Direct-to-Bill Autonomous Medical CodingEpic & Cerner Ready

AI-Native Healthcare Revenue Intelligence

Nousvia replaces brittle rules-based CAC and expensive offshore coding agencies with clinical foundation models that read complex charts, assign audit-proof ICD-10/CPT codes, and submit directly to billing with 96.8% precision.Clinical foundation models reading complex charts and submitting audit-proof codes directly to billing with 96.8% precision.

96.8%
Coding Accuracy
78%
Direct-to-Bill Rate
< 2 hrs
Turnaround Time
EPIC HYPERSPACE • LIVE ENCOUNTER STREAM
AUTONOMOUS PASS: 98.4% CONFIDENCE
Encounter: Emergency Dept + Observation Stay
Status: Direct-to-Bill Released
"68yo M presenting with acute substernal chest pressure radiating to left jaw. EKG demonstrates ST elevations in V2-V4. Troponin I elevated at 2.45 ng/mL. History notable for poorly controlled Type 2 Diabetes with diabetic nephropathy..."
I21.09STEMI involving other anterior wall (Primary)
99.2% Conf
E11.21T2DM with diabetic nephropathy (Comorbidity / CC)
97.8% Conf
99285-25ED Visit, High Complexity (Modifier -25 validated)
NCCI Valid
Audit evidence extracted: 4 clinical citations
Bypassed HIM Queue
HIPAA & HITECH Compliant
Signed Enterprise BAA
SOC 2 Type II Certified
Annual 3rd-Party Audit
HITRUST CSF Aligned
Healthcare Security Benchmark
SMART on FHIR Native
Epic & Cerner Certified
96.8% Audit Accuracy
Exceeds AHA Standard
The Next Paradigm In RCM

Engineered Specifically for High-Stakes Clinical Healthcare

Legacy CAC software and offshore outsourcers fail under complex inpatient charts. Nousvia combines clinical LLMs with deterministic rules to automate coding with audit-ready accuracy.

78%

Direct-to-Bill Autonomous Rate

Charts with >95% confidence file automatically into your billing system without human intervention, unlocking immediate revenue realization.

96.8%

Audit-Proven Accuracy

Exceeds standard 95% HIM audit benchmarks. Every code assignment links directly to verified highlighted evidence in operative and physician progress notes.

< 2 hrs

Average Time-to-Code

Reduce Discharged Not Final Billed (DNFB) time from 4.5 days down to minutes, drastically accelerating cash collections and reducing credit facility reliance.

Native Bi-Directional EHR Integration

Zero workflow disruption. Nousvia connects via SMART-on-FHIR and HL7 v2 to Epic Hyperspace, Oracle Cerner, and MEDITECH. Encounters file directly or drop into existing coder workqueues with 1-click accept.

Epic HyperspaceOracle Health / CernerMEDITECH ExpanseAthenahealth
INTEGRATION READINESS
SMART-on-FHIR R4 Certified
Real-Time HL7 MDM / ORU feeds
HIPAA & SOC 2 Type II Encrypted

Human-in-the-Loop Safety Net

The AI never guesses. Encounters with ambiguous documentation or novel clinical presentations route automatically to senior HIM specialists with explainable reasoning citations.

100% Defense in RAC Audits
End-to-End RCM Intelligence

Specialized Autonomous Engines Across Your Revenue Cycle

Choose a specialized module or deploy the unified Nousvia revenue cycle intelligence platform.

Industry Leading Accuracy

Autonomous Medical Coding

End-to-end direct-to-bill clinical chart coding with 96.8% precision

AI-native engine that ingests complex clinical records across ED, radiology, outpatient surgery, and inpatient stays, producing audit-ready ICD-10, CPT, and HCPCS codes directly in your EHR.

Multi-Specialty Clinical Ingestion: Trained across Emergency Medicine, Inpatient Internal Medicine, Ambulatory Surgery, Radiology, Cardiology, and Orthopedics.
Deterministic Confidence Scoring: Every code prediction receives an explainable confidence metric backed by exact highlighted clinical documentation citations.
Seamless Human-in-the-Loop HIM Routing: Borderline or novel clinical scenarios automatically route to existing HIM coding queues with pre-filled recommendations.
Explore Autonomous Medical Coding Specs
96.8%
Autonomous Accuracy
Exceeds standard 95% audit benchmark
78%
Direct-to-Bill Rate
Instant submission without human touch
< 2 hrs
Average Turnaround
Reduced from 4.5 days average
62%
Cost Reduction
Per coded encounter across specialties
Financial Impact

Model Your Health System's Autonomous Savings

See how much uncollected revenue and coding labor cost your organization can recover annually.

Interactive Financial Modeler

Calculate Your Health System's Potential Return

Adjust variables to match your health system or physician organization profile.

Monthly Chart Volume35,000 charts/mo
5,000 (Clinic)35,000 (Mid-System)150,000+ (Enterprise)
Initial Denial Rate11%
4% (Top Quartile)11% (National Avg)22% (High Denial)
Average Annual Fully-Loaded FTE Cost$85,000/yr
$65,000 (Domestic Entry)$85,000 (US Blended)$125,000 (Specialty)
Calibrated Against HFMA & AHA Benchmarks

Calculations incorporate conservative 78% autonomous direct-to-bill rates and 41% denial prevention metrics.

Estimated Annual Impact
$15,506,400

Net financial value delivered through autonomous coding efficiencies and pre-bill denial intercept.

Labor & Agency Savings
$3,194,100
~34 Coder FTEs Reallocated
Recovered Denials
$12,312,300
41% Overturn / Avoidance
Turnaround time accelerated from 4.5 days to < 2 hours
Average 14.5 days reduction in Discharged Not Final Billed (DNFB)
Estimated payback period: 42 days from go-live
Get Custom Health System Pro-Forma
Competitive Analysis

Why Modern Health Systems Choose Nousvia

A transparent comparison between legacy rules-based CAC, outsourced offshore BPO, and Nousvia Autonomous AI.

Comparison between Legacy CAC Software, Offshore Outsourcing, and Nousvia Autonomous Intelligence
CapabilityLegacy CAC SoftwareOffshore Outsourcing
Autonomous AI
Nousvia Autonomous
Autonomous Direct-to-Bill Rate15% – 25% (Mostly ED)0% (Always manual touch)
78% Across Inpatient & Outpatient
Coding Precision & Accuracy86% – 90% (High false positives)88% – 92% (High variance)
96.8% Audit-Verified
Turnaround Time (DNFB)3 to 5 Days4 to 7 Business Days
< 2 Hours Continuous
Modifier & NCCI Logic ComplianceBasic lookup rulesCoder-dependent
Deterministic NCCI + AHA Clinic cross-check
Explainable Audit Evidence CitationSimple keyword highlightManual written justifications
Clickable sentence-level clinical citation
Cost per Coded EncounterHigh software fee + full coder FTE$14 – $22 per chart
Up to 62% Lower Overall Cost

Autonomous Direct-to-Bill Rate

Nousvia Autonomous
78% Across Inpatient & Outpatient
Legacy CAC
15% – 25% (Mostly ED)
Offshore BPO
0% (Always manual touch)

Coding Precision & Accuracy

Nousvia Autonomous
96.8% Audit-Verified
Legacy CAC
86% – 90% (High false positives)
Offshore BPO
88% – 92% (High variance)

Turnaround Time (DNFB)

Nousvia Autonomous
< 2 Hours Continuous
Legacy CAC
3 to 5 Days
Offshore BPO
4 to 7 Business Days

Modifier & NCCI Logic Compliance

Nousvia Autonomous
Deterministic NCCI + AHA Clinic cross-check
Legacy CAC
Basic lookup rules
Offshore BPO
Coder-dependent

Explainable Audit Evidence Citation

Nousvia Autonomous
Clickable sentence-level clinical citation
Legacy CAC
Simple keyword highlight
Offshore BPO
Manual written justifications

Cost per Coded Encounter

Nousvia Autonomous
Up to 62% Lower Overall Cost
Legacy CAC
High software fee + full coder FTE
Offshore BPO
$14 – $22 per chart
Clinical Evidence

Real-World Health System Deployments

Explore how large IDNs, regional medical centers, and surgical groups modernized their revenue cycles with Nousvia.

Integrated Delivery Network (IDN)Ohio & Michigan

How an 920-bed Health System Achieved 81% Autonomous Inpatient & ED Chart Filing in 90 Days

Facing a 28% HIM coder vacancy rate and a $4.2M backlog in unbilled outpatient surgical and ED charts, the health system was experiencing 6.8 days in Discharged Not Final Billed (DNFB) time. External outsourced coding vendors produced unacceptable error rates (14% audit failure).

81%
Autonomous Direct-to-Bill
Achieved in Month 3
Read full case study
Large Multi-Specialty Surgical GroupColorado & Arizona

Slashing Prior Authorization Turnaround from 6 Days to 12 Minutes for Complex Spine Procedures

Orthopedic and spine surgeries suffered a 19% cancellation rate due to delayed commercial payer authorizations. Clinic staff spent an average of 42 minutes per case on payer web portals and repetitive phone calls.

< 15m
Average Turnaround
Down from 6.2 business days
Read full case study
Community Hospital & Trauma CenterFlorida

Recapturing $2.8M in Denied Revenue with Predictive Pre-Bill Adjudication

A surge in commercial payer denials for medical necessity and missing documentation eroded hospital operating margins to 0.4%. The manual appeals team could only address 35% of actionable denials before filing deadlines expired.

82.4%
Denial Overturn Rate
Compared to 44% historical baseline
Read full case study
What Leaders Say

Trusted by HIM Directors, CFOs, and Clinical Officers

Hear directly from healthcare leaders who have eliminated coding backlogs and accelerated cash collection.

96.8% Audit-Verified Accuracy

"Nousvia is the only autonomous coding technology we tested that truly grasps the clinical context of emergency room and operative chart documentation. The 96.8% accuracy rate isn't marketing spin — it is proven out every single day in our Epic audit logs."

14 Days A/R Reduction

"We cut our days in A/R by 14 days within three months of deployment. What used to require a 30-person outsourced coding agency now runs autonomously with three internal auditors managing exceptions."

< 15 min Auth Approval Turnaround

"Prior authorizations used to paralyze our oncology scheduling. With Nousvia, clinical criteria are crosswalked in real time, and our patients get their infusion therapy approvals in minutes instead of weeks."

4.8x First-Year Net ROI

"The return on investment was apparent within the first billing cycle. The reduction in initial claim denials alone covered the platform license fee three times over."

Clear Answers

Frequently Asked Questions

Everything healthcare revenue cycle leaders need to know about our technology, EHR integrations, and security guarantees.

Nousvia Health is an AI-native healthcare revenue intelligence platform specializing in autonomous clinical chart coding, prior authorization automation, and denial management. Unlike legacy rule-based CAC (Computer-Assisted Coding) tools, Nousvia uses proprietary clinical foundation models that comprehend nuance, medical terminology, and clinician intent, enabling direct-to-bill autonomous coding without sacrificing clinical accuracy.

Standard implementation requires 4 to 8 weeks. We connect via certified SMART-on-FHIR and HL7 v2 interfaces to your existing EHR (Epic, Cerner, MEDITECH, Athenahealth). Our team conducts a 2-week historical shadow validation audit to calibrate confidence thresholds before switching to live autonomous filing.

Nousvia is live and production-proven across Emergency Department (ED), Inpatient Acute Care, Outpatient Same-Day Surgery, Multi-Specialty Clinics, Diagnostic & Interventional Radiology, Pathology, and Cardiology. We cover ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, and all modifier designations.

Nousvia includes a built-in continuous audit sampler and real-time confidence scoring. Every encounter provides clickable evidence cards linking each code to the exact sentence or laboratory value in the patient record. Your internal HIM team or external auditors can sample, inspect, and approve charts at any time.

No. Nousvia operates bi-directionally within your existing EHR. High-confidence encounters file directly to billing without touching human queues. Charts that fall below confidence thresholds are routed straight into your team's native Epic workqueues, Cerner worklists, or billing software with pre-filled suggestions.

Nousvia maintains SOC 2 Type II certification and 100% HIPAA compliance. All data is encrypted in transit using TLS 1.3 and at rest with AES-256 keys. We sign comprehensive Business Associate Agreements (BAAs), and client patient data is never used to train public or shared AI models.

Enterprise-Ready • Epic & Cerner Compatible

Ready to Automate Your Revenue Cycle with 96.8% Accuracy?

Join leading US health systems and specialty groups transforming their clinical chart workflows with Nousvia AI.