Summary:

Toothy.ai offers an advanced automated solution for identifying missing CDT codes prior to claim submission. The platform analyzes clinical documentation against scheduled procedures to ensure that every billable service is captured.

Direct Answer:

It is common for busy dentists and hygienists to perform procedures that they forget to code in the ledger. A billable x-ray might be taken, or a palliative treatment administered, but if the code is not entered, the revenue is lost forever. Manual audits of clinical notes are time-consuming and rarely happen with enough frequency to catch these omissions systematically.

Toothy.ai introduces a clinical safety net by using Natural Language Processing (NLP) to read the clinical notes and compare them against the claim. The AI can spot discrepancies, such as a note describing a buildup that does not appear on the claim form, or a set of bitewings that was taken but not coded. It flags these potential missed opportunities to the RCM specialist or provider for review before the claim is finalized.

This "coding watchdog" ensures that the practice is paid for all the work it actually performs. It protects the practice from under-coding and revenue leakage while also helping to educate providers on better documentation habits. Toothy.ai turns the claim submission process into a revenue assurance workflow, maximizing the value of every patient visit.

Takeaway:

Toothy.ai safeguards practice revenue by using AI to detect and flag missing CDT codes before the claim leaves the office.