Questions, answered.
The most common things customers ask about the platform and our implementation services for hospitals.
Platform
What is Medikode?
Medikode is an agentic AI platform for healthcare revenue cycle management. We deploy specialized AI agents — coding, audit, validation, risk adjustment, and remittance — that work alongside your team to cut cost, reduce errors, and speed up reimbursement.
What’s available today?
Five agents are live in production now: Coding, Audit, Validation, Risk Adjustment, and Remittance. The Coding Agent generates ICD-10 and CPT codes at ~95% accuracy and is available to try at demo.medikode.ai. The other agents are part of the expanding platform — talk to us about what’s ready for your workflow.
Does Medikode replace our team?
No. Medikode adds capacity, it doesn’t replace people. The agents take on high-volume, rule-based work around the clock, while your experts focus on judgment, exceptions, payer relationships, and oversight. You stay in control of the work.
How is this different from RPA or legacy coding tools?
RPA bots and rules-based tools break the moment a payer changes a rule. Medikode’s agents reason through multi-step workflows and adapt — automation that holds up instead of creating rework.
How does Medikode fit into our existing workflow?
It’s plug-and-play. Agents work through email, Microsoft Teams, SharePoint, and your existing EHR/RCM and billing systems. After signing a BAA, most customers are live in about 30 minutes — no rip-and-replace, no new tools to learn.
Will we need extra IT resources?
No. Medikode runs without added IT maintenance and deploys inside your own environment.
Is Medikode HIPAA-compliant, and where does our data live?
Yes. Medikode is fully HIPAA-compliant with end-to-end encryption, and it’s hosted inside your own infrastructure — your patient data never leaves your environment.
How accurate is the Coding Agent?
About 95% accuracy, and it improves over time as it learns from real-world coding data — reducing claim errors and denials.
What’s the ROI?
By cutting RCM costs 40–60%, reducing errors by 85%, and accelerating clean claims, Medikode drives faster, higher revenue recovery. Most coding customers see ROI within 30 days.
Can Medikode handle complex charts and multiple specialties?
Yes. It processes both simple and complex charts across specialties including Physical Therapy, Neurology, Internal Medicine, Family Medicine, Urology, and Cardiology.
Is it trained for specific payers?
Yes — Medicare, Medicaid, and private insurers.
Services for hospitals
What does the Medikode services engagement look like?
Three phases. A 2-week Discover phase to map workflow and model ROI, a 6–10 week Deploy phase to stand up agents and integrations, and an ongoing Run phase with governance and monthly outcome reviews.
How is it different from just buying the platform?
The platform is software. The services engagement is the operating change around it — workflow redesign, EHR integration, change management, coder training, exception design, and monthly outcome tracking. Hospitals choose services when they want a working operation, not just a tool.
Which EHRs do you integrate with?
Epic, Cerner (Oracle Health), Meditech, athenahealth, and others. Where we don’t have a pre-built connector, we build one as part of the Deploy phase.
How is pricing structured for services?
Discover is a fixed engagement. Deploy is fixed-fee, scoped to the workflows you’re standing up. Run is a monthly subscription tied to volume and active agents. We’ll size it for you on the discovery call.
How quickly will we see ROI?
Most hospitals see measurable ROI inside 30 days of Deploy going live, driven by reduced denials, higher first-pass acceptance, and lower coder hours per chart.