Introducing the one-stop solution
for E/M and ICD-10 coding.
Test drive E/M-Code-Sense AI for free.
Experience the future of E/M coding firsthand. Sign up today and process your first 15 charts entirely on us. See how instantly calculating MDM vs. Time can protect your practice and optimize your reimbursement.
No credit card required.
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.
Select Encounter
Choose from a comprehensive list of the most current encounter types, including Initial Hospital Care, Established Office Visit, and ED.
Enter Total Time
Input your total time spent. The AI will automatically calculate and recommend whichever method (Time vs. MDM) yields the highest code.
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.
Get Your Code
In seconds, our engine calculates MDM vs. Time and delivers the mathematically correct CPT code with a full rationale.
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:
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✓ Patient Names[REDACTED NAME]
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✓ Social Security Numbers[REDACTED SSN]
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✓ DOBs & Exact Dates[REDACTED DATE]
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✓ Phone / Fax Numbers[REDACTED PHONE]
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✓ Email Addresses[REDACTED EMAIL]
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✓ Medical Record Numbers[REDACTED MRN]
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✓ Physical Addresses[REDACTED ADDRESS]
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✓ Health Plan / Acct #s[REDACTED ACCT]
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✓ Device IDs & IPs[REDACTED DEVICE]
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✓ 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
Maximize Legitimate Revenue
Providers routinely under-code complex visits out of fear. Our tool mathematically proves when a higher code is justified.
Save Hours of Admin Time
No more flipping through complex matrices or tallying data points. Let the AI do the heavy lifting in seconds.
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?
Does the tool hallucinate or make up codes?
Can I use this for Emergency Department visits?
Is there a limit to how many notes I can analyze?
Can I use this for Psychiatry E/M encounters?
Why did the formatting change when I clicked “Copy for EHR”?
Who do I contact if I need technical support?
Automated Medical Necessity
Cross-Checking.
A high E/M level means nothing if the diagnosis doesn't justify it. E/M-Code-Sense AI now bridges the critical gap between your CPT code (the "What") and your ICD-10 codes (the "Why").
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Acuity Tracking & Mapping
The AI maps your diagnosis severity (e.g., stable vs. exacerbated, minor vs. systemic) directly to the AMA MDM matrix.
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The "Double Chronic" Boost
If the AI detects two stable chronic conditions in your text, it automatically triggers the Moderate MDM threshold to maximize revenue.
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Audit Risk Flags for Time
If you bill 45 minutes of time (Level 5) but your primary diagnosis is a common cold, the AI instantly flags a medical necessity warning.
Calculated Level of Care
Medical Necessity Cross-Check
Status: Justified. Severity of diagnoses (Chronic illness w/ severe exacerbation + additional stable chronic) mathematically maps to High MDM complexity, supporting the extensive 42-minute time entry.
Engineered for OIG Defense & AHIMA Standards
E/M-Code-Sense AI isn't just a calculator; it's a digital firewall. The backend logic is mathematically strict and emotionally detached, ensuring your organization is protected against upcoding while ethically educating your providers.
OIG-Defensive Methodology
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The "Four Corners" Rule
Zero clinical assumptions. If a detail (like "decision to admit") isn't explicitly written in the note, the AI will not grant credit—mimicking a ruthless OIG auditor.
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Prevents Double-Dipping
Strict logic blocks accidental upcoding, such as taking credit for "reviewing" a test today that was already billed when ordered during a previous encounter.
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Strict Risk & Toxicity Rules
Actively targets and downgrades claims of "High Risk" for routine monitoring, ensuring the note actually describes monitoring for adverse effects.
AHIMA-Aligned Ethical CDI
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Ethical Querying
The AI never "leads" a physician to document a higher code just for revenue. It identifies clinical gaps and prioritizes accuracy over profit.
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Accuracy Over Revenue
The goal is the correct code, period. The AI will confidently upgrade a 99213 to a 99214, or downgrade a 99215 to a 99214 if the documentation doesn't support it.
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Concurrent Education
Delivers real-time Clinical Documentation Improvement (CDI) tips. It educates the provider instantly so they write better, more compliant notes tomorrow.