Introducing Autonomous Code Remediation

The First-Ever Autonomous Code Remediation Platform:
Saving Hospitals Millions in Preventable Denials

BeyondCode automatically identifies and fixes the coding logic errors causing 40-50% of claim denials - built on our enterprise-grade Pinnacle platform with native FHIR interoperability.

HIPAA Compliant FHIR Native Enterprise Security

The $262 Billion Problem

Healthcare claim denials are escalating, with coding logic errors representing the largest addressable cause of preventable denials.

11.8%
Denial Rate

Average across all payers, with Medicare Advantage reaching 18% denial rates - the fastest growing segment.

40-50%
Coding Errors

Of all claim denials stem from coding logic errors - modifier issues, bundling problems, and rule violations.

Persistent
Logic Issues

Broken logic denials persist for months because hospitals treat symptoms, not root causes.

Medicare Advantage Crisis

  • • Medicare Advantage plans show 18% denial rates vs. 11.8% industry average
  • • 48% of Medicare patients now in MA plans with complex, plan-specific rules
  • • Each MA plan has different requirements, creating coding complexity

Payers are now using AI to deny legitimate claims in as little as 2 seconds, creating an overwhelming tide of appeals for hospitals.

Autonomous Capabilities

BeyondCode creates an entirely new category of healthcare technology: autonomous systems that identify, analyze, and fix coding logic errors before they cause denials. BeyondCode is the first and only solution that autonomously fixes billing logic errors at the source.

Intelligent Detection

Continuously monitors denied claims to identify patterns that prevent millions in revenue recovery

Root Cause Analysis

Analyzes payer-specific rules and coding requirements to pinpoint exact logic failures causing denials

Autonomous Remediation

Automatically generates and implements coding fixes directly in your EHR systems without manual intervention

Continuous Learning

Learns from each interaction to prevent future logic errors and improve coding accuracy over time

Key Differentiators

Native FHIR interoperability
Platform approach vs. point solution
Fixes root causes vs. identifying problems
Proactive vs. reactive approach
No system replacement required
Enterprise-grade security

BeyondCode Platform Evolution

Comprehensive Denial Prevention Across All Categories

Phase 1: Autonomous Code Remediation (Available Now)

  • • Targets 40-50% of all denials through coding logic fixes
  • • Largest preventable denial category
  • • Immediate $15M-$25M impact per hospital

Phase 2: Clinical Appeals & Real-Time Integration (Coming 2025)

  • • Adds clinical denial appeals (30% of denials)
  • • Real-time prevention capabilities
  • • Comprehensive 70-80% denial coverage

Built on Pinnacle Platform

Autonomous Code Generation

Automatically creates and implements billing logic fixes without manual intervention

FHIR Integration

Native healthcare system compatibility with seamless EHR integration across all major platforms

Real-Time Intelligence

Instant payer rule updates and compliance monitoring for immediate logic adaptation

Self-Correcting Systems

Learns from each interaction to prevent future logic errors and improve coding accuracy

Calculate Your ROI

Discover the exact financial impact BeyondCode can deliver to your hospital. Our interactive calculator uses industry benchmarks to project your potential savings.

Executive Summary

$2,700,000
Claims Recovery
$720,000
Operational Savings
$3,020,000
Net Annual Benefit
604%
Combined ROI
2.4
Payback (Months)

Claims Revenue Recovery

Total Denied Claims: 24,000
Preventable Denied Claims: 14,400
Revenue at Risk: $3,600,000
Claims Revenue Recovery: $2,700,000

Operational Efficiency

Staff Cost Savings: $504,000
Compliance Savings: $225,000
Total Operational Savings: $729,000

Combined ROI Analysis

Total Annual Savings: $3,429,000
Implementation Cost: $500,000
Net Annual Benefit: $2,929,000
ROI Percentage: 586%
Payback Period: 2.1 months

Payback Timeline

Proven Results

Real-world implementations demonstrating the transformative impact of autonomous code remediation across different hospital types and specialties.

REGIONAL MEDICAL CENTER

500-Bed Community Hospital

$600M Annual Claims
Challenge: 15% MA Denial Rate
Solution: Phase 1 Implementation
Timeline: 3 Months
62%
Reduction in coding denials
$12.8M Recovered
METROPOLITAN HEALTH SYSTEM

800-Bed Academic Hospital

$1.2B Annual Claims
Challenge: Modifier & Bundling Errors
Solution: Comprehensive Deployment
Timeline: 6 Months
18x
ROI achieved
$23.1M Prevented
COMMUNITY HOSPITAL NETWORK

300-Bed Rural Hospital

$400M Annual Claims
Challenge: Limited Coding Staff
Solution: Automated Remediation
Timeline: 2 Months
45%
Staff time savings
$8.7M Recovery

Beyond-AI Evolution

We began as a technology incubator focused on autonomous systems and evolved into the definitive platform for healthcare intelligence. Our Pinnacle platform represents the next generation of enterprise-grade autonomous technology.

2023

Founded Beyond-AI as technology incubator focused on autonomous systems

Technology Incubator Foundation

Q1 2024

Pinnacle platform foundation and core architecture developed

Core architecture with autonomous code generation and self-correcting capabilities

Q2 2024

Advanced pattern recognition and logic analysis engine completed

Enhanced pattern recognition capabilities for complex healthcare scenarios

Q3 2024

Autonomous Code Generation (ACG) module integrated into Pinnacle

Advanced autonomous code generation capabilities

Q4 2024

Healthcare-specific rule engines and payer intelligence added

Specialized healthcare modules for revenue cycle optimization

Q1 2025

BeyondCode launched as first specialized Pinnacle application for healthcare

BeyondCode Specialization

70+
Intelligence Services
24/7
Autonomous Operation
FHIR
Native Integration
HIPAA
Compliant

Ready to Transform Your Revenue Cycle?

Join the hospitals already eliminating millions in preventable denials through autonomous code remediation. Let's discuss your specific needs and ROI potential.

Request a Demo

Get Started

1

Initial Analysis

30-day assessment of your current denial patterns and coding logic issues

2

Pilot Implementation

Focused deployment on highest-impact denial categories

3

Full Deployment

Comprehensive autonomous code remediation across all revenue cycle systems

Executive Contact

Email: [email protected]

Direct: 312-725-6556