CodingAI-powered full-service coding

Coding the Whole Chart Supports.
Accurate, Defensible Reimbursement.

Coding, off your plate entirely. Powered by AI, our certified coders review the complete patient record, validate face-to-face encounters, and back every code with ironclad documentation.

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app.nestmed.com/coding/diagnosis/patient/28471VisitsQA ReviewIntakeCodingBillingSchedulingRESOURCESPatientsDiagnosis CodingHelen Martinez · 01/15/2026 - 03/15/2026 · Day 1 of 60 · Sunrise Home Health2 Docs1 AudioF2FACTIVE (2)I50.9Heart failure, unsp.E11.65T2DM w/ hyperglycemiaNEEDS REVIEW (5)Z48.89Surgical aftercareStrongR33.9Retention of urineN99.3Prolapse of vaginal vaultI13.0Hyp hrt & chr kidney disN18.9Chronic kidney dis, unsp.✕ REJECTED (1)Z48.89Encounter for other specified surgical aftercareNeeds reviewAcceptRefineRejectPhysician order foundDiagnosis supported by documentation"...post surgery related to RETENTION of urine..."EVIDENCEStrong matchPatient is receiving home health services for post-surgicalmonitoring following colpocleisis with levator myorrhaphy...H&P"...planned colpectomy, levator myorrhaphy for vault prolapse..."NOTE DETAILS"COLPOCLEISIS LEVATOR MYORRHAPHY — OPERATIVE REPORT..."VISIT TRANSCRIPT"She had a hysterectomy. She had her bladder repaired too..."Confirmed by a certified coder against the full chart
Performance Metrics
98%

Coding accuracy

Every code validated by a certified coder against the physician-signed documentation behind it.

24-48 hrs

Turnaround

Charts reach our coders the moment a clinician finishes a visit, and come back coded within two days.

Greater accuracy

Fewer denials and ADRs

Face-to-face problems and specificity gaps surface at intake, before they become denials or ADRs.

AI-powered. Coder-confirmed.

Built for accuracy you can defend.

Complete record, coder confirmed.

We code from the entire episode: referral documentation, the face-to-face, and every discipline's visit notes. A certified coder validates every code against the physician-signed documentation behind it.

Complete Record
Every code coder-confirmed
E11.621Type 2 DM with foot ulcer
Coder confirmed
Supporting Evidence
Face-to-Face
"Patient presents with diabetic foot ulcer, right heel..."
SOC Visit Note
"Wound measured 2.3cm x 1.8cm, stage II..."
Validated against physician-signed documentation
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Coding starts immediately.

The documentation is already in Nestmed, so charts reach our coders as soon as a clinician finishes. No queue, no batch, no waiting to be sent.

Coding starts immediately
Same day the visit is documented
1
Clinician finishes visit
SOC · documented in Nestmed
2:14 PM
2
Chart reaches our coders
No queue. No batch. No upload.
2:14 PM
3
Certified coder assigned
Full episode available
2:31 PM
4
Coding complete
Written back to your EMR
Next day, 11:05 AM
Nothing to send. Nothing to wait for.
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Proactive face-to-face validation.

Every face-to-face is checked for compliance validity, then a coder makes a second pass for coding-specific compliance. Problems surface at intake, not three or four visits in when it is too late to fix.

Admission Packet
Analyzing...
Physician Certification
Signed 01/15/2024
Homebound Status
Documented
F2F Encounter Date
Within 90 days
Skilled Need
Not documented at intake
Primary Diagnosis
Confirmed
Review Status
Valid0
Flagged0
Action Required
Physician query sent at intake
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Aligned to CMS standards.

Secondary codes are checked against the actual CMS comorbidity tables. Charts one documented specificity away from a supportable adjustment get flagged, in both directions.

CMS Standards
Comorbidity tables · ICD-10-CM
Checks Applied
Secondary codes vs. CMS comorbidity tables
Specificity: one step from supportable
Sequencing: primary diagnosis first
Flagged in both directions
Adjustment Flags
Flagged: specificity supportable
up
I50.22
query
E11.65
Flagged: not supportable
deleted
N18.4
revised
F32.A
Current CMS tables
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Integrated into your workflow.

Coding is written back into your EMR for review and approval, in the queue your team already checks.

Your EMR · Coding review queue
From Nestmed
PatientVisitPrimaryStatus
M. AlvarezSOCI50.22 +3
R. ChenRecertE11.65 +4
D. OkaforROCS72.001D +2
L. NguyenSOCJ44.1 +3
Codes and rationale written back. Your team reviews and approves as usual.
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30-minute personalized demo with your clinical team.

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