Clientele automates operative documentation, global period management, modifier validation, and reimbursement optimization, turning every procedure into a precisely coded, clean claim.
Select a module to see how it connects to documentation, coding, bundling, and claims.
Mesh type and repair approach documented pre-claim.
Open vs. laparoscopic CPT selected automatically.
Recurrent repair modifiers checked against global period.
Payer-specific hernia edits applied before submission.
Seven modules score compliance and risk on every surgical claim.
Tracks 10- and 90-day global periods across every procedure automatically.
Validates modifier 22, 58, 78, 79, and assistant surgeon modifiers before submission.
Confirms assistant surgeon billing meets payer-specific eligibility rules.
Flags NCCI edits and payer-specific bundling conflicts pre-submission.
Parses operative notes with NLP to extract procedure detail automatically.
Confirms diagnosis and documentation support every code billed.
Runs a final payer-specific check before a claim ever leaves the building.
Select a service to see its workflow, documentation, coding, and automation.
Pre-op through global period tracked in one thread.
Operative report parsed for repair type and mesh.
CPT and modifier set generated automatically.
Global period denials flagged before they happen.
"Global period denials were quietly costing us every quarter. Clientele tracks every 10- and 90-day window without anyone having to remember it."
"Assistant surgeon billing used to require a manual eligibility check on every case. It's automatic now, and it's accurate."
"The operative report parsing alone saved our coders hours every week, and it's more consistent than manual review ever was."
Our engine tracks 10- and 90-day global periods for every procedure automatically, flagging related visits and modifiers before a claim is submitted.
Yes. Clientele applies modifier 22, 58, 78, 79, and assistant surgeon modifiers based on documentation and payer-specific rules.
It confirms assistant surgeon eligibility against payer-specific policy before the claim goes out, reducing a common source of denials.
Clientele applies facility-specific bundling and payment logic separately for ASC and hospital-based procedures.
Clientele uses NLP to parse operative reports and extract procedure detail, approach, and findings automatically for coding.
Most surgical practices and ASCs are fully live within 3 to 5 weeks, including payer and EHR configuration.
