Sovereign RCM is an air-gapped AI appliance installed inside your practice. It reads clinical notes, drafts compliant 837P (Superbill) claims, catches undercoding, and builds audit-ready evidence packs, all without patient data ever leaving the building.
Medical practices lose revenue in three compounding ways. Most never see the full picture until they measure it.
Outsourced billing charges 4–10% of collections, a perpetual tax that grows as your practice grows. Solo practitioners pay the highest rates at 10.9% (AMA 2024).
Physicians lose $30K+ per provider per year from systematic undercoding (AAFP). Conservative coding defaults and 30%+ annual coder turnover compound the problem.
The 2024 Change Healthcare breach exposed 192.7 million records. Cloud-based billing centralizes PHI into attack surfaces you don’t control.
Multiple validation stages ensure every claim is accurate, compliant, and documented before submission.
Extracts clinical detail from signed notes: diagnoses, procedures, and medical decision-making complexity.
Assigns CPT and ICD-10 codes based on documentation, matching procedure complexity to the correct billing level.
Applies payer-specific rules, modifier requirements, and prior authorization logic before submission.
Identifies denial patterns across your claim history and flags root causes before claims go out.
Sovereign RCM works with any specialty that bills using CPT/ICD-10 codes and the 837P format. The system adapts its coding logic to your specialty's patterns, modifier rules, and payer requirements during the pilot calibration phase.
Highest visit volume, systematic E/M undercoding, large market with thin margins where billing accuracy matters most.
High-acuity E/M coding, time-critical documentation, complex modifier requirements.
Procedure-heavy workflows, modifier-intensive billing, surgical vs. conservative care distinctions.
Complex E/M levels combined with procedural coding, multi-component encounters.
High visit volume, undercoding risk on destruction vs. excision, modifier-sensitive procedures.
Urology, gastroenterology, pulmonology, neurology, ENT, general surgery, and more. If you bill with CPT/ICD-10, Sovereign RCM adapts to your coding patterns.
Sovereign RCM is not cloud software repackaged as a local install. It was designed from day one to run inside your building, on dedicated hardware.
PHI is processed locally and never transmitted. Only the final 837P (Superbill) claim leaves your facility.
No percentage of collections. No surprise fee increases. Contact us for pricing tailored to your practice size and specialty mix.
Every coding decision includes the clinical documentation that supports it. Full rationale, not just a code assignment.
Your data stays in your building in standard formats. No data hostage, no switching costs, no export fees.
Dive deeper into specific topics: security architecture, the pilot process, competitive comparisons, and more.
Start with a free billing analysis. We'll show you exactly where your practice is losing revenue.