Solutions / AI Documentation

AI Documentation

Documentation integrity: gaps that cause downcoding and denials, caught before they cost revenue.

Revenue leaks start in the note. Missing specificity, absent laterality, thin medical-necessity language — each one becomes a downcode or a denial weeks later. GetMax reviews documentation as it's completed and flags exactly what's missing for the code the encounter deserves.

How the AI works

  1. 01

    Analyze

    Completed notes checked for specificity, laterality, and support for the intended codes.

  2. 02

    Query

    Precise, compliant clarification requests to providers — not vague 'improve documentation' nags.

  3. 03

    Protect

    Claims built only on documentation that can survive an audit or an appeal.

Humans in the loop. By architecture.

The AI never edits clinical documentation — it flags and asks. Providers stay the sole authors of the record; GetMax makes sure the record supports the revenue.

Questions, answered

Is this an AI scribe?+

No — GetMax doesn't write notes during visits. This is documentation integrity (CDI): reviewing completed documentation for the gaps that cause downcoding and denials.

Does it change our clinical notes?+

Never. It flags gaps and generates compliant provider queries. The clinician remains the only author of the record.