter note—history, exam findings, assessment, plan—understanding the clinical context and complexity of care provided.
Intelligent Code Selection
System evaluates all possible CPT codes, E&M levels, and modifiers. Considers medical necessity, documentation support, and payer-specific rules to select optimal codes.
Charge Capture Verification
Identifies every billable service performed—from punctal plugs to photos to extended testing. Nothing gets missed when AI is watching.
Compliance & Optimization Balance
Ensures every code is fully supported by documentation while maximizing legal reimbursement. Built-in audit protection with clear justification for each selection.
Billing Intelligence That Goes Beyond
E&M Level Optimization
AI evaluates history, exam, and medical decision-making to determine the highest supportable E&M level. No more conservative downcoding.
Average increase: $42 per medical encounter
Modifier Intelligence
Knows exactly when to apply -25, -59, -RT/-LT, and other modifiers. Understands NCCI edits and payer-specific requirements.
Modifier revenue recovery: $65K annually
Payer-Specific Rules
Built-in knowledge of Medicare LCDs, VSP requirements, EyeMed preferences, and 500+ payer rules. Bills correctly the first time.
Denial reduction: 89% fewer coding denials
Audit Protection
Every code selection includes documentation mapping showing exactly how it's supported. Complete audit trail for compliance.
100% documentation-supported coding
Smart Medical vs Vision Routing
AI determines optimal billing path for maximum reimbursement
Automatic Determination Based On:
- Chief complaint and diagnosis codes
- Services and procedures performed
- Patient's coverage benefits
- Frequency limitations
- Previous billing history
Common Scenarios Optimized:
- Dry eye → Medical insurance ($195 vs $0)
- Diabetes exam → Coordinated billing
- Glaucoma suspect → Medical E&M codes
- Contact lens fit → Vision with medical
- Cataracts → Medicare primary
Your Revenue Recovery Calculator
Based on practice seeing 25 patients daily
Current Undercoding Losses
With AI Optimization
$162,000 Annual Revenue Recovery
4,500% ROI • Pays for itself in 5 days
Note: Calculations based on industry averages. Your actual recovery may vary based on current coding practices and patient volume.
Billing Optimization Impact
Average results from practices using AI billing optimization
Per Exam Increase
Average reimbursement increase per patient exam through proper E&M level selection and complete procedure capture. AI identifies billable services consistently missed in manual coding.
$186K average first-year recovery
Collection Increase
Practices report significant collection improvements from addressing chronic undercoding. AI optimization captures modifiers, procedures, and appropriate complexity levels.
Zero increase in audit risk
Routing Optimization
Medical vs vision routing intelligence alone recovers substantial revenue. Combined with coding optimization, total recovery often exceeds $200K annually.
Highest ROI investment for practices
Maximum Revenue, Zero Audit Risk
Every code fully supported by documentation
Built-In Compliance
- Documentation mapping for every code
- Medical necessity verification
- Time-based billing validation
- NCCI edit checking
- LCD/NCD compliance
Audit Trail Features
- Complete coding rationale saved
- Documentation screenshots
- Modifier justification
- E&M level calculation details
- Historical coding patterns
Billing Optimization Questions
- How much revenue am I really leaving on the table?
- The average practice undercodes by 18%, misses 8-12% of billable procedures, and loses another 5% to modifier and routing errors. For a $1M practice, that's $180,000-$250,000 annually.
- Will aggressive coding increase my audit risk?
- No. Our AI only selects codes that are fully supported by documentation. Every code includes a compliance report showing exactly how it's justified. You're actually safer than manual coding.
- How does the AI know optometry-specific billing rules?
- The system is trained specifically on optometry billing, including vision plan requirements, common procedures, E&M guidelines for eye care, and payer-specific rules for VSP, EyeMed, Medicare, and others.
- Can it handle complex scenarios like diabetic exams?
- Yes. The AI understands coordinated benefits, knows when to bill medical vs vision, applies proper modifiers, and ensures all billable components are captured—from the exam to photos to OCT.
- Do I still have control over the final billing?
- Absolutely. The AI provides recommendations with explanations. You can review, modify, or override any suggestion. Most practices find the AI is more accurate than manual coding and simply approve.
- How quickly will I see revenue improvement?
- Immediately. From day one, you'll bill higher appropriate E&M levels, capture missed procedures, and apply correct modifiers. Most practices see a 15-25% revenue increase in the first billing cycle.
Start Maximizing Revenue Today
Join 80+ practices recovering $180K+ annually with intelligent billing optimization. See higher reimbursements from your very next claim.
Free revenue analysis • See your undercoding • No commitment
Get Early Access
Join the waitlist and get 50% off when we launch
Exclusive offer: 50% off when we launch - early access exclusive
* All metrics and savings shown are based on industry averages and potential improvements. Individual results may vary.