XpertDox has formed a strategic partnership with Community Health Programs, Inc., a Federally Qualified Health Center serving Berkshire County, Massachusetts, to implement artificial intelligence technology for medical coding and revenue cycle management. The collaboration focuses on improving coding quality scores, supporting value-based care initiatives, ensuring HCC recapture, and maintaining compliance with Medicare's FQHC coding and billing standards across all CHP Berkshires facilities serving over 30,000 residents.
The implementation of XpertCoding, XpertDox's flagship AI-based coding solution, has enhanced coding efficiency while reducing manual workload for the community health center. Jesse Suphan, Senior Director of Revenue Cycle & Quality at CHP Berkshires, reported transformative results including increased collections per claim and higher quality scores through automated Category II coding. The technology ensures regulatory compliance while strengthening the center's ability to provide high-quality, accessible care to its diverse population.
XpertCoding includes a Business Intelligence Platform that provides CHP Berkshires with clear insight into coding accuracy, billing levels, and provider performance. The platform features comprehensive dashboards for Fee-for-Service, Quality Measures, and Risk Adjustment coding. According to Suphan, the coding team can now focus more effectively on value-based care initiatives and auditing, while the dashboards for provider documentation improvement and HCC recapture have proven particularly impactful for the organization's operations.
Sameer Ather, CEO and Co-Founder of XpertDox, emphasized that their AI-powered autonomous coding technology is designed to eliminate administrative friction, increase coding accuracy, and support FQHCs in their core mission of delivering equitable, patient-centered care to underserved communities. The partnership represents a significant advancement in leveraging artificial intelligence to optimize healthcare revenue cycle management while maintaining focus on quality patient care. For additional information about XpertDox's solutions, visit https://www.xpertdox.com.
