E/M-Code-Sense AI | Product Overview
Powered by E/M University & Brightcore AI

Stop Guessing.
Start Coding with Confidence.

The only on-demand E/M auditing platform curated by a physician who is also a certified professional coder. Instantly analyze clinical documentation against the most current AMA guidelines to optimize reimbursement and protect against audits.

Enterprise-Grade Privacy & Security

100% HIPAA Compliant. Our built-in Pre-Flight PHI Scrubber uses the HIPAA Safe Harbor method to automatically redact patient identifiers before any analysis begins. Your clinical data is strictly confidential and never used for AI model training.

How It Works

Complex coding logic simplified into 4 intuitive steps.

1

Select Encounter

Choose from a comprehensive list of the most current encounter types, including Initial Hospital Care, Established Office Visit, and ED.

2

Enter Total Time

Input your total time spent. The AI will automatically calculate and recommend whichever method (Time vs. MDM) yields the highest code.

3

Paste Your Note

Drop in your raw clinical note, HPI, or even a brief summary. The AI reads text just like a human auditor would.

4

Get Your Code

In seconds, our engine calculates MDM vs. Time and delivers the mathematically correct CPT code with a full rationale.

1. Paste Your Note
E/M-Code-Sense AI Input
2. Get Instant Results
E/M-Code-Sense AI Output
Capabilities

Built for Revenue & Compliance

More than just a calculator. It’s a suite of tools designed to protect and grow your practice.

Instant E/M Calculation

Accurately determines the highest justified level based on Time vs. the 2-out-of-3 MDM rule.

💡

Prevent Undercoding

Optimize reimbursement by preventing inadvertent undercoding. The AI calculates how close you are to the next billing tier.

⚠️

Audit Risk Flags

Aggressively flags contradictions between your selected encounter type and your written documentation.

📝

1-Click EHR Integration

Generates a perfectly formatted “Coding Rationale Narrative” ready to paste into Epic, Cerner, or any EHR.

📊

Financial Insights

View 2026 Medicare Physician Fee Schedule reimbursement rates and national utilization curves.

🧠

Continuous Compliance

Our algorithms are continuously updated to reflect the most current guidance for E/M coding and documentation.

Privacy, Security & HIPAA

We take data privacy seriously. The E/M-Code-Sense AI features a powerful Pre-Flight PHI Scrubber driven by an advanced AI model.

When you click “Analyze,” the tool instantly evaluates your text using the HIPAA Safe Harbor method to identify and scrub Protected Health Information (PHI). Before any data is processed for coding analysis, the following information is automatically redacted and replaced with placeholders:

  • Patient Names
    [REDACTED NAME]
  • Social Security Numbers
    [REDACTED SSN]
  • DOBs & Exact Dates
    [REDACTED DATE]
  • Phone / Fax Numbers
    [REDACTED PHONE]
  • Email Addresses
    [REDACTED EMAIL]
  • Medical Record Numbers
    [REDACTED MRN]
  • Physical Addresses
    [REDACTED ADDRESS]
  • Health Plan / Acct #s
    [REDACTED ACCT]
  • Device IDs & IPs
    [REDACTED DEVICE]
  • Geographic ZIP Codes
    [REDACTED ZIP]

Important User Responsibility

While our automated scrubber catches standard numerical PHI, it cannot always accurately distinguish between a highly unique patient’s name and a standard medical term. Please do not paste Patient Names, actual Medical Record Numbers (MRNs), or specific physical addresses into the text box.

Why providers rely on the E/M-Code-Sense AI

1

Maximize Legitimate Revenue

Providers routinely under-code complex visits out of fear. Our tool mathematically proves when a higher code is justified.

2

Save Hours of Admin Time

No more flipping through complex matrices or tallying data points. Let the AI do the heavy lifting in seconds.

3

Audit-Proof Your Charts

Every code generated comes with a defensible rationale text block to paste directly into your chart.

Frequently Asked Questions

What if I disagree with the AI’s code?

The AI is a highly advanced assistant, but you are the final authority. If you believe the code is incorrect, review the “MDM Details Breakdown” at the bottom of your result. The AI will show you exactly how it graded your Problems, Data, and Risk. Usually, if a code is lower than expected, it is because a specific action (like interpreting a test) was performed but not explicitly written in the pasted text.

Does the tool hallucinate or make up codes?

No. The AI engine has been strictly confined via prompt engineering to utilize only the most current AMA E/M scoring algorithms. Our algorithms are continuously updated to reflect the most current guidance for E/M coding and documentation. It relies on pure coding logic and mathematical matrices, not generative guessing.

Can I use this for Emergency Department visits?

Yes. If you select “Emergency Department” from the dropdown, the AI automatically knows that ED visits cannot be billed by time. It will ignore any time statements in your note and calculate the code purely based on MDM.

Is there a limit to how many notes I can analyze?

Yes, to ensure high performance and reliable access for all providers, users are currently limited to 500 clinical note analyzations per month.

Can I use this for Psychiatry E/M encounters?

Yes, the tool is highly accurate at calculating the base level of care for psychiatric E/M encounters based on Medical Decision Making (MDM) or Time. However, please note that it evaluates the primary encounter only and does not currently calculate or append psychotherapy add-on codes.

Why did the formatting change when I clicked “Copy for EHR”?

The visual result box contains bold text, emojis, and bullet points to make it easy to read. However, pasting rich formatting into EHRs like Epic or Cerner often causes glitches. Our “Copy for EHR” button safely strips out all markdown code, ensuring you paste clean, unformatted plain text into your charting system.

Who do I contact if I need technical support?

Please reach out to our support team via our Contact Page for any technical issues or enterprise inquiries.
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