ICD-10, CPT & HCPCS coding
Every encounter coded from documentation, not guesswork.
Services / Medical Coding
Medical Coding
Coding errors are where clean revenue starts going wrong — a mismatched diagnosis, a missed modifier, a code the payer bundles away. GetMax codes every encounter with AI trained on payer rules, then routes anything ambiguous to certified coders, so claims leave right the first time.
What's included
Payer-rule validation
Codes checked against payer policy and NCCI edits as they're applied.
Modifier accuracy
The 25s, 59s, and laterality flags that quietly cause denials — handled.
Certified coder review
Edge cases escalate to credentialed human coders, not a queue.
Specialty-aware coding
Rules tuned per specialty, from primary care to procedure-heavy practices.
How it works
- 01
Connect
We plug into your EHR and pull encounter documentation automatically.
- 02
Code & verify
AI assigns codes and validates them against payer rules in real time.
- 03
Review & release
Certified coders clear exceptions; clean codes flow straight to billing.
Questions, answered
Do humans review the AI's coding?+
Yes. AI codes every encounter, and certified coders review flagged or ambiguous cases before anything is submitted. Nothing goes out on model confidence alone.
Which coding systems do you support?+
ICD-10-CM, CPT, and HCPCS Level II, with payer-specific rules and NCCI edit checking applied during coding rather than after rejection.
Do you work inside our existing EHR?+
Yes — GetMax is built to plug into the EHRs and clearinghouses you already run, embedding into your current workflow instead of replacing it.