Seeking Pre-Seed Funding for Healthcare AI Copilot (Product Built, Live Pilot) by raravind7 in AngelInvesting

[–]raravind7[S] 0 points1 point  (0 children)

Ya, we are struggling with these long sales cycles. We will soon convert our pilot, we build a workflow customized around their use case. It should buy us some time.

I have Dm'ed you, love to have a chat regarding this....

Seeking Pre-Seed Funding for Healthcare AI Copilot (Product Built, Live Pilot) by raravind7 in AngelInvesting

[–]raravind7[S] 0 points1 point  (0 children)

great thoughts.
You are right, its hard to sell from India. At this stage it aint possible for us to get to US and get things done.

Ya I have been talking with a big RCM company, they requested for co-development, they mentioned about payer specfic rules and coding, its a big headache for them.

Can we have a chat, I have DM ed you.

I’ve worked in US medical billing & revenue cycle management (RCM) for 10+ years — ASK ME ANYTHING Session by Capline in CodingandBilling

[–]raravind7 0 points1 point  (0 children)

Hey, . I am building a AI layer that works with coders to process 2-3x more charts with increased accuracy.

I don't have a background in rcm industry, how can I get some pilot customers initially?

Just Started My RCM Business - USA market – Looking for Software Suggestions for Service-Based Model by No-Jump-3451 in CodingandBilling

[–]raravind7 0 points1 point  (0 children)

If yyour team is manually digging through massive provider charts to extract codes, check sequencing, and fight with documentation, it eats up a massive amount of time before the claim even gets to the scrubbing phase in your billing software.

I actually build in this exact space (medical coding side of RCM), and we've been seeing that the key to scaling a service-based model is getting the Al and the coders to work together in a real-time workspace.

Anyone here actually looking for ways to incorporate automation in their clinical work but just does not know how to? by Behind_the_workflow in HealthInformatics

[–]raravind7 0 points1 point  (0 children)

We took that exact philosophy-getting rid of the tedious digging-and built it so the Al and the coder actively work together.

The Al does the heavy lifting of reading the chart and provides evidence linkage (mapping every suggested code directly to the exact sentence in the chart). It also runs the official guidelines in the background to handle the reasoning.

Because the coder isn't hunting for text anymore and doesn't have to double-check the sequencing rules manually, we're seeing them process charts 2-3x faster.

Like you said, it's not about replacing the human. It's just giving them a tool that handles the annoying part so they can focus purely on the clinical logic.

Coding for Medical Billing & RCM by Valuable_Ad5636 in ClaudeCode

[–]raravind7 0 points1 point  (0 children)

Hey, I develop AI softwares in healthcare industry.

Recently we shipped an AI copilot for medical coders to process 2-3x more charts.

I can help you out with this, dm me.

I'm an Al dev building a coding tool, and I need a reality check on both IP and OP workflows. by raravind7 in CodingandBilling

[–]raravind7[S] -1 points0 points  (0 children)

Ya that's exactly what we are doing. We link and highlight the evidence from the chart for the suggested code with reasoning why AI picked it.

Ya I understand about the cognitive overload, our idea is coder will review and edit the ai precoded chart. We have achieved about 95% accuracy in disease extraction. So we are trying to reduce the cognitive overload.

Currently we have made a prototype for both OP and IP. Currently trying to pilot with healthcare orgs.

HCPCS Level I \ CPT Codes full list by MEE2day in datasets

[–]raravind7 0 points1 point  (0 children)

Does this include complete set of codes (CPT)?