AI-powered E&M coding for ophthalmology — right CPT code, every time, with the rationale to defend it.
HIPAA-Ready (BAA)Ophthalmology-SpecificPowered by Claude2021 AMA Guidelines
The Problem
E&M coding is complex, high-stakes, and hard to get right.
8–15%
of E&M revenue lost annually to miscoded visits — invisible until an audit catches it.
2021
AMA overhauled office E&M guidelines. MDM-based coding replaced time-based defaults — every visit now requires active judgment.
~19,000
US ophthalmology practices — 70.4% private practice, the highest of any specialty (AMA 2024). Most small practices have no certified coder: the doctor who saw the patient picks the code, while payers downcode high-level E/M claims algorithmically.
·At 20 visits/day, even 10% miscoding = $35,000+ lost per year
·Compounds silently — invisible until you audit yourself
·Conservative coders are the least-flagged and the least-paid
The answer isn't to code more conservatively — it's to code more accurately.
The Solution
Know the right code. Every time.
LevelWise takes a finished clinical note and returns the CPT code with full MDM rationale — no forms, no dropdowns, no counting your own tests.
✓No EHR integration required — paste or upload any note
✓Accepts .txt, .pdf, .docx, and CCDA/XML formats
✓PHI stripped client-side before anything is analyzed
✓Full MDM breakdown: Problems, Data, Risk — with supporting quotes
✓Physician can override any result and log the reason
✓Each override calibrates future analyses for your practice
How It Works
From visit note to CPT code in three steps.
1
Upload or paste the clinical noteDrop a file (.txt, .pdf, .docx, CCDA/XML) or paste directly. Any format your EHR exports works.
Any EHR
2
PHI is automatically scanned and redacted18-identifier HIPAA Safe Harbor scan runs in the browser. Patient names, dates, MRNs — flagged, shown, replaced before any data leaves the device.
In-Browser Only
3
AI returns the CPT code with full MDM rationaleClaude analyzes the de-identified note against 2021 AMA guidelines. Returns complexity level, CPT code, element-by-element breakdown, and supporting quotes.
No Forms
Compliance & Safety
Built for healthcare from day one.
🛡️
Two-layer PHI protectionYou sign one Business Associate Agreement, and it's with LevelWise — not with a cloud vendor. In production, notes are read by Claude on Google Cloud inside a BAA that LevelWise holds, and the note is never stored. As a second layer, all 18 HIPAA Safe Harbor identifiers are scanned and replaced client-side before send. (The public demo runs on de-identified samples — no real PHI.)
👨⚕️
Physician Override PanelEvery AI result can be corrected by a physician with a documented reason. Overrides are logged and injected back into future analyses as calibration signals.
📋
Audit TrailEvery analysis is timestamped — model used, token count, note length, suggested code, final code. No note content stored. Designed audit-ready from day one.
⚠️
DRAFT Disclaimer on Every ResultResults are suggestions, not billable codes. Physician attestation required before any code is finalized — liability stays with the practice.
Who Uses It
Built for the one person who does all four jobs.
10×
less work per chart
estimated, vs. a code calculator
2 forms
what a calculator makes you fill in — for every visit
👨⚕️
You saw the patient
You wrote the note. LevelWise reads that note — the one you already finished — instead of asking you to describe the visit a second time in a form.
🧾
You pick the code
No coder down the hall to ask. An independent second read on the level, with the MDM reasoning laid out — so it's a check, not a guess at the end of the day.
📊
You carry the revenue
Undercoding quietly costs you; overcoding invites a clawback. Eye-code vs E/M, modifier 25, and laterality are checked on every chart — eye care's top denial drivers.
🔒
You answer the payer
When a downcode lands, the rationale and the quotes from your own note are already written. Full audit trail; PHI under a BAA LevelWise signs; Safe Harbor de-identification client-side.
Pricing
Simple subscription. No per-visit fees.
Code calculators make you re-enter the visit in forms and dropdowns — LevelWise reads the finished note you already wrote.
Solo
$149
per month
1 user
✓Unlimited analyses
✓Upload or paste any format
✓PHI Safe Harbor scan
✓MDM breakdown + CPT code
✓Physician override panel
✓Email support
Practice ⭐
$299
per month
Up to 5 users
✓Everything in Solo
✓Multi-user access + roles
✓EHR import via FHIR
✓Practice-wide audit log
✓Monthly accuracy reports
✓Priority support
Enterprise
$599+
per month
Unlimited users
✓Everything in Practice
✓Embedded EHR (SMART on FHIR)
✓Code from inside the chart
✓Custom MDM prompt tuning
✓SLA + dedicated support
✓Custom BAA available
Practice Tier ROI — 12-Month Projection (10 visits/day, 5% miscoding rate)
── Cumulative Savings- - Subscription Cost
Getting Started
Live in 24 hours.
Say yes. We send onboarding instructions to whoever codes your visits. They're analyzing notes the same day.
Solo or small clinic
→We email onboarding slides directly to the coder or physician
→One person, one link, five minutes to get started
→No IT department, no installation, no contract to sign
→Paste your first note the same day
Larger coding team
→We email slides to the billing lead or coding manager
→They forward to staff — no IT involvement needed
→Multi-user accounts set up same day
→Team is analyzing visits within 24 hours
24 hours from yes to first CPT code.
Next Steps
One ask.
01
Tell us who does your codingOne person or a team — give us a name and email. That's the only information we need to get started.
02
We send the onboarding slides todayThat person gets a short slide deck and a link. Setup takes five minutes — no install, no IT, no contract.
03
Code your first visitOpen the link, paste a note, get the CPT code. That's the whole workflow.
You're all set
Open the Coder.
Onboarding done. Paste a visit note and LevelWise returns the CPT code with full MDM rationale — the note you already wrote, read back to you as a defensible code.
