Frequently Asked Questions

SmartCoding.ai is built for healthcare organizations of all sizes, including:

• Solo practitioners and small practices
• Multi-specialty medical groups
• Hospitals and health systems
• Billing companies and RCM service providers
• Ambulatory surgery centers

Our AI engine analyzes clinical documentation using natural language processing (NLP) to understand the context, diagnoses, and procedures documented. It then suggests the most appropriate ICD-10, CPT, and HCPCS codes based on the clinical content, payer rules, and coding guidelines.

Each suggestion includes a confidence score and reasoning, allowing coders to quickly review and accept or modify the recommendations.

SmartCoding.ai supports all major medical code sets:

• ICD-10-CM (diagnosis codes)
• CPT (procedure codes)
• HCPCS Level II (supplies, equipment, services)
• ICD-10-PCS (inpatient procedures)
• Modifiers

Our code database is updated quarterly to reflect the latest code additions, deletions, and revisions.

Yes! We integrate with most major EMR and practice management systems, including:

• Epic
• Cerner
• Athenahealth
• eClinicalWorks
• NextGen
• Allscripts

We support HL7 and FHIR standards, and also offer a REST API for custom integrations. Contact us to confirm compatibility with your specific system.

SmartCoding.ai supports all medical specialties, including but not limited to:

• Primary Care / Family Medicine
• Cardiology
• Orthopedics
• Dermatology
• Gastroenterology
• OB/GYN
• Behavioral Health
• Emergency Medicine

Our AI models are trained on specialty-specific documentation patterns and coding guidelines.

Our claim scrubbing engine validates every claim against thousands of rules before submission, including:

• CCI (Correct Coding Initiative) edits
• LCD/NCD requirements
• Payer-specific rules
• Gender and age-specific edits
• Modifier validation
• Missing or invalid data detection

Issues are flagged with clear explanations and suggested fixes before claims are submitted.

We offer flexible pricing options to fit organizations of all sizes:

• Starter: $3 per claim (up to 1,000 claims/month)
• Professional: $2.50 per claim (up to 5,000 claims/month)
• Enterprise: Custom pricing for high-volume organizations

We also offer a percentage-of-collections model (5-7%) for practices that prefer to align costs with results. Visit our pricing page for full details.

Yes! We offer a 14-day free trial of our Professional plan with up to 100 claims. No credit card is required to start. This gives you full access to all features so you can evaluate the platform with your own data.

A claim is defined as a single 837P transaction submitted to a payer. Multiple service lines on the same claim count as one claim. Resubmissions and corrected claims are counted as new claims.

No hidden fees. Starter and Professional plans have no setup costs. Enterprise customers may have implementation fees depending on custom integration requirements, but these are always discussed upfront before signing.

Most practices are up and running within 2 weeks. This includes:

• Account setup and configuration
• EMR/PM integration (if applicable)
• User training sessions
• Data migration assistance

Enterprise implementations with complex custom integrations may take 4-6 weeks.

All plans include comprehensive training:

• Live onboarding sessions with your team
• On-demand video tutorials
• Interactive help documentation
• Role-specific training tracks (coders, billers, managers)

Enterprise customers receive dedicated training specialists and can request on-site training sessions.

Yes. Our implementation team will help you migrate historical data from your existing system. We support imports from most major billing platforms and can work with standard data formats like CSV, HL7, and X12.

Yes, absolutely. SmartCoding.ai is fully HIPAA compliant. We:

• Sign Business Associate Agreements (BAAs) with all customers
• Encrypt all data in transit and at rest
• Maintain strict access controls and audit logs
• Conduct regular security assessments
• Train all employees on HIPAA requirements

SmartCoding.ai maintains the following certifications:

• SOC 2 Type II
• HIPAA Compliance
• HITRUST CSF (in progress)

We undergo annual third-party security audits and penetration testing.

All data is stored in SOC 2 certified data centers located in the United States. We use enterprise-grade cloud infrastructure with redundant storage, automatic backups, and disaster recovery capabilities.

Support varies by plan:

• Starter: Email support (24-48 hour response)
• Professional: Priority email and chat support (same-day response)
• Enterprise: 24/7 phone support, dedicated account manager, SLA guarantee

All plans include access to our help center and knowledge base.

You can reach our support team through:

• Email: support@smartcoding.ai
• Phone: (404) 425-6038
• In-app chat (Professional and Enterprise plans)
• Help center: help.smartcoding.ai