In the emergency department every minute, every procedure and every documentation element moves reimbursement. Clientele validates critical care time, high-acuity E/M levels, procedures and modifiers as the encounter closes, before the claim ever leaves your department.
Every service line in your department carries its own documentation, coding and payer logic. Select a module to see what Clientele validates before submission.
Arrival to revenue capture, tracked as one continuous chain of custody over the encounter record.
AI-assisted review runs on every closed encounter: critical care time substantiation, CPT/ICD alignment, bundled service detection and modifier automation, each with a risk score and a confidence read your coders can audit.
Total time reconciled to the encounter timeline with procedure carve-outs applied.
Level selection tested against documented decision-making, data and risk.
Billable procedures recovered from the note before the encounter closes.
Modifier 25, 59, 76 and laterality recommended with supporting excerpts.
Payer edits and guidance bundling surfaced with the supported alternative.
Missing attestations and required elements flagged to the provider.
Final gate. Every validation cleared before the claim is released.
One board for the department and the revenue team: encounters, coding queue, documentation status and denials, updating as the shift moves.
An intelligence layer that reads the encounter the way a senior emergency coder would, then hands your team a decision, not a guess.
Where emergency departments see movement: fewer documentation-related rejections, stronger critical care collections and faster coding turnaround.
Select a service area to see its documentation, coding, claim lifecycle and AI validation profile.
Total critical care time validated against the encounter timeline and carve-outs.
Critical care time stopped being an argument. The attestation either supports the claim or it comes back to us before it leaves.
They understood trauma activation documentation on the first call. That has never happened with a billing partner before.
Procedures we were documenting but never billing are now captured while the chart is still open.
Anything else, an Emergency RCM specialist will walk your department through it directly.
Every encounter with a critical care attestation is reconciled against the documented timeline: procedure carve-outs, overlapping provider time and payer attestation language. If the time statement cannot be supported, the encounter is routed to a coder before submission, not after a denial.
Alongside. Clientele AI performs the first-pass documentation audit and surfaces risk with a confidence read; certified emergency coders make every final determination. Your team keeps authority over the chart.
Level selection is tested against documented medical decision-making, data reviewed and risk, with the procedures and ancillary services performed during the visit accounted for separately so the level is neither under- nor over-stated.
Modifier logic runs against the note rather than the charge sheet. Modifier 25, 59, 76 and laterality requirements are recommended with the documentation excerpt that supports them, so an auditor can follow the reasoning.
Yes. We integrate with the systems your department already runs and read from your existing documentation workflow. No change to how physicians chart is required to begin.
A specialty assessment establishes baseline documentation and denial patterns first. Most emergency groups move to production in phases, starting with a single site or provider cohort so results are measurable before scale.
Procedures documented within a critical care period, guidance codes without a retained image, and services bundled by payer edit are flagged with the specific edit rule and the alternative that is supported.
Encounter-level auditability plus operational reporting on documentation completeness, coding turnaround, clean claim rate, denial reasons and appeal outcomes, segmented by site, provider and payer.
The intelligent bridge between care delivery and revenue success, reviewed by emergency coding specialists and supported by AI built for high-acuity documentation.
