The Nousvia RCM Intelligence Suite

Autonomous Revenue Cycle Engineered for Clinical Precision

From initial authorization through clinical coding and denial recovery, Nousvia eliminates administrative drag while keeping human HIM leaders firmly in command.

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
Specialized Modules

Deploy Standalone or as a Unified Platform

Every module interfaces natively with your existing EHR workflows without requiring staff re-training.

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 Surge...
Deterministic Confidence Scoring: Every code prediction receives an explainable confidence metric backed by exact ...
Seamless Human-in-the-Loop HIM Routing: Borderline or novel clinical scenarios automatically route to existing HIM codin...
Learn More About Autonomous Medical Coding
Verified Performance Benchmarks
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
Real-time Approvals

Prior Authorization Automation

Instant clinical criteria matching, payer rule crosswalks, and electronic submission

Automate 85% of prior auth requests across medical, surgical, and diagnostic imaging. Reduce approval turnaround from 7 days to under 15 minutes.

Real-Time Order Interception: Captures advanced imaging, surgery, and specialty medication orders the moment p...
Dynamic Payer Rule Engine: Continuously updated rule library for 1,200+ commercial, Medicare Advantage, and...
Automated Clinical Evidence Extraction: Pulls clinical history, conservative therapy trials, imaging reports, and lab re...
Learn More About Prior Authorization Automation
Verified Performance Benchmarks
85%
Automated Submissions
Zero manual portal logins
< 15m
Average Turnaround
Down from 7+ business days
94%
First-Pass Approval Rate
Drastically reduced initial denials
$42
Saved Per Authorization
In administrative staff labor
Revenue Recovery

Intelligent Denial Management

Predictive denial prevention, automated appeal packets, and root-cause recovery

Stop chasing denied claims after the fact. Nousvia catches claim anomalies pre-submission and generates audit-ready appeal packets for overturned revenue in minutes.

Pre-Bill Adjudication Simulation: Simulates payer adjudication logic to flag missing modifiers, unbundled codes, a...
1-Click Clinical Appeal Generation: Produces comprehensive, evidence-backed appeal letters customized to the specifi...
Root-Cause Analytics & Feedback Loop: Pinpoints upstream provider documentation gaps or registration errors causing re...
Learn More About Intelligent Denial Management
Verified Performance Benchmarks
41%
Reduction in Denial Volume
Through proactive pre-bill auditing
82%
Appeal Overturn Rate
For medical necessity & authorization denials
18 Days
Faster Cash Recovery
Accelerated AR turnaround cycle
4.8x
Average ROI
Net recovered revenue in Year 1
Physician Friendly

Clinical Documentation Integrity (CDI)

Point-of-care query suggestions, physician copilot, and DRG risk adjustment

Empower CDI specialists and physicians with intelligent concurrent chart analysis, surfacing unspecified diagnoses and missing CC/MCCs before discharge.

Concurrent Chart Review: Analyzes patient records during the hospital stay rather than weeks post-dischar...
Non-Intrusive Physician Queries: Queries presented in Epic In Basket or Cerner Message Center with 1-click clinic...
Risk Adjustment (HCC) Optimization: Surfaces chronic condition recaptures for Medicare Advantage and ACO populations...
Learn More About Clinical Documentation Integrity (CDI)
Verified Performance Benchmarks
+0.18
Case Mix Index (CMI) Lift
Demonstrated average clinical acuity lift
91%
Physician Query Agree Rate
Non-disruptive, evidence-backed queries
3.4 hrs
Saved Per CDI Specialist
Daily automated chart review time
100%
Auditable Documentation
Full compliance with ACDIS/AHIMA standards
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.