Direct-to-Bill Medical Coding with 96.8% Precision
Nousvia AI autonomously parses inpatient operative reports, ED records, and complex outpatient encounters — assigning ICD-10, CPT, and HCPCS codes directly into your EHR billing system with zero human intervention on >78% of charts.
The Autonomous Direct-to-Bill Ingestion Pipeline
From raw EHR chart signature to validated 837 billing claim in minutes.
Clinical Chart Ingestion via FHIR
Nousvia continuously monitors EHR chart completion events, ingesting physician notes, lab panels, radiology reads, and orders in real-time.
- Unstructured text normalization
- FHIR R4 resource parsing
- Duplicate record filtering
Clinical Entity Extraction & Contextual Reasoning
Proprietary clinical LLM identifies acute conditions, chronic comorbidities, documented complications, and surgical approaches.
- Implicit condition inference
- Negation & historical condition detection
- Provider attribution analysis
Code Assignment & Rule Verification
Translates validated concepts into ICD-10-CM/PCS, CPT, and HCPCS codes with required modifiers (-25, -59, etc.) and NCCI edits.
- AHA Coding Clinic cross-reference
- NCCI PTP edit checking
- MUE validation check
Autonomous Filing or HIM Queue Escalation
Encounters scoring above 95% confidence file automatically into the billing system; encounters needing review are highlighted for coders.
- Direct billing batch creation
- Highlighted evidence cards
- Time-to-bill counter
Built to Solve Real HIM Audit Challenges
Engineered with senior RHIA and CCS coding compliance directors to surpass strict hospital audit standards.
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.
Bi-Directional EHR Integration
Pushes coded encounters directly into Epic, Oracle Cerner, MEDITECH, and Athenahealth with automated billing release.
Continuous Regulatory Updates
Annual ICD-10/CPT code updates and quarterly AHA Coding Clinic guidelines automatically integrated with zero downtime.
Audit Trail & Compliance Shield
Full forensic logging of every clinical rationale, ensuring 100% defense in RAC and commercial payer audits.
Tested and Validated Across High-Complexity Specialties
Nousvia handles outpatient simple charts and high-risk surgical inpatient charts with equal precision.
See Your Health System's Potential Coding ROI
Model autonomous savings based on your monthly chart volume and coder vacancy rates.
Calculate Your Health System's Potential Return
Adjust variables to match your health system or physician organization profile.
Net financial value delivered through autonomous coding efficiencies and pre-bill denial intercept.
Autonomous Coding FAQs
Detailed technical answers on accuracy, exceptions, and audit defenses.
Nousvia incorporates a specialized Inpatient DRG Optimization engine that evaluates the entire admission course. It cross-examines physician progress notes, consult notes, lab findings, and medication administration records to ensure every documented complication or comorbidity is substantiated, properly sequenced, and compliant with Official Coding Guidelines.
Nousvia operates on an explainable confidence threshold model. If an encounter falls below your health system's configured confidence bar (typically 95%), it is automatically routed to your coding team's standard workqueue in Epic or Cerner, accompanied by pre-suggested codes and highlighted chart text snippets.
Yes. Nousvia is SOC 2 Type II certified and 100% HIPAA compliant. PHI is encrypted in transit (TLS 1.3) and at rest (AES-256). All models operate in dedicated, isolated healthcare-grade VPCs, and customer data is never used to train public or shared models.