A Predictive Approach to Diagnostic Discovery

We apply hundreds of predictive models to identify the conditions most likely for each patient encounter—even when nothing is done or documented. ROI is guaranteed and payments are contingent on achieving net new revenue targets.

Jane Doe
68 F · DOB 03/12/1956MRN 028543
Past Diagnoses
  • I10Essential hypertension
  • N18.3Chronic kidney disease, stage 3
  • E11.9Type 2 diabetes mellitus
  • Z79.4Long-term insulin use
Procedures (last 24 months)
  • 2024-08Cardiac catheterization
  • 2023-04Total hip arthroplasty, right
Recent Visits
  • 2025-09ED visit · acute dyspnea
  • 2024-12Inpatient · CHF exacerbation, 5 days
  • 2024-06Inpatient · UTI with sepsis, 3 days
Current Labs
BNP1,840 pg/mL
Creatinine1.4 mg/dL
Glucose287 mg/dL
HbA1c9.2%
Sodium128 mEq/L
Current Vitals
BP158/96 mmHg
HR96 bpm
SpO₂89% RA
Temp100.4 °F
Predicted Conditions
Ranked by likelihood
Heart failure, decompensated
87%
Pre-existing CHF · BNP 1,840 · bilateral effusions
Acute kidney injury
73%
Creatinine 1.4 from baseline 0.9 · low Na
Community-acquired pneumonia
58%
Right lower lobe consolidation · WBC 13.4
T2DM with hyperglycemia
42%
HbA1c 9.2% · glucose 287 · ketones pending
Sepsis, suspected
28%
Fever + tachycardia · cultures pending

Automated Extraction and Interpretation with Frontier LLMs

We use advanced AI to identify full or partial documentation and evidence across every note in the chart—for every patient. Each extracted finding is tied back to the baseline prediction it confirms.

Cardiology consult — Hospital Day 1
Patient: Smith, John · 68 M · MRN 028543
1 of 1,247 notes today
HPI

68-year-old male with PMHx of hypertension and CKD stage 3 admitted from the emergency department with three days of progressive dyspnea, orthopnea, and lower extremity edema. Reports unintentional weight gain of 12 lbs over the past week and has been unable to lie flat for sleep.

Exam

Patient appears in moderate respiratory distress with O2 saturation 89% on room air. Bibasilar crackles noted to mid-lung fields. Jugular venous distention to 12 cm. Lower extremity 3+ pitting edema bilaterally. Blood pressure 158/96 mmHg confirming poorly controlled hypertension. Heart rate irregular at 112 bpm.

Labs & Imaging

ECG shows atrial fibrillation, persistent with rate 112. BNP elevated at 1,840 pg/mL with bilateral pleural effusions and suspected decompensated CHF on echo (EF 35% with global hypokinesis). Sodium 128 mEq/L. Creatinine 2.1 mg/dL, up from baseline 1.0, consistent with acute kidney injury on CKD. HbA1c 9.2% on admission labs with random glucose 287 mg/dL. CXR also notable for right lower lobe pneumonia, likely community-acquired. WBC 13.4 with neutrophilic predominance.

Direct to Coding
Explicit, current, documented diagnoses.
I10Essential hypertension95%
Predicted
I48.21Atrial fibrillation, persistent88%
Predicted
N17.9Acute kidney injury73%
Predicted
To CDI for Query
Suspected, lab-implied, or otherwise unconfirmed — needs clinician clarification.
I50.9Heart failure, type unspecified87%
Predicted
E11.65T2DM with hyperglycemia42%
Predicted
J18.9Pneumonia, unspecified58%
Predicted
E87.1Hyponatremia, suspected32%
Predicted

Streamlining CDI and Coding Workflows

We integrate directly with your EHR and billing data to generate suggested queries and codes from the day of admission through the final pre-bill review, improving accuracy and capture rates while reducing review time.

Walking the CDI reviewer through each diagnostic opportunity…
CDI Reviewer · Diagnostic Opportunities
Sarah Chen, RN · CDI
Active
Review 4Approved 0On Hold 0Rejected 0
I50.9
Heart failure, type unspecified
Review
Pre-filled Query · CDI Cardiac CHF Specificity

Dear Dr. *** and Team,

Please provide further specificity for the type and acuity of documented CHF. Clinical indicators include:

  • Type: Systolic / Diastolic / Combined Systolic-Diastolic
  • Acuity: Acute / Chronic / Acute on Chronic
E11.65T2DM, suspected uncontrolledReview
J18.9Pneumonia, unspecifiedReview
E87.1Hyponatremia, suspectedReview
Coder · Coding Opportunities
Mike Rivera · Inpatient Coding
Review 3Coded 0Sent to CDI 0Rejected 0
I10Essential hypertensionReview
I48.21Atrial fibrillation, persistentReview
N17.9Acute kidney injury on CKDReview

A Clear Plan from Immediate Wins to Operational Transformation

Beginning with an initial release of revenue from recent missed codes, we help health systems realize value within weeks while beginning the transition to deeper AI-enabled diagnostic discovery.

01

Retrospective

Past claims · 3–6 month audit

Post-Bill Audit

Audit of 3–6 months of claims to identify missed acuity capture, train coding and CDI teams, and release revenue for a full implementation.

0.25–0.5%
Incremental revenue
02

Concurrent

Pre-bill · Before claims submitted

Pre-Bill

Identify missed codes before claim submission, with clinical support tied to predicted risk and clear documentation in physician notes.

0.5–1%
Incremental revenue
03

Prospective

Real-time · From admission

Concurrent Diagnostic Discovery

Full transformation of CDI and coding, with identification of likely conditions from point of admission to improve acuity capture and patient outcomes.

1–2%
Incremental revenue

A Granular Look at Your Organization’s Opportunities

We leverage the nation’s largest longitudinal data set to assess your health system’s opportunities by hospital, service line, DRG, and diagnoses. You’ll know where to focus before you start.

Illustrative Report

All Facilities

Memorial Health System · 8 hospitals · Trailing 12 months

$18.2M
Total Annual Opportunity
Across 10 of 12 service lines below expected acuity capture
Below expectedAbove expected
+5%
-10%
-20%
Expected0%
29%
Critical Care
Captured71% of expected
Deviation−29%
Cases1,247
Opportunity$4.8M
25%
Neurosurgery
Captured75% of expected
Deviation−25%
Cases412
Opportunity$1.9M
22%
Cardiac
Captured78% of expected
Deviation−22%
Cases2,103
Opportunity$3.2M
20%
Trauma
Captured80% of expected
Deviation−20%
Cases687
Opportunity$1.1M
19%
Renal / Urology
Captured81% of expected
Deviation−19%
Cases892
Opportunity$1.4M
18%
Pulmonary
Captured82% of expected
Deviation−18%
Cases1,538
Opportunity$2.1M
16%
Hematology / Oncology
Captured84% of expected
Deviation−16%
Cases943
Opportunity$1.6M
13%
Gastroenterology
Captured87% of expected
Deviation−13%
Cases1,124
Opportunity$0.8M
12%
General Surgery
Captured88% of expected
Deviation−12%
Cases1,876
Opportunity$1.2M
1%
Vascular Surgery
Captured99% of expected
Deviation−1%
Cases524
Opportunity$0.1M
+2%
Orthopedics
Captured102% of expected
Deviation+2%
Cases2,341
StatusAbove benchmark
+5%
Maternal / Neonatal
Captured105% of expected
Deviation+5%
Cases1,892
StatusAbove benchmark
Crit. Care
Neurosurg.
Cardiac
Trauma
Renal
Pulm.
Hem/Onc
GI
Gen. Surg.
Vascular
Ortho.
Mat/Neo

Want to see your numbers?

A 3-month retrospective audit will quantify the acuity capture gap in your own claims data — service line by service line — at no upfront cost.

Stop Leaving Revenue on the Table

See how Diagnostic Discovery can improve coding accuracy and revenue integrity at your organization.

Request a Demo