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AI Module · AI-Driven BillingComing soon

Automate billing — from coding to payment.

Murphi verifies coding, scrubs claims, submits them to your clearinghouse and tracks every one to payment — then prepares ADR packets and appeal letters when payers push back.

✓Clean claims, first time✓Every claim tracked to cash✓ADRs & denials worked for you
$2,340 paidclean claim · 14 days
Claim · Emily Johnson · HH 30-day periodLive
EJEmily Johnson · Medicare APeriod 09/01–09/30 · MMTA-CardiacEXPECTED$2,340.18
✓Coded✓Scrubbed✓Submitted✓Accepted✓Paid✓Posted
Codes verified · HIPPS 1FC31OASIS-matched · coder signed8:10 AMVerified
Claim scrubbed · 2 edits auto-fixedOccurrence code · attending NPI8:11 AMClean
837I submitted to clearinghouseBatch 0924 · 42 claims8:12 AMSent
999 / 277CA accepted by payerNo rejections9:40 AMAccepted
835 ERA received · $2,340.18Paid in full · matches expectedDay 14Paid
✓Payment posted to your EHR ledgerwhere permitted

EHR retrieval and write-back occur only where permitted by your organization and the respective EHR, with appropriate approvals.

Built to healthcare standards✓HIPAA Compliant✓SOC 2 Type II✓ISO 27001✓FHIR · HL7✓End-to-end encrypted
98%Clean-claim rate
on first submission
100%Of claims tracked
from submission to cash
MinutesTo assemble an ADR
packet — not days
FasterCash flow with less
revenue leakage
BILLING DASHBOARD

Every claim. Every dollar. One view.

Billers, billing companies and finance teams see billed, collected, AR, denials and recovered revenue — live, across every payer.

Billing dashboard · Sunrise Home Health & Hospice · SeptemberLive
BILLED · MTD$1.28M412 claims
COLLECTED$1.04M81% of billed
OPEN AR$236Kacross 9 payers
DSO32 dayswas 47
CLEAN CLAIMS98%first pass
DENIAL RATE2.1%was 7.8%
AR AGING · $K
142
58
24
12
0–3031–6061–9090+
CLAIMS BY STATUS · 412
Paid318In process61ADR / RFI14Denied9Ready to bill10
DENIALS · ROOT CAUSE & ACTION
CO-50Medical necessity$18.2K at riskAppeal drafted
CO-16Missing information$9.4K at riskCorrected
CO-97Bundled / partial period$6.1K at riskReview
N115LCD documentation$4.8K at riskPacket ready
REVENUE RECOVERED · THIS MONTH$48,360Underpayments, denials and ADRs won back
Underpayments found$12.9KDenials overturned$22.7KADRs approved$12.8K
THE WORKFLOW

From coding to cash — on autopilot.

Murphi handles each step and keeps your billers in control, with a human review wherever it matters.

Visit documentedCash posted · 14 days
STEP 01Coding verified412claims codedChecked against OASIS and notes
Codes checked1,648Codes changed23HIPPS verified412
AI + coder⏱ < 1 min
STEP 02Claim scrubbed98%clean first pass42 payer edits on every claim
Edits run42 per claimAuto-fixed31 claimsSent to biller8 claims
AI · auto-fix⏱ seconds
STEP 03SubmittedDailybatch submission837I batches to your clearinghouse
Batch 092442 claimsValue submitted$98,420Rejections0
Biller approves⏱ 8:00 AM
STEP 04Status tracked100%claims tracked999, 277CA and payer status
Accepted · 999/277CA398RFIs · ADRs3 · 2Pending > 30 days4
AI · no portals⏱ every 4 hrs
STEP 05ERA posted14 daysavg to payment835s matched and posted
Collected$1.04MAuto-posted96%Underpaid flagged11
AI · posts to EHR⏱ same day
STEP 06ADRs & denials$48KrecoveredPackets and appeals drafted
ADR packets ready14Appeals drafted9Overturn rate82%
Biller sends⏱ minutes
DAYS TO PAYMENT14was 38
TOUCHES PER CLAIM0.3was 4.1
CLEAN CLAIMS98%first pass
REVENUE RECOVERED$48Kthis month
Murphi does the workYour team reviews & approves
HOW IT WORKS

Get paid faster. Keep every dollar you earned.

For home health and hospice — Murphi does the checking, tracking and paperwork; your billing team makes the calls.

CODING & CLAIM SCRUBBING

Clean claims, the first time.

Before a claim leaves, Murphi verifies codes against the OASIS and documentation and runs payer edits — HIPPS, NOA, LUPA thresholds, NPIs and occurrence codes — fixing what it can.

✓Codes verified against documentation✓Payer edits run on every claim✓Common errors fixed automatically
Claim scrubber · Emily Johnson42 payer edits
EDITS RUN42
PASSED40
AUTO-FIXED2
HIPPS matches OASIS1FC31 · functional level High✓ Pass
NOA accepted before claimFiled day 1✓ Pass
LUPA threshold9 visits · threshold 4✓ Pass
Attending physician NPIMissing on claimAuto-fixed
Occurrence code 50Assessment date addedAuto-fixed
F2F & signed POCOn file · 09/02✓ Pass
✓Clean claim · ready to submitbiller approves
SUBMISSION & TRACKING

Every claim, tracked to payment.

Claims are prepared and submitted to your clearinghouse, then tracked through every status — accepted, pending, RFIs, ADRs, ERAs and denials — without logging into portals.

✓837I submission to your clearinghouse✓999, 277CA and 835 tracked automatically✓Pending claims and RFIs surfaced early
Claims tracker · 412 open & paid claimsUpdated 2 min ago
All · 412Pending · 61RFI / ADR · 14Denied · 9
Emily J.HH · 09/01–09/30$2,340Paid · 835
David W.HH · 09/05–10/04$1,980Accepted · 277CA
Jennifer B.Hospice · Sep$6,420Submitted · 837I
James S.HH · 08/12–09/10$2,110RFI · 4 days
Sarah W.Hospice · Aug$5,880ADR · 30 days
✓Every status change, tracked automaticallyno portal checking
ADR RESPONSE

ADR packets, assembled for you.

When an ADR arrives, Murphi gathers the OASIS, plan of care, F2F, orders and visit notes, indexes them and drafts the cover letter — ready for your review.

✓Complete, indexed documentation packet✓Cover letter drafted with evidence✓Deadlines tracked for every request
ADR response · Sarah W. · HospiceDue in 30 days
PACKET · AUTO-ASSEMBLED
ADR letter · requestReviewed · due in 30 days✓
OASIS-E · SOCSigned · 18 pages✓
Plan of care · 485Physician-signed✓
Face-to-face encounterDated 08/28✓
Visit notes · SN, PT9 visits · 14 pages✓
Physician orders3 signed orders✓
COVER LETTER · DRAFTEDEnclosed are records supporting terminal prognosis for Sarah W., including PPS decline from 50% to 30%, weight loss of 9% and IDG documentation…46 pages · indexed & bookmarked
Billing lead reviews packetSent through your submission channelApprove & send✓ Sent · tracking
DENIALS & APPEALS

Appeal letters, drafted with evidence.

Every denial gets a root cause and a recommended action. For appeals, Murphi drafts the letter and cites the exact documentation that supports the claim.

✓Root cause for every denial✓Appeal letters with cited evidence✓Recovery tracked to resolution
Denial · James S. · CO-50$2,110 at risk
PAYER REASONCO-50 · Not medically necessary
ROOT CAUSE · MURPHISkilled need documented in PT eval but not referenced in visit notes 3–5.
EVIDENCE CITEDPT eval p.3OASIS M1860Visit 3 · gaitMD order 09/02
APPEAL LETTER · DRAFTEDRe: Redetermination requestWe respectfully request reconsideration. The enclosed PT evaluation documents gait instability requiring skilled intervention, consistent with OASIS M1860 and the physician order of 09/02…
Recovery forecast · $2,110Similar appeals overturned 82% of the timeSubmit appeal✓ Appeal filed
ERA POSTING & REVENUE LEAKAGE

Stop revenue leaking out.

Each ERA is reconciled against the expected payment. Underpayments, LUPA adjustments and partial payments are flagged and queued for rework — then payments post to your EHR.

✓Paid vs expected on every claim✓Underpayments flagged automatically✓Payments posted to your EHR ledger
ERA reconciliation · 835 · Batch 0924Auto-posting
PATIENTEXPECTEDPAIDRESULT
Emily J.$2,340.18$2,340.18✓ Match
David W.$1,980.40$1,712.60Short $267.80
Jennifer B.$6,420.00$6,420.00✓ Match
Robert B.$2,050.00$1,640.00LUPA applied
Underpayment flagged · David W.Contract rate vs paid · rework queued+$267.80
✓Payments posted to your EHR ledgerwhere permitted
BUILT FOR YOUR BILLING TEAM

One platform for billers, billing companies and finance teams.

Everyone sees the claims that matter to them.

Work queue · Jessica D. · Biller
RFI · James S.Visit notes requested4 days
Appeal · CO-50 · $2,110Letter drafted with evidenceReview
ADR · Sarah W.46-page packet readyReview
ERA · Batch 0924$98,420 postedDone
Prep done by Murphi3 of 4
BillersA prioritized queue with the prep work already done.
✓RFIs, ADRs and appeals ready to review✓No portal checking✓Deadlines never missed
Clients · Keystone Billing Co. · 6 agencies
AGENCYDSOCLEAN
Sunrise HH29 ↓99%
Lakeside Hospice31 ↓98%
Valley Care HH44 ↑93%
Harbor Hospice35 ↓97%
Valley Care flaggedDSO up 9 days
Billing companiesEvery client agency in one view.
✓Multi-agency dashboards✓Benchmarks by client✓White-label reporting
Cash forecast · Sunrise HH & Hospice
NEXT 6 WEEKS$1.12M
W1W2W3W4W5W6
Leakage this month$12.9K flagged
Finance teamsCash flow you can forecast.
✓DSO, AR aging and collections✓Revenue leakage tracked✓Expected cash by week
FAQS

Frequently asked questions

01When is AI-Driven Billing available?

AI-Driven Billing is coming soon. Request a demo to join early access and help shape the rollout for your agency.

02Does it replace our billing team?

No. Murphi prepares, checks and tracks — your billers review, approve and make the decisions on every claim, ADR and appeal.

03Which clearinghouses does it work with?

Murphi prepares standard 837I claims and reads 999, 277CA and 835 responses, and is designed to work with your existing clearinghouse.

04Does it handle both home health and hospice?

Yes — home health 30-day periods and NOAs, and hospice NOEs and monthly claims, each with their own payer edits.

05How are ADRs and appeals handled?

Murphi assembles the documentation packet and drafts the cover or appeal letter with cited evidence. Your team reviews and submits.

06How do payments reach our EHR?

Where permitted by your organization and your EHR, ERA payments are posted back through APIs, approved integrations or authorized workflow automation.

Get early access to AI-Driven Billing.

See how Murphi takes billing from coding to cash — and be first in line when it launches.