Right code. Right claim. Every encounter.
Ember is the AI revenue integrity platform built for specialty physician practices and health systems. We audit every chart, prevent denials before they leave your office, and recover the revenue your team cannot reach.
Trusted by specialty groups and health systems
Payers got smarter.
Your billing didn't.
Payers are using AI to deny claims faster than ever. A/R teams cannot keep up with manual processes. It's time to level up.
67%
of denials are recoverable. Most never get recovered.
As claims sit in A/R, appeal windows close. Revenue that could have been recovered becomes a permanent write-off.
Aging A/R
3-5x
Even clean claims now require multiple touches.
New prior auth requirements, tighter step therapy rules, and rising documentation standards mean every rework cycle eats margin.
Cost to Collect
5-10%
The highest-value claims are the ones nobody works.
Manual audits cover 5-10% of encounters. Downcoded exams, modifier edits, and underpayments sit untouched while teams chase throughput.
Hidden Complexity
Not another black-box score.
Most AI RCM tools sample a fraction of your charts and hand back a risk number. Ember reviews everything, cites the rule behind every flag, and carries the work all the way to a paid appeal.
Claim #A-48140
Risk: 0.72, no reason given
Every chart
Claim #A-48140
RecoverableModifier 25 missing on E/M with same-day procedure
Cites CMS NCCI PTP edit · LCD L34010
Three engines.
One source of truth.
Ember connects clinical documentation, payer policy, and contract terms into a single intelligence layer that sits on top of your EHR. Specialty-agnostic by design.
01 · Foundation
Data Engine
Bridges the clinical and the financial. Unifies documentation, coding decisions, payer policy, and contracts across every encounter and provider.
02 · Audit
Coding Engine
Reviews 100% of encounters against national standards, payer-specific policies, internal guidelines, and payer contracts. Every flag carries a rule citation.
03 · Recovery
Appeal Engine
Reads CARC and RARC codes, identifies applicable LCD/NCD policy and contract terms, drafts appeal letters, packages documentation, and tracks claims through adjudication.
Audit upstream.
Appeal downstream.
Two workflows do most of the work for our customers. The first prevents denials before they happen. The second recovers the ones that do.
Pre-bill audit
Catch the issue before the claim leaves.
Ember reviews every encounter against coding standards, payer policy, and your contracts. Undercoded and overcoded claims are flagged before they go out the door.
- 1
Ingest the encounter
Pulls clinical notes, codes, and charge files directly from major EHR systems.
- 2
Validate against the rules
Checks CPT, ICD-10, HCPCS, modifiers, documentation completeness, payer policy, and contracts.
- 3
Recommend with citation
Returns suggested corrections that carry the rule behind them: CMS, NCCI, LCD/NCD, payer policy.
- 4
Share provider feedback
Recurring patterns surface as provider-level feedback so future coding stays consistent.
+23%
Clean-claim rate
100%
Encounters reviewed
+5%
Net collected revenue
Automated appeals
Pull. Review. Push.
When a denial occurs, Ember identifies the root cause, retrieves records, references payer policy and contract terms, drafts the appeal, and tracks it through adjudication.
57%
Lower denial rate
3.1x
Faster appeal turnaround
100%
Denials worked
One platform, end to end.
Documentation Intelligence
Reviews clinical documentation for medical necessity and audit readiness before claims go out.
Coding Compliance
Validates coding, modifiers, NCCI edits, and payer rules to prevent claim rejections and payer denials.
Denial Intelligence
Identifies denial patterns, root causes, and payer behavior to reduce avoidable write-offs.
Appeals Automation
Generates appeal packets with clinical evidence, coding support, and payer guidelines.
Contract Intelligence
Benchmarks payer rates to uncover underpayments and negotiation opportunities.
Revenue Recovery
Detects payment variances, short pay, and downcoding across payers.
Specialty-specific workflows.
One platform.
Behavioral Health
Therapy coding, medication management, parity-rule denials, telehealth.
Cardiology
Cath lab coding, device implants, advanced imaging authorization.
Dermatology
Mohs surgery, biologics, procedure-heavy coding.
Gastroenterology
Endoscopy, procedure coding, payer-specific reimbursement rules.
Ophthalmology
Retina workflows, anti-VEGF therapies, injections, payer policy complexity.
Orthopedics
Surgical bundling, DME workflows, modifier-heavy coding.
Otolaryngology
Endoscopic sinus surgery, allergy and immunotherapy units, audiology necessity, prior auth.
Radiology
Modifier-driven edits, imaging authorization, procedure reductions.
Urology
Cystoscopy coding, prostate therapeutics, UroLift/Rezum authorization.
If a practice has high procedure volume, complex coding, and meaningful payer scrutiny, Ember can generally support it.
Revenue leaders, on the record
What specialty practices and health systems say after putting Ember into production.
“We were sampling maybe eight percent of charts and hoping. Ember reviews every encounter and shows the exact rule it's citing, our coders trust it, and our clean claim rate moved inside the first month.”
Chief Medical Officer
“The appeals used to die in someone's inbox. Now they're drafted, cited, and tracked before we even open the denial.”
VP Revenue Cycle
“It pays for itself on the underpayments alone. We're recovering money we'd already written off as lost.”
Director of Billing
“Integration took days, not quarters. We sent a few hundred cases and had real findings back that same week.”
CFO
Initial results in 3 days.
Full integration in weeks.
Ember sits on top of existing EHR and practice management systems. Customers can submit a few hundred cases and receive initial analysis within three days.
EHR & practice management
Clearinghouses & billing
Payers
Numbers from live deployments.
Not projections. Not modeled estimates. Measured customer outcomes.
57%
Fewer denials
3.3x
ROI in month one
100+
FTE hours saved / month
+9.3%
Net revenue per appointment
See what your chart audit is missing.
Bring us 30 days of denial data. We'll show you the revenue your team cannot reach with manual processes, and exactly how Ember would recover it.