AI-Powered CPT Billing & Audit Tool for US Physicians

Modified on Fri, 26 Sep at 3:50 PM

Never miss a billable code. Fast, easy, and built for clinicians and billing managers.

Accurate coding matters—for compliance, revenue, and peace of mind. Yet coding is time-consuming, error-prone, and often outsourced, leading to lost revenue and audit risk.


Empathia’s AI-powered Billing & Audit Tool analyzes your clinical notes and instantly recommends CPT codes (both MDM and time-based). Every suggestion comes with a clear rationale so your documentation is audit-proof.


Validated by Revuhealthcare (98% accuracy), this feature saves time, reduces errors, and maximizes reimbursements.


Why We Built This

  • Coding errors cost the U.S. healthcare system $36B annually in lost revenue, denied claims, and penalties.
  • Physicians often undercode to avoid compliance risk → lost revenue.
  • Coders handling multiple specialties face inefficiency & errors.

Empathia solves this with real-time, AI-driven recommendations—helping both clinicians and billing staff work faster, bill smarter, and stay compliant.


Key Benefits

  • Save Time: No more flipping through coding books—get instant recommendations.
  • Reduce Errors: Documentation matched to code level minimizes denials and compliance risks.
  • Learn as You Go: Each recommendation includes “why” so you strengthen coding knowledge.
  • Audit-Proof: Built-in rationale ensures clarity if audited.
  • HIPAA-Compliant: Notes are anonymized; patient data is protected.

How it Works

1. For Physicians

  1. Open your clinical note in Empathia.
  2. Click Generate Billing Code.

  3. The AI recommends a CPT code (MDM or time-based) with a rationale.

Insert directly into your note for faster billing handoff.


Tip: Turn on auto-insert in settings if you’d like the code + rationale to always appear at the end of your note.



2. For Billing Managers & Auditors

  1. Upload Notes
    • Drag & drop PDFs or copy/paste notes into the Billing Auditor.
    • Click Submit for Processing.
  2. Processing & Recommendation
    • AI extracts encounter details.
    • Generates recommended CPT codes + rationale.
  3. Comparison & Validation
    • View side-by-side comparison of AI-recommended vs submitted codes.
    • Drill into encounters for detailed rationale.
    • Add feedback to improve future suggestions.
  4. Review Dashboard
    • % of validated codes
    • Discrepancies flagged & resolved
    • Auditor feedback & comments


 From a physician with billing expertise 

“As a practicing internist for over 20 years, I know how confusing Medicare billing rules can be. A busy clinician can easily enter the wrong code, losing revenue or creating compliance risk. With Empathia AI, simply paste or upload your note—our AI instantly suggests the right code, always with rationale. It’s designed to save you time, bill accurately, and give you peace of mind.”

Dr. Steven Sivak, MD

Former President, Einstein Physicians, Philadelphia



Try It Today

-  Start your free trial instantly without creating an account

-  The first AI scribe with coding built in. Sign up to Empathia AI and simplify documentation + billing together.



Reach out to us at support@empathia.ai to schedule a demo. 

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