Turn clinical documentation into accurate, defensible revenue.
Code the claim. Protect the claim.
DXRite is a medical coding and revenue integrity platform. It reads the chart, codes the encounter, predicts denials, and protects the claim, with every code confirmed by a certified coder before it bills.
Wound 3.2 cm, single-layer simple repair; local anesthetic. Tdap given. Problem-focused history & exam.
Representative industry benchmarks for AI medical-coding platforms, your results are measured against your own baseline, never assumed.
Providers lose millions to coding gaps, denials & compliance risk.
It rarely shows up as one big loss, it’s specificity risk, missing documentation, and preventable denials, repeated across thousands of encounters until it’s a number that matters.
Incorrect ICD-10 & CPT coding
70,000+ ICD-10 and 10,000+ CPT codes change yearly, creating constant specificity risk.
Documentation deficiencies
Missing or unclear documentation drives ~46% of denials (Experian, State of Claims 2025).
Revenue leakage
Under-coding and missed procedures cost the industry an estimated $36B in losses annually.
Compliance & audit exposure
CMS, HIPAA, and state AI rules raise the cost of every miscoded claim.
Costly manual chart review
Traditional coding averages 15–20 minutes per encounter, unsustainable at scale.
Rising denial rates
41% of providers now report ≥10% claim denial rates, up year over year.
DXRite is built to catch these before they become write-offs, rework, or audit exposure, every code confirmed by a certified coder.
One managed service, built into your workflow.
DXRite isn't software you have to run, it's a managed coding and revenue-integrity service that we integrate with your EHR to deliver on every visit:
Chart intake from your EHR
We read the visit notes your providers already write, pulled straight from your EHR, no new workflow.
AI-assisted code suggestion
An advanced model proposes CPT, ICD-10, HCPCS, and modifiers, and flags the revenue your documentation supports but isn't capturing.
Certified coder validation
Certified coders review what matters and stand behind every code, the human-in-the-loop step that keeps claims defensible.
Payer-aligned claim review
Every claim is checked against that payer's specific rules before it goes out, so it lands clean the first time.
Revenue reporting
One dashboard for recovered revenue, denial trends, and clean-claim rate, by location and coder, for your billing lead and CFO.
Ongoing rule tuning
A dedicated lead re-tunes your model as payer and CMS rules change and your team sends feedback from the floor.
Scheduling, eligibility & verification, the front-end of revenue.
One unified workflow designed to book the patient, verify coverage, and protect the front-end of revenue, built to your environment through EHR/PM integration, payer connectivity, and eligibility automation.
Smart appointment scheduling
Booking with provider and resource availability, fewer front-desk calls and fewer gaps in the schedule.
Digital registration
Paperless intake: demographics, history, and consent captured digitally before the patient is roomed.
Real-time insurance verification
Eligibility and benefits confirmed in real time, up front, so coverage surprises don’t become downstream denials.
Automated reminders
Appointment and follow-up reminders that reduce no-shows and cancellations.
Prior authorization tracking
Prior-auth status and payer-rule validation tracked in one place, before the visit.
Copay & responsibility estimates
Estimates patient responsibility and copay at the point of service, cleaner collections, fewer surprises.
Five integrated layers, from patient to clean claim.
One platform spanning the patient-to-claim workflow, and across every layer, AI recommends while a certified coder confirms before anything bills.
Clinical AI Layer
- Automated chart understanding
- Clinical entity extraction
- Diagnosis & procedure mapping
Coding Intelligence
- ICD-10 auto-suggestion
- CPT / HCPCS recommendation
- Modifier validation
- HCC capture support
Revenue Integrity Engine
- Denial prediction
- Under-coding detection
- Missed-procedure identification
- Medical-necessity validation
Compliance Monitor
- Documentation-gap analysis
- Audit-readiness scoring
- CMS & payer-rule validation
Patient Access
- Registration & scheduling
- Real-time eligibility
- Insurance & benefits validation
- Prior auth & copay estimation
From visit note to clean, defensible claim.
AI does the first pass at speed; certified coders review what matters; you approve before anything goes to the payer. Nothing autonomous touches your revenue without a human in the loop.
Capture
DXRite reads the visit note from your EHR, the documentation you already create, no new workflow for clinicians.
AI codes
The model proposes CPT, ICD-10, HCPCS, and modifiers, flags under-capture, and checks each line against payer rules.
Expert reviews
Certified coders review flagged and high-value charts, the human-in-the-loop step that keeps coding accurate and defensible.
You approve & submit
You see what changed and why, approve, and submit a clean claim, with a full audit trail attached to every code.
Compatible with your EHR. Built to your payers’ rules.
DXRite fits the way your urgent care already runs, reading the notes your providers write, and coding each claim to the rules of the payer you're billing. No rip-and-replace, no new workflow. Each EHR/PM and payer integration is built and validated for the systems you run.
01. Customized
EHR integration
DXRite is compatible with the EHR and practice-management systems urgent care teams already run, including Epic, athenahealth, eClinicalWorks, NextGen, Oracle Health, Elation, Tebra, and Experity. We build and integrate to the system you use, customized to the documentation workflows your providers already follow, with no new systems to learn.
Once your integration is built and live, you keep a dedicated integration lead who re-tunes the model as payer and CMS rules change, new state guidelines land, and your team sends feedback from the floor.
+ any EHR / PM system, we build to yours
02. Codes to every
major payer’s rules
Commercial, Medicare, Medicaid, and occupational plans each carry their own coding logic. DXRite is built to code each claim to the right payer’s requirements, and we configure and integrate the rules for the plans you actually bill, so claims land clean the first time.
Your model is kept current as payer policies and CMS rules change, so coding stays compliant across every plan you bill.
+ commercial & regional plans, we code to your payer mix
DXRite is implemented for your environment, with each EHR/PM and payer integration built and validated for the systems you run. Product and company names shown are trademarks of their respective owners, listed for compatibility reference only and not implying endorsement, partnership, or an existing integration.
Light to start, we handle the setup.
Getting started doesn't add work for your clinicians. We handle the integration with your existing EHR/PM environment and confirm the path before go-live.
Confirm fit
On your revenue check we review sample charts, estimate under-capture, and confirm your EHR/PM integration path.
Connect workflows
We set up the connection to your EHR and configure routing and payer rules to how your centers actually run.
Begin chart review
DXRite starts reviewing visits, first 100 claims free for one designated center, and you see recovered revenue before you pay.
03. Real-time
revenue reporting
After go-live, your team gets one shared dashboard, recovered revenue, denial trends, clean-claim rate, and coding accuracy, broken down by location and coder.
A single source of truth your billing lead and your CFO can both act on, catch drift week by week, and stay audit-ready with defensible, payer-compliant scoring.
AI does the first pass. Certified coders make the call.
DXRite reviews 100% of your visits before billing, but nothing autonomous reaches a payer on its own. AI proposes the codes and flags under-capture; certified coders review what matters; you decide what happens next.
- You choose the routing. Auto-apply a confident code, send it back to the provider, or queue the chart for coder review.
- E/M at the highest defensible level. Coded to exactly what the documentation supports, never more, never less.
- Certified coder accountability. A trained human stands behind every code, with the documentation to back it.
Revenue integrity, not just faster coding.
Speed is table stakes. The point is coding that's complete, correct, and defensible, so you collect everything you earned and nothing you can't support.
Under-capture recovery
Surfaces the procedures, separate E/M, and modifiers that fast walk-in workflows routinely miss.
Denial prevention
Prevents avoidable denials by checking every claim against payer-specific rules before submission, so errors are fixed up front, not reworked later.
Modifier & POS accuracy
Applies modifier 25, POS 20, and urgent-care-specific conventions correctly and consistently across coders.
Audit-ready documentation
Every code carries the documentation that supports it and an audit trail, so a payer review is a non-event.
Eligibility & intake checks
Flags coverage and registration gaps that turn into denials, before the claim ever leaves your office.
Revenue visibility
See recovered revenue, denial trends, and coder throughput by location, the numbers a CFO actually asks for.
Coding tuned to each payer’s rules.
DXRite's model is trained on current coding guidelines and payer-specific policies, so every visit is coded accurately and in line with what that insurer actually requires, then confirmed by a certified coder. Cleaner claims, fewer denials, and revenue you can defend on audit.
Payer-specific rule checks
Commercial, Medicare, Medicaid, and occupational plans each carry their own logic. DXRite codes to the right one, every time.
Complete, correct codes
CPT, ICD-10, HCPCS, and modifiers, kept current with coding updates, so nothing legitimate is missed and nothing is wrong.
Compliance-first, never over-reaching
Coded to exactly what the documentation supports, defensible on review, so accuracy never becomes audit risk.
Certified human confirmation
A certified coder signs off before a claim bills. The AI moves fast; a trained human stands behind the result.
Always current with the rules
CPT, ICD-10, and HCPCS updates, CMS changes, and new state guidelines are folded in as they land, so coding never drifts out of compliance.
Documentation-backed audit trail
Every code carries the documentation that supports it and a clear audit trail, so a payer review is a non-event, not a fire drill.
Measurable improvement across productivity, accuracy & revenue.
What DXRite delivers across revenue, speed, and compliance. Every figure is measured against your own baseline, before and after, never assumed.
Maximize revenue
Reduce claim denials by up to 45% and accelerate cash flow with accurate, first-time submissions.
Save time
Eliminate time-consuming rework and appeals with our proactive pre-submission review process.
Ensure compliance
Stay current with ever-changing healthcare regulations and avoid costly compliance violations.
Improve efficiency
Streamline your revenue cycle operations and reduce administrative burden on your staff.
Rapid results
Get comprehensive audit reports within 24 hours, ensuring timely claim submissions.
Expert support
Access certified coding specialists and RCM experts dedicated to your clinic’s success.
Built across the care continuum, with urgent care at the core.
From independent urgent care to physician groups, clinics, RCM companies, billing orgs, and health systems, anywhere documentation needs to become clean, defensible revenue.
- Independent operators, 1–10 locations. Enterprise-grade coding without an enterprise RCM department.
- Owners, medical directors, and billing managers who feel the leakage but don't have time to chase every chart.
- Teams on a major urgent-care EHR/PM who want coding to keep pace with care, not slow it down.
- Anyone tired of generalist RCM vendors who treat urgent care like a primary-care side case.
Single-site, limited billing bandwidth
One location and a small front-desk/billing team with no room to hire a coder, DXRite adds coding depth without adding headcount.
Multi-location, inconsistent coding
Several centers coding differently, DXRite makes coding consistent and defensible across every site.
Repeat denials & under-coded procedures
Lacerations, splints, X-rays, and the modifier-25 E/M slipping through, caught before claims go out.
Patient data handled the way it should be.
Revenue integrity can't come at the cost of trust. DXRite is built to healthcare data standards, with a human accountable at every step.
HIPAA & HITECH
Built to HIPAA and HITECH standards for PHI handling, with a BAA available.
Human in the loop
No autonomous code reaches a payer without certified-coder review and your approval.
Full audit trail
Every code links to the documentation that supports it, defensible on review.
Least-privilege access
Role-based access and encryption in transit and at rest, scoped to the minimum needed.
What operators ask first.
No. DXRite reads the notes your team already writes in your EHR. There's no new template, no extra clicks for providers, the work happens after the visit, not during it.
No, and that's deliberate. AI does the fast first pass and flags under-capture, but certified coders review and you approve before submission. Human-in-the-loop is how coding stays accurate and defensible.
DXRite is built to fit alongside the major urgent-care EHR/PM systems. Tell us what you run and we'll confirm the integration path on your revenue check.
The opposite. DXRite is built for independent operators with 1–10 locations who need enterprise-grade coding without standing up an enterprise RCM department.
To HIPAA and HITECH standards, with a BAA available, encryption in transit and at rest, role-based access, and a full audit trail on every coded claim.
Three light steps: on your revenue check we confirm your EHR fit and review sample charts; we connect to your EHR and configure payer rules; then we begin chart review. Your clinicians don't change anything.
It depends mainly on access to your EHR/PM system, but onboarding is intentionally light, we handle the integration setup, and your first 100 claims are free for one designated center.
Usually the owner, billing lead, or RCM/operations lead. DXRite works behind your existing billing process, so a single point of contact is enough to get started.
Everything the alternatives do, in one service.
Manual coding, your EHR's built-in auto-coder, and audit-only vendors each cover part of the picture. DXRite combines AI speed, certified human review, payer-rule alignment, and reporting in a single pre-bill workflow.
| Capability | DXRiteAI + certified review | Manual codingin-house / outsourced | EHR auto-codingbuilt-in | Audit-only servicesretrospective |
|---|---|---|---|---|
| Coding & revenue capture | ||||
| AI-assisted coding at urgent-care speed | , | , | ||
| E/M leveling validated against documentation | ||||
| Under-capture & dropped-modifier recovery (E/M +25, POS) | , | |||
| Acuity / down-coding checks (flags under-leveled visits) | , | |||
| Claims & payer compliance | ||||
| Payer-specific scrubbing before submission (CCI/NCCI, LCD) | , | |||
| Pre-bill, catches issues before claims go out | , | |||
| Denial tracking & recovery analytics | , | , | ||
| Human review & compliance | ||||
| Certified coder review (human-in-the-loop) | , | |||
| You approve before anything bills | , | , | ||
| Audit-ready documentation & full audit trail | , | |||
| Audit & revenue integrity | ||||
| 100% of charts reviewed for missed documentation | , | , | ||
| Ongoing coding audit (completeness & compliance) | , | , | ||
| Documentation-gap feedback to providers (CDI) | , | |||
| Reporting, analytics & fit | ||||
| Reports on acuity mix, top procedures & provider trends | , | |||
| Provider-level feedback to target coding training | , | , | ||
| Works with your existing EHR/PM, no new workflow | ||||
Comparison reflects how these approaches typically work in urgent-care settings; specific vendors and EHRs vary.
Proof you can interrogate, not implausibly clean success stories.
Most coding work sits under BAA and NDA, so instead of named-client trophies, here’s the methodology and the kinds of revenue we recover, the things you can pressure-test on your own charts during a free revenue check.
The dropped modifier 25
The leak: an E/M and a minor procedure on the same visit, billed without modifier 25, so the office visit bundles into the procedure and goes unpaid.
What DXRite does: flags the missing modifier before the claim goes out, so the separately identifiable E/M gets paid.
Representative scenario, not a specific client.The down-leveled visit
The leak: documentation supports a higher-level E/M, but the visit is coded down “to be safe”, leaving earned, defensible revenue on the table.
What DXRite does: surfaces the documentation that supports the appropriate level, with a rationale a certified coder stands behind.
Representative scenario, not a specific client.The preventable denial
The leak: eligibility wasn’t confirmed and the claim trips a payer-specific edit, a denial that often costs more to rework than it earns.
What DXRite does: verification up front plus payer-rule scrubbing pre-bill, so it lands clean the first time.
Representative scenario, not a specific client.The honest version of a case study is your own charts.
Book a revenue check →Cut coding & audit costs 20–40%.
Advanced AI does the heavy lifting and certified coding experts confirm every claim, so you get accurate, payer-compliant coding and audit at a competitive per-claim price, with no platform fees and no long contracts.
Less than you pay your coders & auditors today.
Most urgent-care operators spend more on manual medical coding and audit than they need to. DXRite typically runs 20–40% below your current coding & audit fees, the same certified-expert oversight, with far less overhead. We'll show your exact savings against your current spend on your revenue check.
Find your fit, priced to your volume.
No fixed list price. We recommend the right tier from your number of urgent care centers and per-center claim volume, then we beat what your current coding & audit house charges. You see it all on your revenue check.
- AI coding + certified review on every visit
- Payer-specific claim checks before submission
- Recovered-revenue & denial reporting
- Everything in Essentials
- Denial-prevention dashboards
- Per-location revenue visibility
- Everything in Growth
- Dedicated integration lead
- Ongoing payer & CMS rule tuning
- Everything in Professional
- Custom integration & SLAs
- Volume-based pricing across sites
We’ll beat your current claim house. Bring us what you pay today for coding & audit, we’ll show you a lower, competitive per-claim price with the same certified-expert oversight, and prove the savings on your revenue check.
Your first 100 claims are on us.
New DXRite partners get their first 100 claims free for one designated urgent care center. We integrate, code your visits with certified-coder review, and show you the recovered revenue before you pay a thing. No commitment.
on us
See what your charts are actually worth.
Fill out the form and our team will review a sample of your recent charts, estimate your under-captured revenue, and confirm EHR fit, then start your first 100 claims free for one designated center.
Recover under-captured revenue with AI-assisted coding and certified human review.
Reduce audit exposure with pre-bill, payer-compliant documentation review on every visit.
See your revenue integrity in real time, recovered revenue, denials, and clean-claim rate by location.
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7300 State Highway 121, Suite 300
McKinney, TX 75070, United States
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