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Semantic Health

Administration & Operations
Founded in 2019
Toronto, Ontario, Canada

Semantic Health, founded in 2019, is a healthcare technology company that leverages artificial intelligence to revolutionize medical coding, auditing, and clinical documentation improvement (CDI) processes. Their AI-powered platform uses custom clinical AI and Natural Language Processing algorithms, trained on millions of records, to parse through clinical and coded data. This advanced technology allows for a deeper understanding of nuanced clinical context, incorporation of changing coding guidelines, and suggestion of high-quality coding and auditing opportunities with clear evidence linked to clinical documentation. Semantic Health's solutions include Semantic Coder and Semantic Auditor, which streamline manual inpatient coding and auditing processes, improve coding and documentation quality, and enable teams to focus on high-value work. The platform offers features such as auto-coding suggestions, AI-powered auditing suggestions, workflow prioritization, and the ability to harmonize all Health Information Management (HIM) data sources into a single source of truth. In November 2023, Semantic Health was acquired by AAPC, a leading global solutions provider in healthcare revenue cycle management, with plans to expand the platform's functionality and elevate AAPC's current product offerings. This acquisition aims to accelerate the deployment of cutting-edge AI technology for auditing inpatient services, improving data quality, optimizing revenue cycle management efficiency, and unlocking the potential of generative AI in healthcare.

Key Offerings

  • AI-powered concurrent coding and auditing platform
  • 100% pre-bill review of claims data
  • Automated medical coding based on clinical evidence
  • Data quality improvement and compliance tools

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