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Brightcore AI

Clinical certainty,
engineered.

Specialized reasoning engines that turn complex documentation into defensible audit findings.

Purpose-built clinical logic Evidence-first explanations HIPAA-safe by design
Scanned clinical note with handwritten assessment and plan
Audit complete
Compliance grade
92/100A

Well supported. Documentation meets requirements.

Billing error riskLow
Key findings Medical Decision MakingHigh Data ReviewedHigh Risk of ComplicationsHigh DX specificityImprove
View full report
Primary platforms

Audit Sentinel

End-to-end E/M compliance auditing that evaluates documentation, compares billing accuracy, and delivers an audit-defensible grade and report.

Explore Audit Sentinel
1PHI ScrubComplete 2E/M + ICD-10 AnalysisComplete 3Billing ComparatorComplete
Audit summary
Final Grade92A Risk LevelLow E/M Level99233
What you got right7 Issues found2 Points deducted8

Code-Sense

Physician-led E/M decision support that compares Time vs. MDM, verifies medical necessity, and explains the correct code with audit-ready rationale.

Explore Code-Sense
Encounter typeSubsequent Hospital Care25minutes
Time vs. Medical Decision Making
By Time99231By MDM99233

Recommended: 99233. Justified by High MDM.

MDMProblemsHighDataHighRiskHigh
Coding rationale

High risk due to drug therapy requiring intensive monitoring and risk of morbidity.

How Brightcore thinks

Three stages of specialized reasoning that turn complex documentation into credible, audit-ready results.

01

Protect the note

PHI and identifiers are scrubbed using a HIPAA Safe Harbor pipeline before any analysis begins.

Original clinical note
HPI

66 y/o male presents for follow up increased shortness of breath with exertion. No chest pain.

ASSESSMENT

HTN
Type 2 DM
CKD stage 3
CHF exacerbation

PLAN

Adjust diuretics
Continue current meds
Follow up in 2 weeks

PHI scrubbed
HPI

66 y/o male presents for follow up increased shortness of breath with exertion. No chest pain.

ASSESSMENT

HTN

CKD stage 3
CHF exacerbation

PLAN

Adjust diuretics
Continue current meds

02

Apply clinical logic

Specialized engines evaluate E/M, ICD-10, medical necessity, and billing accuracy with transparency.

E/M + ICD-10 analysisClinical logic applied MDM evaluation2-out-of-3 framework Billing comparatorRules, edits, and precedence
03

Deliver defensible findings

Clear grades, risk profiles, and recommendations you can act on and stand behind.

Audit complete
Compliance grade92/100A

Well supported. Documentation meets requirements.

Billing error riskLow Medical Decision MakingHigh Data ReviewedHigh Risk of ComplicationsHigh DX specificityImprove

Specialty engines

Purpose-built clinical reasoning for high-acuity, specialty-specific compliance.

IR Logic

Interventional radiology and vascular procedure auditing.

Procedure-specific logic, NCCI validation, medical necessity, documentation sufficiency, and device accuracy.

Available through Brightcore AI
Angiogram image showing vascular branching for an interventional radiology review
Procedure reviewLower Extremity AngiogramProcedureWith runoffCPT codes75710, 37225ICD-10I70.221, I73.9FindingsMultiple SFA stenoses
IR audit complete
91/100A
Documentation sufficiencyHighProcedure documentationHighMedical necessityHighDevice / supply accuracyHighNCCI / edit checkPass

Chiro Logic

Chiropractic compliance and documentation review.

Exam element validation, medical necessity, time-based care, and correct coding for chiropractic visits.

Learn more at ChiroLogicAI.com
Spine X-ray image for a chiropractic compliance review
Chiropractic reviewSubsequent VisitVisit typeSubsequent visitCPT code98941ICD-10M54.5Key findingsTherapeutic exercise
Chiropractic audit
88/100B+
Documentation sufficiencyModerateExam elementsModerateMedical necessityHighTime-based careHighDocumentation qualityModerate

Built for the experts who carry the risk

Brightcore supports the professionals who own the outcome and the organizations that depend on it.

Healthcare executives

  • Reduce audit exposure and payer risk
  • Standardize compliance across the enterprise
  • Drive measurable financial performance
See enterprise solutions

Revenue-cycle leaders

  • Catch issues before claims are submitted
  • Reduce denials, rework, and write-offs
  • Protect revenue with clean, accurate coding
Explore outcomes

Credentialed coders

  • Confident code selection and defense
  • Clear rationale for every decision
  • CDI guidance that improves documentation
See how it works

CMS-aligned

E/M and ICD-10 logic

OIG-compliant

Safe Harbor architecture

Specialty-proven

Across high-risk services

Auditor-ready

Reports you can defend

Defensible decisions. Stronger performance.
Built on clinical certainty.

See how Brightcore AI turns documentation into findings your team can defend.