Fathom

What Fathom is

Fathom provides AI-powered autonomous medical coding for healthcare organizations. Its service processes charts it can code and routes the rest to the customer’s existing coding operation, allowing both paths to fit into the same workflow. Coverage includes E/M levels, provider assignment, diagnosis and procedure codes, modifiers, and billing flags. Organizations can adjust E/M leveling and provider attribution at the site and payer levels. A real-time coding audit checks coded charts and flags potential denials or unnecessary downcoding, according to Fathom. The company says its AI integrates with existing workflows without requiring additional software or training.

Fathom serves health systems, physician groups, outpatient ambulatory clinics, health plans, value-based care providers, and revenue cycle management vendors. The product is available on the web, and Fathom lists a free plan alongside paid medical coding services. The company was founded in 2017. Medical coding service pricing is by estimate; prospective customers can request a demo or quote. Fathom also says it has undergone third-party audits for HITRUST, HIPAA, and SOC 2 Type 2 compliance.

Who it suits

Fathom suits healthcare organizations that need AI-assisted coding across charts, including health systems, physician groups, clinics, health plans, and revenue cycle vendors. Its ability to pass uncoded charts to an existing coding operation may suit teams that want to retain that workflow for some charts.

Limits

The free plan’s limits are not described. Medical coding service pricing is by estimate, with a demo or quote available on request.

Getting started

1. Visit https://fathomhealth.com/.
2. Use the web product.
3. Request a demo or quote for medical coding service pricing.

Verdict

Choose Fathom if your healthcare organization wants automated coding coverage with configurable attribution and a real-time audit. It may be less suitable if you need a displayed medical coding price before requesting a quote.