Claimocity

by Claimocity  · Based in United States → — The Industry-Leading Inpatient Billing Solution
Family Medicine Hospital Medicine Internal Medicine
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Overview

Claimocity is an AI-enhanced mobile practice management and revenue cycle software designed exclusively for inpatient healthcare providers. It offers a comprehensive platform that handles all inpatient facility needs, from capturing patient interactions to securing timely provider compensation. The software combines AI, intuitive mobile software, and full-service medical billing to streamline workflows, reduce administrative burdens, and optimize revenue for practices and providers. Claimocity’s AI-powered charge capture meticulously reads clinical notes in real-time, analyzes billable services, and ensures accuracy before claims are submitted. The platform also includes features for clinical notes, reporting, compliance, and seamless facility integrations with over 3,000 facilities, including major EHRs like Cerner, Epic, Meditech, and PointClickCare.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • AI-Powered Charge Capture
  • Revenue Cycle Management (RCM) Services
  • Clinical Notes Integration
  • Reporting & Analytics (Practice IQ)
  • Compliance (MIPS integration, coding assistance)
  • Facility Integrations (HL7 ADT, custom API)
  • Mobile App (iOS & Android)
  • Smart Census
  • Claim Tracker
  • Proprietary Rules Engine

Use Cases

  • Automating charge capture and coding for inpatient encounters
  • Streamlining revenue cycle management for hospital and facility-based providers
  • Improving billing accuracy and reducing claim denials
  • Enhancing care coordination and communication within provider groups
  • Providing real-time insights into practice performance and financial health
  • Reducing administrative burden for inpatient physicians

What Physicians Need to Know

Key Capabilities
Claimocity is a medical billing and practice management software with AI-enhanced tools designed for hospitalists and physicians in inpatient specialties. It offers automated charge capture, revenue cycle management, clinical notes, reporting, and compliance features. The AI Charge Capture tool reads clinical notes to suggest accurate CPT and diagnosis codes, aiming to reduce errors and accelerate reimbursements. It also includes practice IQ reporting, a claim tracker, and payment processing.
Clinical Utility
Claimocity helps reduce clinical workloads and automates complex billing and coding, allowing doctors to save time and increase revenue and productivity. It streamlines workflows by automating tasks like data mining from EHR systems, suggesting accurate codes, and pre-populating charge lists. The platform's clinical notes feature allows for charting and billing in one workflow, with customizable templates and the ability to reuse content from prior visits.
Integration Options
Claimocity supports various integration types, including real-time HL7 patient (ADT) feeds, custom API integrations, and daily financial file feeds. It is compatible with major EMR systems like Cerner, Epic, MediTech, PointClickCare (PCC), MatrixCare, SigmaCare, and American HealthTech. The integration aims for seamless data exchange, reducing manual entry and errors.
Compliance Status
Claimocity prioritizes patient privacy and adheres to HIPAA regulations, utilizing secure cloud-based storage and encryption protocols. It offers features for MIPS quality measure attestation and reporting, sharing data with its CMS-Qualified Reporting Registry partner, Patient360. The platform also supports configurable quality measures, coding audits, patient population reporting, and clinical documentation compliance.
Pricing Model
Claimocity's pricing structure is customized based on the organization's size, workflow, and specific needs, requiring direct contact for a custom quote. Factors influencing cost include the number of users, specific features, and the level of support. Integration, customization, training, and data migration costs are determined on a case-by-case basis. A free trial is available.
User Experience
Claimocity is designed for a user-friendly experience with an intuitive mobile app accessible on various devices. Users have reported it as easy to use, saving significant time on charting and billing compared to paper-based systems. The platform aims for a seamless transition to higher productivity without extensive downtime or steep learning curves.
Support Quality
Claimocity offers 24/7 concierge-level support, including email/help desk, FAQ/forum, knowledge base, and phone support. Users have praised the support team for being exceptional, always available, quick to respond, and effective in resolving issues.
Implementation Complexity
Claimocity aims for seamless onboarding with clear training, hands-on support, and expert guidance. The implementation, customization, training, and data migration costs are determined on a case-by-case basis, depending on the complexity of the setup and the size of the organization. While AI solutions are designed to integrate directly with existing EHRs and workflows, some sources mention high initial integration costs may deter smaller practices.
Evidence Base
Case studies indicate that Claimocity's accelerated mobile charge capture can significantly increase payable claims and net revenue. One study showed a 2.4% rise in total payable claims and a 3.76% increase in total net revenue in the first year. It also reported a 99% increase in understanding claim payment values and an 89% reduction in concern about missing charges. The mobile charge capture averages 15 seconds for initial encounters and less than 2 seconds for follow-up encounters.
Physician Tip

Leverage Claimocity's AI Charge Capture to automate coding and billing, freeing up significant time for patient care. Utilize the mobile app for on-the-go charge capture and note-taking to streamline your workflow. Regularly review the practice IQ reports and dashboards to identify areas for revenue optimization and monitor performance. Engage with their 24/7 support for any integration or operational questions to ensure smooth adoption and maximize the tool's benefits. Be precise when entering diagnoses for accurate auto-population of codes.

Claimocity offers robust integration capabilities with various EHR systems, including Cerner, Epic, MediTech, PointClickCare, MatrixCare, SigmaCare, and American HealthTech, primarily through HL7 ADT feeds and custom APIs. While integration is designed to be seamless and minimize IT involvement, the complexity of your existing systems may impact implementation fees. Claimocity also integrates with PracticeSuite for enhanced charge capture and revenue cycle management.

Details

Category Medical Billing & RCM, Practice Management & Scheduling
Pricing Contact for pricing
  • Customized based on organization's size, workflow, and specific needs; integration is part of Connect, Clinical, or AI software packages, with potential additional costs for new integrations
DeploymentCloud Hosted; Web-Based; Mobile (iPhone, Android)
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status Unknown AI-estimated

Claimocity does not mention FDA clearance. It focuses on administrative and billing processes rather than medical diagnosis or treatment.
Integrations
EHR Not specified
Specialties Family Medicine, Hospital Medicine, Internal Medicine

What the Web Says

Claimocity is a medical billing and practice management software designed for healthcare professionals, particularly hospitalists and physicians in inpatient specialties. It aims to reduce administrative workload, automate billing and coding, and improve revenue cycle efficiency. Users generally find it easy to use and appreciate its mobile charge capture capabilities.

Overall: Positive

Strengths

  • Easy to use and navigate, especially for medical providers.
  • Reduces billing and charting time significantly, often from minutes to seconds.
  • Increases revenue and improves collections for practices.
  • Offers real-time data updates and custom reporting for data-driven decisions.
  • Provides seamless third-party app integrations and a smart census tool.
  • Offers 24/7 concierge-level support and training options.

Limitations

  • High initial integration costs may deter smaller practices.
  • Potential for algorithmic bias in claim processing due to reliance on AI.
  • System updates and maintenance may cause temporary service disruptions.
  • Requires precision when entering diagnoses for auto-population.
  • Some users have reported slow updates and the need for extensive staff training.
  • Reports may not always be accurate or comprehensive for all company needs.

Based on reviews from: ITQlick, Software Finder, Claimocity Testimonials, Software Advice, G2, Capterra, Apple App Store, Slashdot

Last updated: 2026-10-02

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Press & Coverage

Claimocity (Press Release)
Claimocity Revolutionizes Inpatient Medical Billing with AI-Powered Charge Capture Product
Claimocity launched its AI-powered Charge Capture product, designed to streamline billing for inpatient providers by automating data extraction from EHRs and recommending codes, aiming to reduce administrative burden by 85% and increase revenue by 6% or more.
2024-06
openPR.com
Claimocity Advances Hospital Physician Revenue Cycle Management with Technology-Driven Solutions
This press release highlights Claimocity's focus on revenue cycle management solutions for hospital-based physicians, emphasizing their platform's mobile charge capture, AI-driven coding assistance, and clinical documentation tools.
2026-08
The Silicon Review
For hospital and facility-based doctors: Claimocity's game-changing revenue-cycle solution is a hit
Claimocity is recognized for its mobile practice management and billing software exclusively for hospitalists, aiming to save doctors significant time and improve revenue through AI-enhanced tools and an all-in-one solution.
2026-09
PracticeSuite
The Top 10 AI Medical Billing Software Solutions in 2026
Claimocity is listed as a top AI medical billing solution, specifically for simplifying inpatient and hospitalist workflows with its AI-driven charge-capture engine that identifies missed billing opportunities and optimizes coding.
2026-04
Claimocity
HIPAA Compliance for AI Charge Capture and Billing Software
This article from Claimocity discusses the complexities of HIPAA compliance with AI in healthcare, detailing how their platform ensures data security and regulatory adherence for AI-powered charge capture and billing.
2025-12
CXO Outlook Magazine
Claimocity: Revolutionizing Healthcare Economics and Excellence
Claimocity is highlighted as a most innovative healthcare company for revolutionizing healthcare economics through technological advancements, particularly in a time when paper-based systems were prevalent.
2023-10
Becker's Hospital Review
388+ revenue cycle management companies to know | 2025
Claimocity is recognized as a revenue cycle management company focusing exclusively on hospital- and facility-based physician practices, offering an all-in-one software and billing solution with AI-enhanced mobile practice management.
2025-03
wikiblogsnews
Why Does Medical Billing Still Feel Like Guesswork for So Many Practices?
This article discusses how AI medical billing software, like that offered by Claimocity, can reduce guesswork and denial rates by integrating error detection into the intake and documentation process.
2026-09

Videos

Product demos, reviews, and walkthroughs for Claimocity.

View all on YouTube

Frequently Asked Questions

Claimocity is a mobile-first medical billing and RCM (Revenue Cycle Management) platform designed to streamline the billing process for physicians, particularly those in inpatient and SNF settings. It aims to improve revenue capture by simplifying charge capture, coding, and claim submission, ultimately reducing denials and accelerating payments.
Claimocity incorporates features to support HIPAA compliance through secure data handling and access controls. It also assists with accurate coding by providing tools and prompts for CPT and ICD-10 codes, aiming to reduce errors that could lead to claim rejections or audits.
Claimocity generally offers flexible pricing models that may include a percentage of collections, per-claim fees, or subscription-based tiers. The specific costs can vary depending on the volume of claims, the size of the practice, and the suite of features selected.
While Claimocity offers many benefits, potential limitations could include its primary focus on inpatient and SNF settings, which might not be ideal for all specialties. Additionally, as with any technology, there may be a learning curve for staff, and integration with existing EHR systems should be thoroughly evaluated.
Claimocity differentiates itself with its mobile-first approach and focus on charge capture at the point of care, particularly for hospitalists and SNF providers. While other RCM services offer broader solutions, Claimocity aims for efficiency and ease of use in its specific niche, often resulting in faster claim submission and fewer denials.
Claimocity is designed to integrate with various EHR systems to facilitate a seamless flow of patient and billing information. The extent and ease of integration can depend on your specific EHR system, and it's recommended to verify compatibility during the setup process.
Claimocity typically provides comprehensive support and training to help physician practices onboard and utilize the platform effectively. This often includes initial setup assistance, user training, and ongoing technical support to address any questions or issues that may arise.

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Suggest an Edit → | Last Verified: 2026-09-30 | First Added: 2026-09-30
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