Clinic coding + CDI
In developmentAI coding and CDI for orthopedic and pain-management visits. CodeIQ Visit prepares E/M and procedure coding from the signed note, with payer policy in view. The physician remains the approver.
The moment it solves
When a 99213 note supports 99214, that is a documentation fact — not recovered cash. The economic story is a modeled, practice-wide estimate from those support rates and contracted or labeled fee deltas. Capture is hypothetical until it is measured as cash.
How it works
MDM, history, and procedure language as written — not a guess at what the physician meant to say.
When the note supports a higher E/M, that support is labeled. Overcode exposure is also labeled.
Nothing bills itself. An emulated documentation prompt in the benchmark is not a claim that production prompts already delivered that outcome.
Evidence of value
MEASURED PERFORMANCE
99213 notes with support for 99214
Measured rate at which a 99213 visit had documentation support for 99214.
OpAgent Benchmark: share of 99213-coded visits whose documentation supported 99214.
Support is not a billed change and not recovered cash.
Source: OpAgent Benchmark
MEASURED PERFORMANCE
99212 notes with support for 99213
Measured rate at which a 99212 visit had documentation support for 99213.
OpAgent Benchmark: share of 99212-coded visits whose documentation supported 99213.
Support is not a billed change and not recovered cash.
Source: OpAgent Benchmark
MEASURED PERFORMANCE
99203 notes with support for 99204
Measured rate at which a 99203 visit had documentation support for 99204.
OpAgent Benchmark: share of 99203-coded visits whose documentation supported 99204.
Support is not a billed change and not recovered cash.
Source: OpAgent Benchmark
MODELED OPPORTUNITY
2026 modeled underleveling opportunity
Practice-wide statistical estimate based on documented coding support and contracted/labeled fallback fee deltas. Not recovered cash.
OpAgent Benchmark: practice-wide statistical estimate from documented coding support and contracted or labeled fallback fee deltas.
Period: 2026 modeled year
Modeled opportunity is not recovered cash and is not a forecast of what a practice will collect.
Source: OpAgent Benchmark
MODELED OPPORTUNITY
5% hypothetical capture of modeled opportunity
Illustrative 5% capture of the ~$3.92M/year modeled underleveling opportunity. Hypothetical, not a forecast.
Five percent of the 2026 modeled underleveling opportunity, shown only as a hypothetical capture illustration.
Period: 2026 modeled year
Hypothetical capture, not a forecast, not recovered cash.
Source: OpAgent Benchmark
MEASURED PERFORMANCE
Overcode-exposure notes both securable and hit by an emulated documentation prompt
Sampled overcode-exposure notes. Emulated documentation prompt — not a claim that production prompts already delivered this outcome.
OpAgent Benchmark: share of sampled overcode-exposure notes that were both securable and hit by an emulated documentation prompt.
Do not imply that production prompts already delivered this outcome.
Source: OpAgent Benchmark
Support rates are measured. The dollar figures are modeled opportunity — a statistical estimate based on documented coding support and contracted or labeled fallback fee deltas. They are not recovered cash. The 5% figure is hypothetical capture, not a forecast. High-code protection was scored against an emulated documentation prompt.
OpAgent Benchmark · CodeIQ Visit · not implied across CodeIQ OR or other agents
Where it connects
The note CodeIQ Visit actually reads.
Where the prepared visit code would land — Wrap and CodeIQ are not Essentials today.
When the billed level comes back downcoded, Claim Radar is already watching.