XpertDox and CHP Berkshires team up to deploy AI-driven autonomous coding, boosting accuracy, compliance, and value-based care for thousands across Massachusetts.
XpertDox, a prominent leader in AI-driven autonomous medical coding, has announced a strategic partnership with Community Health Programs, Inc. (CHP Berkshires), a leading Federally Qualified Health Center (FQHC) serving over 30,000 residents in Massachusetts.
This collaboration is set to transform CHP Berkshires’ revenue cycle operations, with a focus on improving coding quality, strengthening value-based care initiatives, ensuring HCC recapture (Hierarchical Condition Categories), and maintaining strict compliance with Medicare’s FQHC coding and billing standards.
AI-Based Solution Deployed Across Facilities
CHP Berkshires, which has delivered compassionate healthcare for over 50 years, has implemented XpertCoding, XpertDox’s flagship AI-based coding solution, across all its facilities.
The deployment of XpertCoding is designed to:
- Enhance coding efficiency and ensure regulatory compliance.
- Significantly reduce the manual workload on staff.
- Strengthen the center’s ability to provide high-quality, accessible care to its diverse population.
Transformative Impact on Revenue Cycle and Quality
The partnership has already yielded measurable results, as noted by CHP Berkshires leadership.
Jesse Suphan, Senior Director of Revenue Cycle & Quality at CHP Berkshires, reported a major positive shift:
“We’ve successfully implemented XpertDox’s AI, and the results have been transformative. We’ve seen increased collections per claim, higher quality scores through automated Category II coding, and our coding team is now able to focus on value-based care initiatives and auditing.”
Suphan specifically highlighted the immediate impact of the platform’s analytics: “The dashboards for provider documentation improvement and HCC recapture have been especially impactful. The XpertDox team has been great to work with.”
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Advanced Data Analytics for FQHCs
XpertCoding is more than just a coding tool; it includes a robust Business Intelligence Platform. This platform provides CHP Berkshires with clear, actionable insights into:
- Coding accuracy.
- Billing levels.
- Provider performance.
The platform further includes comprehensive dashboards tailored specifically for Fee-for-Service, Quality Measures, and Risk Adjustment (HCC) coding, essential components for FQHC financial and regulatory success.
Sameer Ather, CEO and Co-Founder of XpertDox, underscored the alignment of their technology with the FQHC mission: “Our AI-powered autonomous coding technology is designed to eliminate administrative friction, increase coding accuracy, and support FQHCs like CHP Berkshires in their core mission—delivering equitable, patient-centered care to underserved communities.”
