REVENUE SHIELD

Capturing Every Dollar with Accurate Documentation & Coding

Incomplete documentation and inaccurate coding aren’t just compliance risks — they’re massive revenue leaks. Studies show that 70% of provider notes lack CPT/ICD specificity, coders spend 20–30% of their time hunting for missing data, and 15–20% of manual coding attempts contain errors. The result: underbilling, denials, compliance penalties, and delayed reimbursement.

Smart Documentation, Denial Prevention

RevenueShield is the AI-driven coding and documentation optimization platform that ensures every clinical encounter is captured completely, compliantly, and efficiently. Powered by ChartAI and AutoCoder AI, RevenueShield prompts providers for complete documentation in real time and generates explainable codes with rationale and confidence scoring. The result: higher accuracy, faster coding, and fewer downstream denials.

Errors that cost billions

Stop Revenue Leakage Today

The Documentation & Coding Crisis in Healthcare

U.S. Market Overview

Specificity Gap

70%

Notes lack CPT/ICD specificity

Coder Time Wasted

20–30%

Retrieving buried EHR data

Manual Error Rate

15–20%

Missed revenue & audit exposure

Compliance Pressure

Rising

CMS & payers tightening

Notes Lacking Specificity
Specificity Gap • 70%
Lacking Specificity (70%) Sufficient Specificity (30%)
Coder Time Allocation
Time Wasted • 20–30%

Wasted = retrieval/navigation; Productive = review/coding.

Manual Coding Error Rate
Error Reduction Target • 15–20%

Lowering errors reduces missed revenue and audit exposure.

Compliance & Audit Pressure
Tightening Standards

Relative index (illustrative) across key drivers.

Audit Frequency Trend
Increasing Year over Year

Indexed to 100 in 2020 (illustrative to show direction of change).

Complex Payer Rules Persist

Across Europe, Asia, and the Middle East, healthcare organizations face rising complexity in payer rules and coding requirements. Whether ICD-10, ICD-11, or local coding frameworks, under-documentation and manual error remain universal challenges. Revenue leakage from incomplete coding spans geographies, payer systems, and practice sizes.

Global Perspective

How RevenueShield Works

How It works

ChartAI – Real-Time Documentation Prompts

1.Integrated directly into the EHR, ChartAI nudges providers to include missing clinical details during documentation, ensuring note completeness upfront.

AutoCoder AI – Intelligent Coding Engine

Automatically generates CPT and ICD codes with confidence scores and explainable rationale, giving coders precise insights into AI recommendations.

Coder Oversight & Control

Provides full coder override and audit trail features, combining automation with expert human judgment.

Continuous Learning Loop

RevenueShield learns from coder decisions, payer feedback, and audit outcomes to continually improve coding accuracy.

Features Designed for Success

Feature Highlights

The Technology Behind RevenueShield

RevenueShield combines natural language processing (NLP), explainable AI, and clinical knowledge models to optimize documentation and coding.

RevenueShieldTech

Features Backed by Technology

Features Benefits

ROI and Value Creation

Value ROI

ROI & Value Creation

For a 1,000-provider health system

Note Incompleteness

70%

Leads to lost reimbursement

Coding Errors Eliminated

15–20%

Target reduction range

Retained Revenue

$10M+

Per year

Productivity Gains

Reallocation

Coders focus on complex cases

Note Incompleteness Impact
Notes Incomplete • 70%
Notes Incomplete (70%) Adequate/Complete (30%)
Annual Retained Revenue
Retained Revenue • $10M+
Retained Revenue ($M)
Eliminated Coding Errors
Error Reduction • 15–20%

Eliminating 15–20% coding errors can retain $10M+ annually. Productivity gains free coders to focus on complex cases, reducing staffing pressure.

Why AI Is the Future of Clinical Coding

Manual coding cannot scale with the complexity of payer rules, ICD versions, and compliance requirements. AI ensures

The Future of Clinical Coding

  • Real-time SupportAt the point of documentation
  • Explainable AIAuditable coding recommendations
  • Adaptive ModelsContinuously update to payer rules
  • Scalable ProductivityNo added labor costs

RevenueShield Impact

  • Turns compliance into strategic growth
  • Improves documentation integrity
  • Drives measurable revenue uplift
  • Supports providers & coders seamlessly
0
% faster coding turnaround
0
% improvement in claim accuracy

RevenueShield — Transforming clinical coding into a revenue driver.

From manual to intelligent

See RevenueShield in Action

Don’t let incomplete documentation or coding errors drain your revenue. With RevenueShield, you can capture every dollar, improve compliance, and empower coders with AI-driven accuracy. Contact Scale Healthcare today to see RevenueShield in action.

Stop Revenue Loss Now

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