PCH Health

What does the autonomous coding service do?

On its autonomous medical coding page, the service assigns CPT, diagnosis and HCPCS codes, E/M levels and charges, with human oversight. A machine learning and natural language processing engine does the first pass, and the company says certified coders trained it. It covers inpatient and outpatient coding. Real-time performance monitoring is part of the offer, and the company says volume can scale without extra infrastructure.

The revenue integrity service adds charge audits, missed-charge recovery and HIM code review. For claims, PCH submits EDI to all the plans on its EDI payer list and offers remittance processing.

What numbers does PCH quote?

PCH's blog and service pages claim a cost saving of more than 30 percent, accuracy of 98 percent or better, turnaround under 24 hours and throughput of up to 12 encounters per second. The company also says it has more than 40 years of experience and 1,200 or more coders certified by AAPC or AHIMA. All of it is the company's own account.

Who owns PCH Health and what does it certify?

The footer credits XBP Global Holdings Inc. as the parent. The vendor page says the company prioritizes HIPAA compliance and lists HITRUST CSF, PCI DSS and Veracode Verified among its certifications.

Are rates published?

The autonomous coding page shows no rates. The only quantified cost statement is the claimed saving of more than 30 percent.

The verdict

PCH is a coding and billing outsourcer with an automation layer, and its pitch leads with human oversight. A provider group that wants to hand off coding, revenue integrity and claims work to a staffed team, with automation underneath, is the fit. A group that wants to buy standalone coding software will find a services engagement, and one that wants a rate sheet will need to ask for it.