No. AcuroIndia operates strictly as an intelligent prioritization and evidence-linking layer. The AI discovers potential mismatches and links them to source text; qualified human coding specialists and clinical reviewers make the final decision.
The Context Engine parses syntactic dependencies, document section headers (e.g. "Past Medical History" vs "Assessment & Plan"), temporal dates, and therapeutic management verbs to verify whether a condition was actively treated during the encounter.
When a patient note states "denies chest pain" or "no acute distress", the engine identifies the negation modifier and tags the clinical finding as negative evidence, preventing accidental assignment of symptom codes like ICD-10 R07.9.
Acuro supports HL7 FHIR encounter bundles, HL7 v2 CDA documents, and custom JSON/REST interfaces for unstructured clinical notes and pre-bill billing batches.
No. Acuro operates exclusively as a pre-bill audit engine. Final claim release remains under the direct control of your billing and clearinghouse systems.
Each healthcare organization operates within strict memory and data boundary isolation. Processing is stateless, and customer data is never co-mingled or used for cross-tenant inference.
Yes. Beyond standard NCCI, LCD/NCD, and clinical coding guidelines, organizations can configure custom rules tailored to specific commercial payer contracts and regional coverage requirements.
The interactive demo runs entirely in your browser using deterministic synthetic clinical notes and pre-configured scenarios. No real patient data is transmitted or processed.
Every flag includes the triggered rule ID, confidence score, source sentence span in the note, and an immutable log of the human reviewer's accept/dismiss decision.
Pilot scopes typically run over a 4 to 6-week window on a retrospective or shadowed batch of encounters to establish baseline precision and discrepancy capture rates.
Generic NLP models merely extract named entities. AcuroIndia is an end-to-end audit engine that cross-references extracted entities against assigned pre-bill billing codes, evaluates audit rules, calculates risk, and provides a bidirectional evidence workbench.
You can reach our enterprise evaluation team directly at
sales@acuroindia.com or use the contact form on our website.