Coding, CDI & denial prevention
TodayCoding gaps and thin documentation cause avoidable denials.
OpusReviews the encounter, flags gaps, and routes complex cases to a coder.
Opus builds a live model of how your revenue-cycle, clinical documentation and patient-access work really runs: your Digital Twin, mapped live with your clinical and revenue-cycle teams. Then it puts AI to work, with a person on every decision that affects a patient.
Some examples of the high-volume workflows teams hand to Opus, across the revenue cycle, patient access and clinical admin.
TodayCoding gaps and thin documentation cause avoidable denials.
OpusReviews the encounter, flags gaps, and routes complex cases to a coder.
TodayDenials worked by hand, many never recovered.
OpusPreps and submits claims, classifies denials, and drafts the appeal for resubmission.
TodayRequests assembled and chased by hand, delaying care.
OpusGathers the clinical and payer data, prepares the request, submits it, and tracks status to resolution.
TodayRegistration data keyed and checked by hand.
OpusValidates incoming data, cross-checks records, pre-populates registration, routes exceptions.
TodayNotes and EHR fields finished by hand after every visit.
OpusTurns your existing tool's transcript into a structured EHR note, for a clinician to sign off.
TodayLicenses and credentials tracked across spreadsheets and inboxes.
OpusValidates documents, verifies licenses, flags expirations, submits enrollment packets.
Providers aren't short on AI: a scribe for notes here, a prior-auth bot there, a coding tool over there. But each one solves its own slice, and none of them shows you how the work actually runs end to end. So you still can't tell which ones move your margin, which give clinicians their time back, or where the next dollar of AI actually pays. That's the gap Opus closes.
See the work as it really runs, and know the value of a change before you make it.
Built for HIPAA-regulated patient data, deployable in your own cloud, private cloud, or on-prem, with every action logged and auditable.
No. Opus is an operating layer on top of your existing stack — Epic, Cerner, athenahealth and the rest — designed to integrate, not replace.
No — that's the whole point. Your scribe, coding and prior-auth tools each handle one slice. Opus is the layer that maps how the whole operation runs, works across those tools, and shows you where AI actually pays.
No. Opus is model-agnostic — use any model, or several.
No. Start with one workflow, run it in parallel with a person in the loop, and scale once it's proven.
You do. Opus routes exceptions to your clinicians and coders and logs every step, so control and accountability stay in-house.
Book a working session and we'll map one of your workflows live.