XpertDox Partners with CHP Berkshires to Enhance Revenue Cycle Performance Through AI Medical Coding

XpertDox, a leader in AI-driven autonomous medical coding technology, has announced a strategic partnership with Community Health Programs, Inc. (CHP Berkshires), a Federally Qualified Health Center serving over 30,000 residents across Berkshire County, Massachusetts. This collaboration represents a significant advancement in healthcare revenue cycle management, particularly for safety-net providers serving vulnerable populations.

The partnership centers on the implementation of XpertCoding, XpertDox's flagship AI-based coding solution, across all CHP Berkshires facilities. The technology aims to revolutionize the health center's revenue cycle operations by improving coding quality scores, focusing on value-based care initiatives, ensuring HCC recapture, and maintaining compliance with Medicare's FQHC coding and billing standards. For an organization that has delivered healthcare and family services to Berkshire County for over 50 years, this technological upgrade represents a critical step in modernizing operations while maintaining their mission of compassionate care.

Jesse Suphan, Senior Director of Revenue Cycle & Quality at CHP Berkshires, reported transformative results from the AI implementation. "We've seen increased collections per claim, higher quality scores through automated Category II coding, and our coding team is now able to focus on value-based care initiatives and auditing," Suphan stated. "The dashboards for provider documentation improvement and HCC recapture have been especially impactful."

The XpertCoding solution includes a comprehensive Business Intelligence Platform that provides CHP Berkshires with clear insight into coding accuracy, billing levels, and provider performance. The platform features specialized dashboards for Fee-for-Service, Quality Measures, and Risk Adjustment (HCC) coding, enabling data-driven decision making across the organization. This level of analytics is particularly crucial for FQHCs operating under complex regulatory requirements and reimbursement models.

Sameer Ather, CEO and Co-Founder of XpertDox, emphasized the partnership's significance in supporting community health centers. "Our AI-powered autonomous coding technology is designed to eliminate administrative friction, increase coding accuracy, and support FQHCs like CHP Berkshires in their core mission—delivering equitable, patient-centered care to underserved communities," Ather explained. The technology deployment enhances coding efficiency, ensures regulatory compliance, reduces manual workload, and strengthens the center's ability to provide high-quality, accessible care to its diverse population.

This partnership demonstrates how AI technology can address critical challenges in healthcare administration, particularly for organizations serving medically underserved areas. By automating complex coding processes and providing advanced analytics, the solution enables healthcare providers to redirect resources toward patient care while maintaining financial sustainability. The success of this implementation at CHP Berkshires could serve as a model for other FQHCs seeking to optimize their revenue cycle operations through technology. More information about XpertDox's solutions can be found at https://www.xpertdox.com.