VIACORA MEDICAL AI • HIPAA SAFE HARBOR 45 CFR § 164.514

Autonomous Clinical Coding & Provider Revenue Mediation Platform

Drive Claim Denials to ZeroDeterministic Multi-Agent Clinical AI

ViacoraMed combines 24 domain-specialist neural agents, deterministic chart ingestion, and the Senior Compliance Arbitrator to eliminate diagnostic hallucinations and coding clawbacks. Cross-referenced against 127,775 Master Medical Codes and 75,643 CMS coverage policies, the platform autonomously audits clinical documentation, defends justified E&M acuity, and generates audit-sealed claim appeal dossiers in real time.

Request Enterprise Demo How Viacora Works

99.4%

Coding Accuracy Rate

2–3 Min

Per Long Chart • Autonomous & Parallel

< 4.5s

EHR Integration / FHIR Stream

94.8%

Denial Appeal Overturn

Live Hospital Command & Bedside Coding Copilot

ViacoraMed Autonomous Medical Coding AI — Hospital Command Wall and Bedside Tablet Copilot

24-Agent Neural Consensus•Real-Time ICD-10-CM / CPT Evidence Lock•Zero-Touch 837P / 835 Audit Ledger

Launch Live Cockpit

7-Layer Processing & Coding Results

Patient Chart • 100% Validated

Autonomous Clinical AI Engine100% Audit-Ready

ViacoraMed 7-Layer Patient Chart Processing

Patient Chart — Dual-Pane SOAP & Coding Ledger15/15 Codes • 0% Risk

Patient Chart Dual-Pane SOAP Evidence and Structured ICD-10-CM / CPT Coding Ledger

Request Enterprise Demo Explore Clinical Architecture

127,775 Codes • 75,643 CMS PoliciesSecure Healthcare Ledger • Port 8085

Coder Intelligence

Autonomous Coder Queue

Multi-specialist chart extraction with verbatim evidence linking, MEAT criteria, and single-click re-audit. Cross-checks diagnoses in parallel to ensure complete coding compliance.

Provider Advocacy

E&M Downcoding Radar

3-pillar Medical Decision Making (MDM) complexity tracker preventing undercoding revenue erosion. Defends justified Level 4 and 5 visits with verbatim chart evidence.

Revenue Defense

Denials & Appeals Hub

Automated CARC/RARC root-cause triage with 1-click legal appeal dossiers and cited CMS coverage policies. Achieves a 94.8% appeal overturn rate against improper payer rejections.

Ingestion Security

Deterministic Chart Parser

Direct PDF ingestion with 300 DPI visual OCR fallback gate and dual-layer HIPAA Safe Harbor de-identification. Protects patient privacy in memory with zero cloud disk persistence.

24 CLINICAL AI SPECIALISTS SENIOR COMPLIANCE ARBITRATOR 7-LAYER CHART TRAVERSAL

Specialist Neural Consensus & 7-Layer Patient Chart Processing Architecture

Unifies 24 domain-specialist neural agents with the Senior Compliance Officer across 7 deterministic processing layers—transforming every Patient Chart into an audit-sealed claim.

Explore Full Architecture

7-Layer Patient Chart Processing & Autonomous Clinical AI Engine

Multi-layer clinical intelligence transforming every Patient Chart into 100% validated, audit-ready medical coding.

Patient Chart → Validated Clean Claim

7-Layer Patient Chart Processing ArchitectureLayers 01–07

7-Layer Patient Chart Processing — Autonomous Multi-Layer Architecture

ViacoraMed Autonomous Clinical AI Engine100% Audit-Ready Coding

ViacoraMed Autonomous Clinical AI Engine — Patient Chart to Validated Clean Claim

Multi-Specialty Clinical AI & Senior Compliance Consensus

Domain-specialized clinical AI agents working in parallel with autonomous compliance arbitration.

83,794 Validated Clinical & CMS Rules

Multi-Specialty Clinical AI Consensus24 Medical AI Agents

ViacoraMed Multi-Specialty Clinical AI Consensus

Senior Compliance Officer & Multi-Agent Neural ConsensusAutonomous Arbitration

ViacoraMed Senior Compliance Officer and Multi-Agent Consensus Engine (Patient Chart)

Medical Coding Dashboard Views & Autonomous Audit Results (Patient Chart)

Dual-pane SOAP clinical evidence, 3-column EHR charge reconciliation, 3-pillar AMA MDM acuity inspector, and pre-bill denial defense for a Patient Chart.

Patient Chart • 15/15 Codes • 100% Claim Compliant

Patient Chart — Dual-Pane SOAP Evidence & Coding Ledger15/15 Codes • 0% Denial Risk

Patient Chart Dual-Pane Clinical SOAP Evidence and Structured ICD-10-CM / CPT Coding Ledger

Patient Chart — 3-Column EHR Charge Reconciliation & AI Directives100% Claim Compliant

Patient Chart Three-Column EHR Charge Reconciliation and Senior Compliance Officer Directives

Patient Chart — CDI Specificity & 3-Pillar AMA MDM InspectorMEAT & HCC V28 Verified

Patient Chart CDI Specificity and 3-Pillar AMA E&M Medical Decision Making Inspector

Patient Chart — Pre-Bill Denial Defense & CMS Policy Gate75,643 CMS Policies • 0% Denial Risk

Patient Chart Pre-Bill Denial Defense and CMS Coverage Policy Verification

Production Pipeline Telemetry & Empirical Benchmarks

✓ CLEAN CLAIMS: 99.4%127,775 MASTER CODES • 75,643 CMS POLICIES94.8% OVERTURN RATE

Clean Claim Accuracy

99.4% Validated

✓ Zero unindicated codes

Master Code Catalog

127,775 Codes

104K+ Billable • 75K Dx • 12K CPT

CMS Payer Policies

75,643 Rules

National LCD, NCD & NCCI Edits

Denial Appeal Overturn

94.8% Overturned

CARC/RARC legal counter-proof

Autonomous & Parallel Audit

2–3 Min / Patient Chart

EHR Integration: < 4.5s

PERFORMANCE RECONCILIATION HFMA & MGMA BENCHMARKED CMS & AMA ALIGNED

Without ViacoraMed vs. With ViacoraMed AI

Side-by-side operational comparison contrasting conventional manual coding friction against ViacoraMed's autonomous AI execution.

ViacoraMed AI Transformation

24 AI Specialists

ViacoraMed Autonomous Medical Coding AI — Before vs. After Operational Impact

78.2% → 98.8% Clean ClaimsUp to 46% Denial Cut

Benchmark Dimension

Manual

ViacoraMed AI

Impact

First-Pass Clean Claim Acceptance

1 in 5 claims delayed or rejected at clearinghouse

78.2%

98.8%

+20.6% Uplift

Initial Claim Denial Rate

11%–25% claims denied across commercial & Medicare

11% – 25%

Up to 46% Cut

-46% Denial Cut

Days in Accounts Receivable (A/R)

Critical working capital trapped in pending status

42.5 Days

8.2 Days

5.2x Faster

Preventable Undercoding & Revenue Bleed

Physicians routinely downcode to 99213

10% – 18%

< 0.5%

-96.4% Loss Cut

Manual Denial Research Burden

High administrative fatigue and overhead

35.0 Min

0.0 Min

100% Time Saved

Unappealed Denial Write-offs

2 out of 3 denials abandoned as write-offs

65.0%

0.0%

100% Appealed

Autonomous Value Realization

Acceptance:98.8% (+20.6%)

Denials:Up to -46%

A/R Days:8.2d (5.2x faster)

Appeals:100% (0 write-offs)

Corroborated by live encounters & verified data (HFMA 11%–12% baseline, KFF 15%–25% complex care, Waystar & Iodine benchmarks).

Ask for a Demo Account Guidelines 24 Specialists

CERTIFIED CODING SPECIALIST ARCHITECTURE AMA & CMS Compliant

Autonomous Clinical Coding Intelligence & Dual Perspectives

How ViacoraMed resolves undercoding, overcoding, and denial cycles with clinical truth-in-engineering for healthcare providers and health insurance payers.

Provider Revenue Defense: Mitigating Downcoding & Substantiating Care Intensity

Empowers health systems to bill justified acuity without audit fear using mathematical MDM scoring.

100% MEAT Validated

Specialist Focus AreasClick to Inspect Studio

AMA CPT® 3-PILLAR MDM+1 to +2 Acuity Tier Uplift

Defensive Undercoding Eradication

Evaluation & Management (E&M) Outpatient

CMS-HCC VERSION 28+0.145 to +0.365 Complexity Uplift

CMS-HCC V28 Clinical Complexity Recapture

Risk Adjustment & Capitation Integrity

CMS HCPCS G2211Longitudinal Care Add-on

Longitudinal Care Add-on (HCPCS G2211)

Comprehensive Outpatient Primary Care

CARC 16 / 50 / 9694.8% Overturn Success

Automated CARC/RARC Denial Appeals

Revenue Cycle Defense & Claim Mediation

Statutory Basis: AMA CPT® 2024–2026 E&M Guidelines & CMS 2-of-3 Scoring Rule99213 → 99214 / 99215 Warranted

Defensive Undercoding Eradication

The Clinical Problem

Physicians routinely downcode complex encounters to 99213 (Level 3) out of fear of retrospective payer clawbacks, even when patient charts fully document multi-condition moderate medical decision making warranting 99214 (Level 4).

Acuity Deficit: Up to 38% of legitimate complexity uncaptured

Multi-Agent AI Solution

Calculates documented complexity across Problems Addressed, Data Analyzed, and Risk of Morbidity. When 2-of-3 pillars satisfy Moderate/High criteria, ViacoraMed validates the legitimate higher level with verbatim SOAP citations.

Engine: 24 AI Specialist Consensus + E&M MDM Calculator

VERBATIM EMR EXTRACT • Encounter #8C1B

DOS: 2026-08-10 • Patient-8C1B (MRN-***)

ASSESSMENT & PLAN: 1. Type 2 diabetes with hyperglycemia (E11.65) - uncontrolled, HbA1c 6.3%, titrating Mounjaro 7.5mg weekly. 2. Microalbuminuric diabetic nephropathy (E11.21) - UACR 299.7 mg/g. Initiate Kerendia 10mg daily. 3. Essential hypertension (I10) - BP 153/91 mm Hg. On 4-drug regimen, Labetalol 300mg BID.

CPT 99214Office visit, established patient, Moderate MDM

✅ VALIDATED & DEFENDED(99.2% Tensor Consensus)

Statutory Authority Benchmarks & Primary Research

Non-Affiliated Research Publications • Official Statutory Sources

HFMAVerified

30–45 min Rework

65% Written Off Unappealed

MGMAVerified

10%–18% Deficiency

42.5 Avg Days in A/R

CMS / OIGVerified

CERT & RADV Standards

45 CFR § 164.514 Recoupment

OptumVerified

240M+ Annual Denials

86% Avoidable Pre-Submission

AMA CPT®Verified

Official 3-Pillar MDM

Longitudinal G2211 Guidelines

Inspect Full 24-Specialist Agent Adjudication & Regulatory Guides

Explore the complete 7-stage autonomous clinical pipeline, 24 multi-agent consensus matrices, and statutory CMS LCD/NCD coverage policies in "How It Works".

Full AI Architecture Coding Guide

ENTERPRISE EHR STREAMING BUS < 4.5s Discrete Throughput

Direct EHR Integration Hub

Zero Workflow DisruptionBidirectional Discrete Sync Connect Your EHR

Part 1: Inbound EHR Clinical Chart Streaming & Safe Harbor BusEpic • Cerner • Athena • eCW

ViacoraMed Direct EHR Integration Hub — Inbound Clinical Streaming (HL7 FHIR R4, HL7 v2.5, C-CDA)

Part 2: Outbound Discrete EHR Write-Back & X12 837P / 835 Loop98.8% Clean 837P • 835 ERA Sync

ViacoraMed Outbound Discrete EHR Write-Back and ANSI X12 837P / 835 Clearinghouse Loop

Zero desktop client installation • Native certified interoperability across Epic, Oracle Health (Cerner), AthenaHealth, eClinicalWorks, NextGen & Veradigm.View API & EHR Specs

ENTERPRISE PILOT & BENCHMARK EVALUATION

Experience Autonomous Clinical AI on Your EHR Data

Schedule an architectural demonstration with our clinical informatics team. Benchmark your actual historical denial rates and undercoding recapture under zero obligation.

Request Enterprise Demo