Revenue
Coded from
the signed report.
CIVIE AI reads the final radiology report and suggests ICD-10 and CPT codes with its reasoning, checks the edits payers apply, and sends documentation gaps back to the radiologist before the claim goes out.
AI coding · from the signed report
SuggestedMR knee right w/o contrast. History: twisting injury playing soccer 2 weeks ago, medial joint line pain. Impression: Tear of the posterior horn of the medial meniscus. Small joint effusion.
Illustrative
The challenge
The report and the claim
live apart.
Coding from a copy. Reports are exported to a separate billing system in batches, and codes are built from what arrives.
Documentation gaps. A missing laterality, view count or indication becomes a denial weeks later.
Radiology is its own discipline. Interventional procedures, professional and technical splits and MIPS measures need radiology-specific rules.
Manual against CIVIE
Coded from a copy,
or from the source.
Manual
- Reports exported to a separate billing system in batches
- Codes built from whatever arrives
- A missing laterality or indication becomes a denial weeks later
- Payer edits discovered when the claim comes back
- IR components and MIPS measures handled as separate projects
With CIVIE
- Coding starts the moment the report is signed, on one record
- ICD-10 and CPT suggestions with a confidence level and the passage that supports them
- Deficient reports go back to the radiologist in real time through the Coding Assistance Portal
- CCI, LCD and NCD edits and payer-specific learning edits before submission
- Component IR coding and radiology MIPS captured as part of coding
One ecosystem
No batch file between
report and claim.
With ASR Reporting and CIVIE RCM on one record, coding starts the moment the report is signed. With another dictation system, CIVIE reads the final report over HL7.
On one CIVIE platform
Connects to what you keep
- Your dictation systemFinal reports in over HL7 if you keep it.
- Clearinghouses and payersEDI eligibility, claims, remittances and claim status.
How CIVIE helps
Accurate codes,
from the source.
Coding Assistance Portal
2 deficientIllustrative
AI-assisted coding
ICD-10 and CPT suggestions with a confidence level and the passage that supports them. Coders accept, change or reject each one.
Edits before submission
CCI, LCD and NCD edits, cross-coder checks and payer-specific learning edits, with real-time error alerts.
Coding Assistance Portal
Deficient reports go to the radiologist in real time, and addenda can be signed from a phone.
Interventional radiology coding
Component coding for IR procedures, with the documentation each code needs.
Radiology MIPS
Quality measures captured and reported as part of coding, not as a separate project.
Every record audited
AI audits coded claims and pre-screens them for human auditors, with historical approval insight.
Solutions involved
What it runs on.
FAQ
Questions,
answered.
Coders review every suggestion. Your rules decide which claims need a second look, and every change is logged.