Your Revenue Cycle, Reimagined.

Billing expertise meets artificial intelligence. ProDiaC AI is one of the first AI medical coding platform built by revenue cycle specialists.  We deliver accuracy, compliance, and financial performance your practice can depend on.

Years of RCM Expertise
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Reduction in Claim Errors
0 %
Of Denials Are Coding-Related
0 %
Human Audit in Month One
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Ongoing Human Audit
0 %
Years of RCM Expertise
0 +
Reduction in Claim Errors
0 %
of Denials Are Coding-Related
0 %
Human Audit in Month One
0 %
on going human audit
0 %

The Problem We Solve

Medical coding errors are not a technology problem; they are a knowledge problem.

When the majority of medical bills contain errors and nearly half of all claim denials can be traced back to coding mistakes, the financial impact on your practice becomes significant and compounding. Delayed reimbursements, underpaid claims, and increased audit exposure are the symptoms. Fragmented coding processes and technology solutions without deep billing expertise are the underlying causes.

Most AI coding vendors offer a software solution. ProDiaC AI offers something fundamentally different: a compliance driven approach. ProDiaC AI’s coding ecosystem was developed by our parent company, HealthQuist, and is built on more than two decades of revenue cycle management expertise. By combining advanced AI capabilities with deep RCM expertise, we help healthcare organizations improve coding accuracy, strengthen compliance, and maximize financial performance.

The Problem We Solve

Medical coding errors are not a technology problem. They are a knowledge problem.When 80% of medical bills contain errors and nearly half of all claim denials trace back to coding mistakes, the financial impact on your practice is direct and compounding. Delayed reimbursements, underpaid claims, and audit exposure are the symptoms. Fragmented coding processes and tools without billing expertise behind them are the cause.Most AI coding vendors offer a software solution. ProDiaC AI offers something fundamentally different: a compliance-driven coding ecosystem, built by our parent company, HealthQuist, with over two decades of revenue cycle management experience.

How Our RCM-First Approach Works

We Learn Your Environment

Our team integrates directly with your EHR, including documentation pattern analysis for each provider, to gain a deep understanding of your specialties, payer mix, clinical documentation habits, and workflows. There is no one size fits all onboarding process every implementation is tailored specifically to your practice, ensuring a seamless fit with your existing operations and revenue cycle objectives.

100% Human Audit — Month One

Every diagnosis, procedure, and E/M code generated by AI is reviewed by a certified coder before a single claim is submitted. We do not entrust your revenue cycle to an algorithm from day one. This human first approach ensures coding accuracy, regulatory compliance, and confidence in every claim before it reaches the payer.

AI-Assisted Coding with Permanent Oversight

Once your baseline is established, our AI generates coding recommendations at scale, while our expert team continuously monitors performance through an ongoing 10% audit cycle to ensure accuracy, compliance, and consistency.

Provider Dashboard

Access your provider dashboard at any time to review coding updates, revenue impact, and compliance reporting. Complete transparency no black box, no guesswork.

Who We Serve

Multispecialty Group

Gain enterprise grade coding expertise without the overhead and expense of maintaining a full in house billing department. Our team seamlessly integrates with your operations, becoming an extension of your practice.

Healthcare System

Scale your revenue cycle operations with confidence. Our platform is designed to manage high encounter volumes while maintaining exceptional coding accuracy, compliance, and consistency across every claim.

Billing Departments & RCM Managers

Integrate our AI assisted coding layer into your existing RCM workflows. Gain a consistent audit trail and coding accuracy metrics, all in one dashboard.

Reporting & Analytics

One Dashboard. Multiple Perspectives. Clearer Insights.

Coding, Financial & Risk Adjustment Insights

The dashboard brings coding, financial, and risk-adjustment insights together in one place. Users can refine the view using filters such as Practice, Clinic, Provider, Payer, and Date Range.

MDM & E&M Performance Analysis

Key metrics and visualizations provide a clear view of MDM and E&M levels, coding changes, coding distribution, and provider performance, with pre-code and post- code comparisons for added clarity.

Revenue Impact from Upcoding & Downcoding

The dashboard also highlights revenue impact through upcoding and downcoding, along with chronic-condition and risk-adjustment insights. Detailed tables allow users to move from a high-level view to provider- and code-level details when needed. Across Overview, Revenue Impact, and Risk Adjustment, users get different perspectives through one consistent dashboard experience.

Frequently Asked Questions

ABOUT OUR APPROACH

We are a billing and revenue cycle management company that uses AI as a tool. We were founded on the principle that deep RCM expertise, not technology alone, is what produces reliable coding outcomes. Our certified coders, compliance specialists, and RCM managers are central to everything we do. AI enhances our capacity and speed; our people provide the judgement and accountability.

Most AI coding vendors are technology companies that have built machine learning tools for healthcare. We started from the other direction, 20+ years inside revenue cycle management, and built AI capability into a domain we already understand deeply. The practical difference is that our system comes with expert human oversight as standard, a fully documented audit trail, and implementation led by certified coders rather than software engineers.

No. Our platform is designed to work alongside your existing billing team, not replace it. For practices with in-house billing staff, we serve as an AI-assisted coding layer that improves accuracy and frees your team from high-volume routine tasks. For practices without dedicated billing staff, we can function as a fully managed coding and RCM service.

IMPLEMENTATION & INTEGRATION

Our phased onboarding begins with a dedicated EHR configuration week, followed by a full month of 100% human-reviewed coding to establish your baseline. Most practices are operating at full AI-assisted capacity within 6 to 8 weeks of engagement start. There is no period during which your revenue cycle is at risk — we maintain complete human oversight throughout the transition.

We can configure with most EHR systems, and if there is no API option, we will utilize our in-house RPA (robotic process automation) team.  Our implementation team conducts a dedicated EHR configuration review in Week 1 of every engagement. If you use a less common or proprietary system, contact us, we assess integration requirements on a case-by-case basis.

No. Our onboarding process is specifically designed to run in parallel with your current operations. During the initial audit phase, our team reviews coding without interrupting your existing claim submission workflow. Transition to our AI-assisted model happens in a controlled, staged manner with your team's full visibility.

Yes. Our platform operates under full HIPAA compliance. All data is encrypted in transit and at rest, access is role-based and logged, and our EHR integrations are conducted through secure, approved API connections, where available. We do not store patient data beyond what is operationally necessary for coding and RCM functions.

PRICING & GETTING STARTED

Our pricing is charged on a per-chart basis and is tiered based on monthly clinic volume.  We are happy to provide a detailed fee structure during your initial consultation.

Yes. We offer a complimentary, no-obligation revenue assessment for new practices. Our team will review a sample of your recent claims, identify coding gaps, quantify missed or undercoded revenue, and provide a summary report — at no cost. This gives you a clear picture of potential upside before any engagement begins.

We work with independent practices of all sizes, large multi-provider group practices, and the billing departments of larger healthcare organizations. Our platform scales from single-provider practices submitting a moderate volume of claims each month to high-volume group practices across multiple specialties and locations.

Testimonial

Testimonial

"ProDiaC AI completely cleaned up our revenue cycle. The dashboard makes it easy to track coding levels by providers and find spots where we can improve. Since starting, our claim acceptance is up and we have less rework, and our bottom line is stronger."

Primary Care Office in New Jersey

Multispecialty group in California

"Our coding turnaround time is so much faster now. ProDiaC AI handles coding of our clinical documentation quickly and accurately, so we can get claims out the door much quicker than before. It saves our team a ton of manual effort and keeps things running smoothly."

Urgent Care Operator in Maryland

“ProDiaC AI flags coding issues early so we can sync with providers right away. It helps us quickly spot documentation gaps or overcoding, keeping our billing accurate and compliant.”

Multispecialty group in California

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