ClaimSure: Orchestrate Your Intelligently

ClaimSure is your AI-powered copilot, designed to navigate the complexities of healthcare revenue cycles. We help hospitals, clinics, and health systems improve claims accuracy, reduce denials, and accelerate reimbursement using cutting-edge AI.

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Overview

Key Revenue Cycle Challenges Facing Hospitals and Clinic

Hospitals and clinics face persistent financial and operational pressure from denials, coding complexity, prior authorization delays, DRG/CMI capture gaps, and referral leakage.

Revenue Leakage

Hospitals and clinics lose significant revenue due to avoidable payor denials, delayed authorizations, and referrals that leak outside the network. These gaps directly impact cash flow, increase rework, and reduce the organization’s ability to capture earned reimbursement.

Coding and Compliance Burden
Inaccurate coding, incomplete documentation, and constantly changing payor rules create ongoing compliance and reimbursement risk. This makes it difficult for teams to maintain coding accuracy, defend claims confidently, and avoid costly audits or payment delays.
Operational Complexity
Manual workflows across pre-auth, DRG optimization, CMI improvement, and referral management slow down the revenue cycle and burden staff. As patient volumes and specialty complexity grow, these inefficiencies make it harder to scale operations and sustain financial performance.

ClaimSure: Product Features

GenoTrak delivers advanced analytics and reporting solutions, empowering Life Sciences companies to make data driven decisions and achieve commercial excellence

Clinical Structuring
Transforms unstructured clinical notes into organized, usable data elements that support coding, review, and reimbursement workflows. This creates a cleaner clinical foundation for downstream decision-making, auditability, and automation.
CDI Query Resolution
Identifies documentation gaps and supports faster resolution of clinical documentation integrity queries before billing. This helps improve documentation completeness, strengthen code support, and reduce missed reimbursement opportunities.
Accurate ICD10, CPT, E&M workflows
Guides coding workflows with structured logic and clinical context to improve ICD-10, CPT, and E/M code selection accuracy. This reduces coding variation, supports compliance, and improves clean-claim performance across specialties.
Accurate DRG and Risk Assessment
Evaluates documentation and coding inputs to support accurate DRG assignment, severity capture, and patient risk stratification. This helps hospitals improve case-mix visibility, reimbursement accuracy, and confidence in coded outcomes.
Pre Auth & Referral Management
Supports authorization and referral workflows by tracking requirements, reducing delays, and improving coordination across teams. This helps prevent revenue leakage, shortens turnaround times, and keeps patients moving through the care journey efficiently.
HIPAA Compliance

Protects sensitive health and operational data through secure workflows, governed access, and compliance-aligned system controls.This gives hospitals confidence that the platform supports enterprise-grade security, privacy, and regulatory expectations.

Transform Your Revenue Cycle Today

Discover how Genotrak's AI-driven analytics can optimize your revenue cycle and boost financial performance.
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