Autonomous Mid-Revenue Cycle
Platform with Clinical Intelligence
ARC+ unifies key mid-revenue cycle functions, including Concurrent CDI, Utilization Management, Autonomous Inpatient DRG Coding, Pre-Bill Audit, Care Management, Peer-to- Peer Reviews, and Denials & Appeals Management into a single AI-native platform. This allows hospital revenue cycle teams to reduce administrative costs, prevent denials, and improve overall quality metrics and financial performance
PROBLEM
Four Questions Every
RCM Leader Must Evaluate
- Which cases should be prioritized for maximum DRG optimization & ROI?
- Which charts are missing critical documentation for clinical validation?
- How many discharges are exposed to denial or downgrade risk?
- Where are CMI, Risk Adjustment & Quality metrics slipping away?
CORE CAPABILITIES
Unified Platform for Complete Documentation Intelligence
ARC+ accelerates clinical documentation reviews by embedding peer-reviewed medical evidence pathways, coding rules, and payer requirements directly into an intelligent, transparent workflow. By pairing automated processing with human-in-the-loop oversight, ARC+ ensures accurate decision-making and clean claim submissions
Evidence Extraction & Clinical Validation
Extracts clinical indicators from notes, labs, and imaging to validate every diagnosisApplied to every encounter
Smart Prioritization
Ranks encounters by their impact on CMI, SOI/ROM, PSI/HAC, Denial risk, and DRG optimizationPrioritized before manual review begins
Autonomous Coding Intelligence
Audit-Ready Queries
Generates EMR and mobile-integrated CDI queries with
a full audit trailEvery recommendation, fully traceable
Measurable Outcomes Across the
Entire Mid-Revenue Cycle
Drive results with AI-native insights and intelligent automation
4x
Faster chart reviews with higher accuracy
50%
Denials reduction
50%
Reduction in operational expense
25%
Improvement in CMI, SOI/ROM & PSI/HAC reporting
*Based on client implementations, health system pilot outcomes, and operational modeling. Results vary by organization
Human-in-the-loop
and Clinical Artificial Intelligence
By harnessing the power of data analytics, automation, and AI, we enable healthcare organizations to operate at peak performance, reduce costs, and deliver high-quality care.
ARC+ pairs autonomous AI reasoning with clinician
validation – models grounded in clinical evidence extracted from the chart, and validated by physicians, CDI leaders, and HIM experts, so CDI and RCM specialists are elevated rather than replaced.
Every recommendation carries the evidence and reasoning path to support it – in front of a payer, an auditor, or a peer reviewer.
In-built AI Autonomous DRG coding with Bulwark Encoder
Evidence-cited clinical diagnoses recommendations
Fully auditable CDI & query workflows
Clinician-validated AI models
Time-saving with Autonomous workflows
Scaled without adding headcount
KEY FEATURE
Revolutionize Your Clinical
Documentation and Coding
From evidence extraction to EMR-integrated queries, ARC+ brings multi-agent AI to every step of your mid-revenue cycle, helping RCM teams process claims faster without adding additional FTE headcount
AI-Native
Workflow Optimization
Simplifies the operational complexity of IP-DRG reviews, reducing the cost of running Pre-Bill and Post-Bill review programs while delivering efficient CDI, UM, and DRG audit workflows
Smart workflow, predictable outcomes
Concurrent UM,
Peer-to-Peer
Clinical Intelligence
Powered by advanced clinical AI and Bulwark’s clinical care guidelines AI, Utilization Management and Clinical Validation reviews are easier and faster. Peer-to-peer reviews are also evidence-based, with efficient CDI (IP/OP) and DRG audit workflows running alongside them
Concurrent review, faster appeals
Denial
Risk Intelligence
Detects documentation vulnerabilities before a claim goes out the door, flagging DRG denial/downgrade risk and payer-dispute exposure early. Every recommendation remains evidence-backed and
payer-aligned, catching gaps that manual review typically misses until it’s too late to prevent a denial.
Catching risk before the Claim Ships
Readmissions
Reporting
LEADERSHIP DASHBOARD
For Leaders Who
Need Answers,
Not More Reports
The CAiRE+ leadership dashboard surfaces the metrics that matter most at a glance, in real time — so leaders can answer ‘what’s in it for me’ immediately.
- Real-time insights
- Actionable intelligence
- Better decisions, better outcomes
Smart Reporting
and Dashboards
Advanced analytics highlight gaps in evidence across clinical notes, labs, and imaging to corroborate coded conditions, with actionable provider, CDI, and coder scorecards,
mid-revenue-cycle audit capability, and PSI/HAC reporting
Analytics & provider scorecards
Seamless EMR Integration
& Mobile App
Connects clinicians, CDI, and coding teams through streamlined EMR workflows and a physician-friendly mobile app, designed by clinicians and RCM experts – with provider queries built into existing workflows and optimized for quick response on the go
Built in smart queries
AUTONOMOUS CODING, SMART ENCODER
AI-native Coding & Encoder Engine across all modalities
Autonomous AI medical coding made easy across inpatient and outpatient visits, and all other specialties.
Every recommendation carries its supporting clinical evidence and reasoning, version-controlled with a complete audit trail
AUTONOMOUS INPATIENT CODING
Every Inpatient Chart, Coded and Validated
Autonomous validation of diagnosis codes for MS-DRG assignment, including CC/MCC and HCC coding, Elixhauser risk adjustment models, SDOH, and inpatient procedure and E/M coding
1.
MS-DRG Validation
Autonomous Coding logic and DRG alignment MS-DRG logic and CC/MCC validation applied to every inpatient encounter2.
Bulwark’s Smart Encoder
Autonomous Encoder Engine for coding compliance
Bulwark’s proprietary Encoder logic validates each coding assignment for coding compliance, screening them edits and denial risks
3.
CC/MCC Capture
Missing DRG optimization opportunities identified Autonomous identification of missing CC/MCC opportunities, drawn from clinical indicators and evidence extracted from the chart4.
Inpatient Risk Adjustment
Built in Elixhauser and HCC models Elixhauser risk adjustment models and HCC coding applied to inpatient encounters alongside DRG assignment5.
Procedure & Inpatient E/M
Autonomous CPT & E/M Coding Inpatient procedure and E/M coding, with clinical AI-assisted validation of all diagnoses
AUTONOMOUS OUTPATIENT CODING
End-to-End Pro-Fee, Inpatient Facility and Outpatient Coding End-to-End
AI-native diagnosis and procedure coding for Pro-Fee claims, HCC coding, E/M levels,
and outpatient CPT code extraction
1.
Pro-Fee E/M
Professional-fee claims, coded and audited E/M level coding and Pro-Fee audit following coding rules for all types of visits2.
Outpatient HCC
Risk-adjusted coding on the outpatient side HCC coding with AI-assisted clinical validation of HCC diagnoses3.
CPT Extraction
Procedure codes from the documentation Outpatient CPT code extraction and procedure coding drawn directly from the clinical encounter4.
Bulwark’s Smart Encoder
Autonomous Encoder Engine for coding compliance Bulwark’s proprietary Encoder logic validates each coding assignment for coding compliance, screening them edits and denial risks5.
Inpatient Dx and Procedural Code Assignment
ICD-10-CM and ICD-10-PCS extraction and E/M level assignment Inpatient diagnoses and PCS code assignment along with E/M coding for inpatient visitsGet the ARC 
Product Brochure
A complete walkthrough of the platform – capabilities,
architecture, and implementation model.
Question & Answers
Frequently Asked Questions
Post-contract signing, your team can readily start using ARC+ the same day. ARC+ deploys through a structured, rapid model: EMR and data pipeline integration, workflows customized to organization’s rules. Provider-facing query and reporting dashboard all live within ARC+.
Yes. ARC+ runs on a HIPAA-compliant architecture with enterprise-grade access, encryption, and data controls. Our infrastructure is SOC 2 and HITRUST certified.
Yes. ARC+ integrates with your existing EMR within a secure infrastructure layer, ingesting data from EMR via HL7/FHIR, and delivering recommendations back into the EMR via proprietary SMART on FHIR integration. Results may vary by organization and documentation quality.
ARC+ closes the gap between bedside care and documentation, resulting in fewer denials, greater DRG accuracy, and less manual review, without adding any additional FTE count. Results may vary, and our estimated ROI is over 5x, with additional savings based on denial rate and documentation quality.
Yes. Within ARC+, every CDI query and note is version-controlled with a full audit trail. All queries comply to ACDIS Practice Brief and follow compliant query guidelines and standards
ARC+ elevates revenue cycle efficiency by automating routine chart reviews and prioritizing highest-value opportunities. Powered by AI evidence extraction and seamless query generation, the platform liberates CDI specialists to apply critical judgment where it matters most—ensuring precise DRG finalization and optimal reimbursement.
Ready to Transform Your Mid-Revenue Cycle Operations?
See ARC+ running against your own charts, workflows, and payer mix.
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