Capability
MAIA reads a clinical note (typed, dictated, or auto-drafted by the Clinical Notes module) and returns ranked ICD-10/11, CPT, and HCPCS code suggestions with confidence scores and review flags. A deterministic CMS guideline validator catches Excludes1 conflicts, missing companion codes, and specificity issues before a coder ever sees the chart. Every suggestion is reviewed by a credentialed coder or clinician before it reaches the billing claim. Built for medical practices, integrates with Epic, Cerner, Athenahealth, and Medplum, and runs HIPAA-aware infrastructure with a Business Associate Agreement available.
Coverage focuses on primary care and the most common medical specialties. Surgical CPT coverage is being expanded specialty by specialty.
Internal benchmarks against coder-validated charts show top-suggestion accuracy above 95% for primary diagnoses on common medical specialties. Every suggestion is reviewed by a credentialed coder or clinician before billing.
No. MAIA is a suggestion-and-validation tool, not a billing autopilot. The pipeline is designed to make coders faster and more accurate, not to remove them from the loop.
The validator checks Excludes1 and Excludes2 conflicts, code-first ordering, use-additional companion codes, specificity (laterality, episode, encounter type), and non-billable/header-only code flags. Each potential issue is surfaced to the reviewer with a flag and the source guideline reference.
Yes. The E/M calculator implements the CMS 2021 office and outpatient rules deterministically. Inputs are number and complexity of problems, data reviewed, and risk; output is a recommended 99202 to 99215 code with the rule trace.
Try MAIA's coding suggestions on your own charts. Limited early access is open to private practices in the United States.
Join the waitlist