What is SmarterDx?
SmarterDx uses clinical AI to analyze 100% of inpatient charts and extract diagnoses, procedures, and supporting clinical evidence across the patient record. The platform identifies missing or incorrect diagnoses and uncoded procedures to support accurate reimbursement, quality reporting, and clinical documentation improvement for hospitals and health systems.
SmarterDx produces structured outputs for pre-bill review, coding teams, denials appeal letters, and utilization management decisions. Algorithms trained on 16M+ hospitalizations capture 10,000+ diagnoses and procedures and integrate with existing revenue cycle and clinical workflows.
Key capabilities include automated chart review, denial root-cause analysis, appeal letter generation, clinical-evidence surfacing for medical necessity, and embedded note-level intelligence. Security and compliance controls include SOC 2 Type II and HIPAA support for enterprise deployment.
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SmarterDx's key features
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Capture missing and incorrect diagnoses across patient records
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Validate charge accuracy and uncover missed charges before billing
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Generate evidence-backed comprehensive appeal letters for complex denials
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Embed clinical and revenue-cycle intelligence into clinical notes
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Accelerate utilization management with evidence-based, defensible decision support
SmarterDx use cases
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Use SmarterDx to run automated pre-bill coding reviews of inpatient charts, extracting diagnoses, procedures and supporting evidence to identify missing or incorrect codes and optimize reimbursement before claims are submitted
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Automate denial appeal workflows with SmarterDx by performing denial root-cause analysis and generating evidence-backed appeal documentation that integrates with revenue-cycle systems to reduce overturn times and improve recovery rates
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Streamline utilization management and clinical documentation improvement by leveraging SmarterDx's medical-necessity evidence extraction and chart analysis to support prior authorizations, concurrent reviews, and coding compliance across clinical and billing teams
Who is it for?
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Medical coders
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Clinical documentation improvers
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Utilization management analysts
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Revenue cycle managers
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Hospital administrators
