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ANICA — Automated Neural Intelligence for Coding & Auditing

Automated Neural Intelligence for Coding & Auditing

ANICA Medical Coding Platform

AI-native medical coding that automates HCC, E&M, and RAF coding with specialized AI agents — delivering audit-ready results at enterprise scale.

Every AI decision is backed by verifiable tool calls. No black boxes. Complete audit trails from clinical document to final code.

ANICA AI Medical Coding Platform — multi-agent intelligence for clinical coding
10,000+
Charts/Day
92.6%
Accuracy
100%
Auditable

Purpose-Built for HCC Coding

While others do general medical coding, ANICA specializes in what matters most — risk adjustment, MEAT validation, and RADV audit defense.

Coding Systems

  • ICD-10-CM/PCS (FY2026)
  • HCC V24 + V28 + RxHCC
  • CPT & HCPCS Level II
  • E/M (2021+ MDM guidelines)
  • HEDIS Quality Measures

Performance

  • 92.6% accuracy across all coding systems
  • 5-15 seconds per chart
  • 10,000+ charts/day capacity
  • Fast/Standard/Custom workflow paths
  • Batch and real-time API modes

Compliance

  • RADV readiness scoring per chart
  • Automated MEAT validation
  • Complete audit trails
  • Appeal letter generation
  • False positive reduction

Built on ANICA

The ANICA family

Companion tools and specializations that share ANICA’s coding engine, evidence verification and audit trail.

buddy.anica.live
BetaAccounts are issued through your organization

ANICA Buddy

The official code, for the date you are coding

An evidence-first ICD-10-CM and CMS-HCC reference for professional coders, auditors and risk-adjustment teams: date-specific code lookup, coding rules, MEAT checks and V28 RAF calculations.

  • Encoder
  • Code Book
  • Cheat Sheet
  • Search
  • Evidence / MEAT
  • RAF Calculator (V28)

Never approves a code. Holds no charts; text pasted for a MEAT check is not stored or sent to an AI model.

Illustrative workflow

Home health episode

From documentation to an audit-ready claim

  1. 1Documentation reviewComplete
  2. 2ICD-10-CM codingCoded with evidence
  3. 3OASIS-related QAItems to confirm
  4. 4PDGM checksChecked
  5. 5Clinician / coder exception reviewRouted to a person

Illustrative workflow. Private demonstrations only.

In developmentWorkflow prototypes reviewed with partners

ANICA for Home Health

Coding & QA

A specialized ANICA workflow for home health agencies and their RCM and coding partners. It shares ANICA’s coding engine, evidence verification, rules and audit infrastructure.

  • Documentation review
  • ICD-10-CM coding
  • OASIS-related QA
  • PDGM checks
  • Clinician / coder exception review

How It Works: 5-Stage Pipeline

From clinical document to audit-ready code in under 45 seconds — transparent, traceable, and fully auditable at every step.

Explore the full pipeline