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truescience — Built on Intelligence
Solutions

Six ways we plug revenue leaks.

Coding, cycle, oversight and appeals — one connected platform running underneath all of it.

01 · Coding

Medical Coding & Billing

Clinical documentation turned into accurate CPT, ICD-10 and HCPCS codes, and claims that clear payer edits the first time — not the third.

Medical coding is the translation of clinical documentation — physician notes, lab results, diagnostic imaging — into standardised procedure and diagnosis codes that payers require for reimbursement. Truescience automates CPT, ICD-10-AM and HCPCS code assignment using payer-specific rule engines, then scrubs every claim against regulatory edits from eClaimLink, NPHIES and DoH before submission. The result is fewer rejections, faster payment and a measurably higher first-pass acceptance rate for hospitals, clinics, labs, pharmacies and home health providers across the UAE, Saudi Arabia and GCC.

Automated CPT / ICD-10 / HCPCS coding
Payer-specific edit checks before submission
Coder review queue with full audit trail
Eligibility & pre-authorization checks
Charge capture and claim scrubbing
Collections workflows and aging follow-up

02 · Cycle

Revenue Cycle Management

End-to-end ownership of the cycle — from eligibility verification through charge capture, submission and collection — run as one connected loop, not five handoffs.

Revenue cycle management (RCM) is the end-to-end financial process healthcare providers use to track a patient encounter from registration and eligibility verification through coding, claim submission, payment posting and collections. Truescience runs each step as one connected loop — not a chain of handoffs between separate teams. Eligibility is checked before the encounter, coding is validated against four million payer rules, and denied claims are root-caused and resubmitted inside contractual windows. For GCC hospitals and clinics, this means fewer revenue leaks, shorter days in accounts receivable, and predictable cash flow.

03 · Oversight

KPI Audits & Solutions

Ongoing performance audits benchmarked against payer and specialty standards, surfaced as dashboards your team can act on the same day.

KPI audits measure how efficiently a healthcare organisation converts clinical work into collected revenue. Truescience benchmarks each client's denial rate, first-pass yield, days in AR, and cost to collect against specialty and payer norms, then surfaces the gaps as actionable dashboards. Root-cause audit reports identify whether revenue leakage originates in coding, eligibility, payer policy changes or internal workflow — so finance and operations teams act on evidence, not assumptions.

Denial rate, days-in-AR, first-pass yield tracking
Peer and specialty benchmarking
Root-cause audit reports
Validate — claim integrity, checked before submission
Scribe — clinical notes turned into compliant coding
Flow — one workflow from encounter to settlement
Signal — KPI dashboards and root-cause reporting

04 · Platform

Technology

Four connected products — Validate, Scribe, Flow and Signal — built to sit inside the hospital and finance systems you already run.

Truescience's platform is four connected products that sit inside — not beside — the hospital information system, ERP and payer portal a provider already runs. Validate checks every claim against four million payer and regulatory rules before submission. Scribe turns clinical notes into compliant codes. Flow routes exceptions, approvals and resubmissions through one workflow. Signal delivers KPI dashboards and root-cause analytics. Together they form an AI-native intelligence layer purpose-built for GCC healthcare.

05 · Finance

Reconciliation

Remittance and payments matched against submitted claims automatically, down to the line item, so cash posted always ties back to work done.

Reconciliation in healthcare finance means matching every remittance advice and payment to the original claim, down to the individual line item. Truescience automates ERA and EOB matching, flags underpayments and contractual variances, and reconciles bank deposits to posted claims. For GCC providers managing high claim volumes across multiple payers and regulators, automated reconciliation eliminates manual spreadsheet work and ensures cash posted always ties back to clinical work performed.

ERA / EOB auto-matching
Underpayment and variance detection
Bank deposit to claim reconciliation
Denial reason classification and trending
Appeal drafting and tracking
Root-cause feedback to coding & billing

06 · Recovery

RA & Denial Analysis Management

Remittance advice analyzed and classified by denial reason, with appeals managed end to end to recover revenue that would otherwise be written off.

Denial management is the process of identifying why a payer rejected or underpaid a claim, correcting the root cause, and resubmitting within the contractual appeal window. Truescience classifies every denial by reason code, trends denial patterns by payer and procedure type, and generates appeal documentation automatically. Root-cause insights feed back into coding and eligibility checks so the same denial does not recur. For GCC healthcare providers, this recovers revenue that would otherwise be written off and reduces the denial rate over time.

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