Documentation Gaps
Up to 35% of claims require additional documentation before payment. ORBIT surfaces gaps at the point of care, before billing.
Building the Future of Clinical Documentation and Billing
Intelligent Clinic Assistant
Developed by Cassini · For Medical Billing Companies · Confidential
Full coverage. Every encounter.
THE OPPORTUNITY
Medical billing companies process thousands of claims monthly — but the real revenue leakage happens upstream, before a claim is ever submitted. Incomplete documentation, missed codes, unsupported diagnoses, and unsigned charts drain profit from every encounter. ORBIT closes that gap at the source — operating as an Intelligent Clinic Assistant above the EHR, not as an EHR replacement.
Up to 35% of claims require additional documentation before payment. ORBIT surfaces gaps at the point of care, before billing.
Average practices see 5–10% denial rates. ORBIT’s real-time billing readiness scoring and payer-rule checks help reduce denials 30–40% within six months.
Preventive care codes, HCC recapture, CCM, and AWV go uncaptured in every visit. ORBIT surfaces them with evidence, in real time, during the encounter.
Unsigned charts mean delayed billing. ORBIT’s sign-off workflow and AI note generation reduce documentation time — keeping your billing queue flowing.
THE PLATFORM
ORBIT manages the complete encounter lifecycle: from the moment the patient enters the exam room through rooming, documentation, vitals capture, real-time billing opportunity review, coding readiness, billing review queue, provider sign-off, EHR handoff, and denial prevention. Every item is candidate or review language — human review required before finalization.
Visit-level patient snapshot: active problems, medications, labs, care gaps, prior notes, sync status — all evidence-labeled and role-specific.
Central screen for the day’s revenue and care candidates — by patient, provider, priority, and status. Act before the visit closes
Per-visit status: ready for billing/coder review, needs evidence, missing documentation, not supported — before your team touches the claim.
Every ICD-10, CPT, E/M, and HCPCS candidate links to the note, vitals, or lab that supports it. Coders see the evidence — no black boxes
Denial risk surfaced as a review/warning item with evidence and human review — not an automated prediction engine. Every denial informs future documentation.
Chronic condition, AWV, and preventive care candidates surfaced with supporting evidence. Documentation review prompts only — not diagnosis commands.
AI note draft from any source (EHR, scribe, manual, mock). Provider review and sign-off required before any billing or EHR handoff.
PDF packet, copyable text, CSV, and structured manual handoff. Automatic EHR write-back requires separate approval — manual handoff is the safe Release 1.0 path.
Candidate opportunities, completed items, deferred/lost, documentation gaps, billing holds, and closure blockers — by provider, date, and location
WORKFLOW INTEGRATION
ORBIT operates as a workflow and action layer above the EHR — eliminating the root causes of denials, delays, and revenue loss before a claim is ever prepared. ORBIT does not replace the EHR, the billing system, or your team.
ORBIT reviews patient age, conditions, medications, labs, prior visits, and payer data the moment a provider opens an encounter — surfacing candidate preventive care needs, HCC opportunities, and billable services for review.
The full visit context is captured and turned into a structured AI note draft. Every section links back to transcript, vitals, EHR data, or provider input. Provider review and sign-off required before finalization
ORBIT identifies missing plan, weak code support, unsigned charts, abnormal vitals not addressed, and incomplete notes — before the billing/coder team touches the claim.
No code, claim package, or EHR export moves without provider approval. The sign-off workflow eliminates the unsigned-chart backlog that delays your billing queue
Billing/coder staff receives claim packages pre-scored for readiness, with evidence links, hold reasons, and clarification routes. Fewer calls to the clinic. Fewer denials.
When denial-risk patterns are identified, ORBIT captures the signal — feeding it into billing readiness rules. Documentation quality trends up over time.
Full audit logs, role-based access, encrypted storage, session controls, and no-PHI development guardrails built in from Release 1.0.
Feature flags, rule activation, payer configuration, role permissions, and workflow setup customized per provider, specialty, and location.
Candidate and review language throughout. No final code, claim, or EHR export without provider or billing/coder human review and sign-off.