Case Study: Multi-Speciality Medical Facility Company achieves 100% elimination of manual errors and 85% faster coding turnaround with Nividous Intelligent Automation

Automation of E&M CPT Coding Process for a Multi-Specialty Medical Facility

Multi-Speciality Medical Facility Company, a provider of primary, specialty, surgical and diagnostic care across pediatrics, internal medicine, orthopedics, women's health and dermatology, faced a time-consuming, error-prone process in which coders manually assigned E&M CPT codes from doctors' notes—raising risks of incorrect billing, insurance denials and compliance issues. Nividous was engaged to address these accuracy, efficiency and compliance challenges using its Intelligent Automation Platform with natively embedded Generative AI and Bots.

Nividous automated the end-to-end E&M coding workflow: Bots fetch notes from the EHR, identify relevant code ranges, determine patient status (new vs. established), assess time spent or calculate Medical Decision Making level (diagnoses, data complexity, risk), and assign the appropriate CPT code. Nividous reports measurable results including a 100% reduction in manual errors, a 90% reduction in manual effort and an 85% improvement in process turnaround time, yielding faster, more accurate billing and fewer denials.