Audiology billing & coding support
The service happened.
Make it easier to review.
Otomatic suggests billing codes from the appointment and brings the supporting details into view. Help your team identify potentially missed billable services while keeping clinical review in their hands.
Suggested from this appointment
Supporting detail · Transcript
“We completed the comprehensive hearing evaluation, including speech testing.”
- Clinical review
- Proposed
- Billing pipeline
- Awaiting review
Review the service and supporting details before billing.
Evidence before action
A suggestion needs context.
Review the proposed service alongside the relevant appointment detail. Your team can accept, edit, or reject a suggestion before using it in the billing workflow.
A suggested code is a starting point for review. Coverage, payer rules, and the work performed still need to be checked.
Two different decisions
Clinical review.
Billing follow-through.
First, confirm the service.
The clinician reviews whether the proposed code matches the appointment and supporting documentation.
Then, use your billing process.
Your team follows its existing process for claim preparation and submission. A code suggestion does not mean that a claim has been submitted or paid.
Canada & the USA
Start with the code sets your clinic uses.
Available code sets include USA CPT codes and Canadian payer codes, including OHIP, VAC, NIHB, and WSIB. Ask us to demonstrate the relevant code set and visit type for your practice.
Discuss your billing workflowQuestions, answered
What billing support does—and what your team reviews
Does Otomatic submit claims automatically?
Code suggestions support your existing billing process. Your team reviews the service, supporting details, and payer requirements before preparing and submitting claims through its billing workflow.
Can we change a suggested code?
Yes. The clinical review workflow allows your team to accept, edit, or reject a proposal. The clinician remains responsible for determining whether it matches the service performed.
Does this guarantee reimbursement?
No. A suggestion does not establish coverage or guarantee payment. Your team needs to confirm eligibility, documentation, and the applicable payer requirements.
How does this relate to the AI scribe?
Both use information from the appointment. The scribe helps prepare the clinical note; billing support brings potential codes and supporting details into a separate review workflow.
Put it into practice
See the review workflow for yourself.
Walk through Otomatic with our team using the workflows that matter to your clinic.