DocuGenius reads every WOPD, every F2F note, every prescriber chart against the LCDs auditors actually use. We tell you what's missing before submission. No more 36-month lookback panics.
If you bill Medicare DME, the gap between a clean claim and a recoupment is the documentation packet, not the claim itself. DocuGenius reads every WOPD, face-to-face note, and prescriber chart against the actual LCD and DMEPOS Master List, and flags what is missing before submission.
We connect where your documents already live, we check them against the actual LCD a UPIC will use, and we tell your biller what's missing in plain English.
Your billing platform, EMR exports, an SFTP folder, a shared drive, we read it from where it already is. Your biller's workflow doesn't change. No new system to log into.
Not a generic checklist. L33822 for CGM, L33718 for nebulizers, the full DMEPOS Master List. Every rule references the policy your UPIC will cite, and every rule is editable when your auditor's interpretation differs from ours.
Pass, here's why. Fail, here's the missing doc. Fix this one line and re-run. Your biller can challenge any flag and see exactly which rule fired. No black-box AI calls, no confidence score that doesn't help when an auditor asks why.
$170K
owed back per $1M billed, if a UPIC opens a 36-month lookback (OIG's 17% Medicare DME improper-payment finding).
April 13
the documentation rule went live. Your billing platform won't catch what's missing, that's the gap we close.
1 day
from signup to a pilot environment running your claims, your rules, your data. Week 4 you have a decision.
A 15-minute walkthrough on a real document — yours or ours. Pilot environment live in under a day.
Asked at every demo. Saving us both 10 minutes.
DocuGenius
Brightree posts the claim. We have nothing against Brightree. We work next to it, reading the documentation packet before submission and flagging the gap your biller can fix.
What other tools claim
Generic 'all-in-one DME software' trying to be billing and compliance, and being mediocre at both.
DocuGenius
Dashboards count things. We catch things, specifically the documentation gap that triggers a denial or recoupment, before submission.
What other tools claim
Pretty charts of denied claims, after the denial. Not helpful for preventing the next one.
DocuGenius
Every flag points to the LCD line that fired and the document that satisfies (or doesn't satisfy) it. Your biller can challenge any rule. Your auditor can review the chain.
What other tools claim
Models that give a confidence score with no explanation. They fail in the room where it matters, at audit.
DocuGenius
€500/month Starter. No 18-month implementation. Pilot environment in a day. You'll know if it works in 4 weeks.
What other tools claim
Six-figure annual quotes. Six-month deployments. By the time you're live, the audit you were trying to defend has already happened.
Related reading: The hidden cost of manual claims processing
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