Capture Audit
AI-powered chart audit for outpatient billing. Paste a clinical vignette, get the right primary E/M, add-on codes, modifiers, and missed wellness opportunities — with the documentation gaps for each suggestion.
What an audit returns
The model reviews only the text you submit. It may return candidate codes or explain that information is insufficient. Reference links below describe selected guidance; the model does not verify live payer edits or provide claim-specific citations.
Primary E/M with rationale
A candidate E/M based on the documented setting, MDM or qualifying time. Missing information can mean no primary code is suggested. A single risk element does not determine the overall MDM level.
Additional services to review
Candidate additional codes only for services actually described as performed. Base-code, time, frequency, coverage and same-day billing requirements still need verification.
Modifier and bundling guidance
Modifiers depend on documented work and payer rules. Medicare has specified preventive-service exceptions for office E/M-25 with G2211. A modifier does not automatically unbundle a service or waive cost sharing.
Questions about documented services
Clarifications about care the note says occurred. Adding a phrase cannot substitute for performing a service, meeting its requirements or documenting it accurately.
Sample output
Illustrative review of an established office visit: two chronic illnesses addressed, prescription management, an ongoing care relationship, and an ACP discussion with its duration unspecified. This is not a verified claim.
99214Office visit, established, moderate MDMIf the addressed problems satisfy moderate complexity and prescription management supports moderate risk, two MDM elements can support this candidate level. The full encounter must be reviewed.
G2211Continuity complexity add-onAn eligible continuing care relationship and base visit are required. Medicare permits specified preventive-service exceptions when the office E/M carries modifier 25.
99497Advance care planning, first 30 minClarify whether qualifying voluntary ACP occurred, the participants and content, and at least 16 minutes of qualifying time. Do not count overlapping E/M time or invent a duration. A brief mention alone is insufficient.
How it works
- 1
Paste the vignette
Prepare synthetic or deidentified text before pasting. Review the privacy notice: submitted text is sent to Anthropic and provider retention rules apply.
- 2
Get suggestions
The model uses selected source-informed instructions and the current site catalog. It can make mistakes and does not retrieve live payer rules. Review the reasoning and missing information.
- 3
Compare to what you billed
Compare entered codes with model suggestions. A difference does not prove underbilling or overbilling. Dollar illustrations use your inputs and are not payment or income forecasts.
Daily caps and what you get per tier
| Tier | Price | Audits per day | Includes |
|---|---|---|---|
| Free | $0 | 3 | Coding suggestions only, dollar math locked |
| Pro | $3.99/mo | 30 | Full dollar math, Missed Opportunities detail, lifetime gap tracker |
| Pro Plus | $4.99/mo | 100 | Everything in Pro + Epic SmartPhrase library |
| Pro Max | $5.99/mo | 500 | Everything in Pro Plus + Owner P&L, Contract Review unlimited |
References for selected coding guidance
Selected rules reviewed September 23, 2026. These references do not certify an individual AI result or replace payer-specific review.
- CMS cognitive assessment and care planning
- CMS advance care planning
- CMS payment policy indicators
- CMS evaluation and management guidance
- AMA E/M guidelines
- CMS annual wellness optional services
- CMS global surgery
- CMS NCCI modifier guidance
- CMS telehealth billing
- CMS telehealth FAQ (February 2026)
- CMS teaching physician guidance
PHI policy
Do not paste patient-identifying information. Prepare a synthetic or deidentified vignette before using this tool. Common-identifier checks are incomplete and do not certify deidentification. Submitted text is sent to Anthropic, whose retention rules apply. RVUDoc does not save audit text or results in its application database. Read our AI data handling policy before submitting. Verify suggestions against current payer rules and your compliance team's guidance before billing.
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