Every code right, every dollar captured
We close the gap between clinical documentation and clean claim submission with integrated service modules delivering >97% coding accuracy and >96% clean claim rate.
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80+
health systems with >$1B net patient revenue
350+
healthcare clients nationwide
1,000+
hospitals & physician practices served
40+ years
of RCM domain heritage (MedAssist)
Everest Group
Featured IT/BPM Provider 2025 – Operationalizing Generative AI in Healthcare
Everest Group PEAK Matrix®
Major Contender 2026 – Revenue Cycle Management Intelligent Operations
Everest Group PEAK Matrix®
Major Contender 2024 – Revenue Cycle Management Operations
Everest Group PEAK Matrix®
Star Performer 2024 – Revenue Cycle Management Operations
WHY THIS MATTERS
Denial prevention starts at the point of access
Eligibility gaps, authorization failures, and registration errors at the time of care request drive the majority of denial volume—giving providers a critical intervention opportunity earlier in the patient journey.
Coding Error Severity
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126%
Coding-related claim denial dollar amounts rose 126% year-over-year, from $297 in 2023 to $631 in 2024.
AHA - Breaking the Claims Denials Cycle
Clean Claims
68%
68% say that submitting a clean claim is harder than a year ago, with a top reason for denial being missing or inaccurate data.
Experian Health, State of Claims Report, 2025
AI Potential
14%
Only 14% providers use AI, but of those 69% say it boosted claims success with fewer denials and better submissions.
Experian Health, State of Claims Report
PROVEN OUTCOMES
Medical coding accuracy—a mid-cycle lever to improve margins and outcomes
We consistently deliver outcomes for healthcare providers and billing aggregators and platforms performance that beats industry benchmarks.
>97%
coding accuracy rate
sustained across 30M+ charts coded annually
<2%
coding denial rate
maintained across a multi-year coding engagement
>96%
clean claim rate
where errors are caught even before submission
Revenue Integrity Solution Details
One mid-cycle command command center for payment integrity
Five modules. One mid-cycle command. Every Revenue Integrity module shares a coding accuracy engine, NLP documentation layer, and compliance checker – so improvement in one drives performance across all five.
Coding accuracy sits directly upstream of revenue, and small error rates compound into denials and lost dollars at scale. We deploy certified coders across inpatient, outpatient, emergency, and professional fee settings, supported by AI-assisted workflows that lift accuracy over time.
- Inpatient, outpatient, emergency, and professional fee coverage
- Coding for Medicare Advantage and value-based contracts
- Surge capacity to clear discharge backlogs quickly
- Concurrent and retrospective workflows across all major specialties
Documentation gaps are a silent revenue drain
We improve clinical documentation accuracy throughout the patient journey, helping providers capture the full complexity of care, strengthen reimbursement, and reduce missed revenue before claims are submitted.
We improve clinical documentation accuracy throughout the patient journey, helping providers capture the full complexity of care, strengthen reimbursement, and reduce missed revenue before claims are submitted.
- Concurrent review with real-time physician queries during the patient stay
- Comprehensive risk tracking to capture accurate complexity scores for full annual reimbursement
- Post-discharge validation to identify missed severity and documentation opportunities
- Compliant query management with a complete audit trail
- Specialty-specific physician engagement to reduce repeat queries
Every service rendered but not billed is revenue lost. We help hospitals recover missed revenue and prevent future leakage by reconciling clinical activity with billing data, optimizing charge capture, and improving claim accuracy before submission.
- Charge capture audits to identify missed and undercoded charges
- Chargemaster (CDM) management and optimization
- Pre-bill claim scrubbing for coding errors, missing modifiers, and compliance issues
- Pricing and reimbursement analysis to identify payer underpayments across contracts and fee schedules
- Comprehensive revenue opportunity assessment with quantified improvement potential
Compliance failures compound over time. We help providers strengthen coding accuracy and reduce audit risk by identifying recurring issues, addressing root causes, and turning audit insights into continuous quality improvement.
- Pre-bill audits to identify coding errors before submission
- Post-bill reviews to uncover error patterns, education needs, and compliance gaps
- Audit programs aligned with current regulatory and health plan priorities
- Denial root cause analysis
- Targeted coder education driven by audit findings and regulatory changes
AI-enabled coding is growing rapidly— yet most health systems access it through point-solution software procurements that require internal IT management, model maintenance, and per-seat licensing. We deliver this capability as a managed service: AI suggestions, autonomous coding for high-volume low-complexity encounters, and NLP documentation mining — all under the same performance guarantee as the human coding operation.
- Computer-Assisted Coding(CAC): AI-suggested codes from clinical documentation with coder review andvalidation
- Autonomous coding: fullyautomated coding for low-complexity encounters
- NLP documentation mining:extract clinical concepts from unstructured notes to support coding accuracy
- Coding analytics dashboard:real-time visibility into coder productivity, accuracy, turnaround time, andtrends
- Proprietary AI/MLcomputer-assisted coding software; interfaces with hospital and EMR systems
WHO WE SERVE
Revenue integrity built for every coding environment
We offer revenue integrity built for every coding environment. From complex academic inpatient coding to high-volume physician billing, revenue integrity deploys at the depth and scale your mid-cycle operations require.
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Hospitals and health systems
We run operations to manage complex inpatient IP/OP/ED coding, concurrent CDI, and charge integrity programs for regional and national health systems.
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Physician and specialty practices
We deliver high-accuracy coding solutions across radiology, orthopedics, behavioral health, and multi-specialty practices, offshore-first, transaction-based, with 48-hour chart turnaround SLAs.
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Billing and platform companies
Inconsistency across clients is where margin leaks in volume-based models. We deliver coding and revenue integrity at that scale, with one accuracy engine — and compliance standards applied across every provider client.one accuracy engine, unified compliance standards, applied across every provider client
CUSTOMER STORY
Coding backlogs cleared, revenue flowing in under 90 days
Long-term RCM partnership delivering scalable coding operations, higher productivity, improved coding quality, and sustained financial performance.
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A large billing operation was struggling with the limits of manual coding. Backlogs were building, service levels were slipping, and coding accuracy was declining, which together pushed revenue realization further and further out. We moved end-to-end revenue cycle operations offshore and layered in AI-assisted coding and automated remittance posting, lifting productivity, accuracy, and revenue performance across specialties.
~99%
first-pass ratio
<2%
coding denial rate
85%
charts coded within 48 hours
5 years
zero-client account loss
PROOF OF DELIVERY
Revenue integrity starts with coding accuracy at scale
30M+
charts coded annually
We maintain >97% accuracy across IP, OP, ED, and ProFee settings.
>98%
coding compliance score
AI audits review 100% of coded charts pre-submission.
<30 days
coding backlog clearance
Surge coding capacity deployed to clear aged chart inventory and reduce DNFB.
INSIGHTS
Latest from the Firstsource team
Insights from the field, real operations, real outcomes, and perspectives from the people making it work in live operations.
CONTACT US
The leakage is in the documentation
Talk to a revenue integrity specialist today — your coding accuracy, CDI gap, and charge leakage mapped to our solutions within one business day.
- A coding domain expert who manages 30M+ charts annually — not a generalist account manager
- Your current coding accuracy rate and charge capture gap benchmarked against industry performance data, specific to your specialty mix
- A clear view of the DRG optimization and clean claim improvement available before you commit to any engagement