Charges that could not be drafted
If Chiron cannot draft a charge for a visit, procedure, report, testimony or no-show, it tells your team in the Inbox straight away, so the work is still billed.
Bills and collectionsAlso for PTP
ChironAI™ OM · for revenue-cycle and billing companies
Cleaner claims in. Late-payment penalties calculated. Your transmission, our file.
OM builds the 837P file from fee-schedule-checked charges; you transmit it. EORs are read for posting, appeals are tracked, and when a bill is paid late Chiron calculates the §4603.2 or §4622 penalty and interest owed.
What Chiron does · Billing and collections
The 12 tasks that pay back first.
In workers' compensation and med-legal billing, revenue is lost in small ways: a visit never charged, a code under-leveled, a late payment whose penalty nobody claimed, an appeal window missed. Chiron closes each of those gaps and leaves your billers to work the exceptions.
Ordered by what they return: revenue first, then errors avoided, then time saved.
AI coding suggestions
Chiron suggests the E/M level from the note and orders, scored against the CMS 2021 medical decision-making grid and leveling on the higher of decision-making and time. For procedures it checks the recorded codes and proposes modifiers, units and ICD pointers, and drafts a code for a procedure recorded without one. For med-legal work it proposes the ML code and computes excess-page pricing. Each suggestion shows in a "Suggested by Chiron" panel with a confidence chip; the physician or biller confirms, and every override is recorded.
Bills and collections
Fee schedule pricing
Every charge is priced at creation against the Official Medical Fee Schedule or the Medical-Legal Fee Schedule in effect on the date of service, and you can preview the fee before you create the charge. Each month Chiron checks for a new DWC physician fee order and loads it, checking a sample of codes afterwards and stopping to ask a person if anything is unclear. Once you add your service locations, workers' compensation charges are priced for your DWC locality; until then the statewide rate applies.
Bills and collections
How a personal-injury case ended
Chiron records whether a personal-injury case settled, went to verdict, was dismissed, finished treatment or transferred, and ties a recorded settlement amount to the lien balance so the two never disagree.
Bills and collectionsAlso for PTP
Why it was denied, and where to take it
For a denied or underpaid bill, Chiron reads the EOR, suggests whether the cause is a billing dispute, a medical-necessity denial or a liability denial, and routes you to the forum that handles it, since bill review cannot reach the latter two.
Bills and collections
Second-review windows still open
Chiron lists every underpaid or denied med-legal charge whose 90-day Second Bill Review window is open, with the days left and the dollars at risk.
Bills and collections
Unacknowledged settlement notices
When a settlement notice logged on a case has gone unacknowledged for 14 days, Chiron reminds you to review it.
Bills and collectionsAlso for Admin
Payment deadlines watched
Chiron computes the payment deadlines under Labor Code §4603.2 and §4622 in the right kind of days, skipping weekends and California state holidays where the rule calls for business days.
Forms
Timely-filing countdown
Chiron checks unbilled charges against the 12-month filing limit and alerts your billing team at 60, 30 and 15 days before it, rising in urgency, so no charge ages out unbilled.
FormsAlso for Admin
Charges drafted when the work happens
Chiron drafts a charge when a visit is completed, a procedure is recorded, a med-legal report is attested, testimony is completed, sub rosa footage is reviewed or a no-show is marked. Nothing billable waits for someone to remember it. Drafts are never submitted without a person.
Bills and collections
Blocked-and-why worklist
Chiron sorts your billing into one worklist of what is blocked and why — a denial, a missing EOR, an unfiled dispute — with the money at risk and the next step.
Bills and collections
Appeals, second review and IBR
Open an appeal on a denied or underpaid charge and Chiron prepares a populated, clearly labelled equivalent of the DWC Second Bill Review (SBR-1) and Independent Bill Review (IBR-1) request forms, and shows the IBR filing fee.
Bills and collections
01 · Billing partners
What arrives at your desk
Today
Charges coded from memory, missing modifiers, no excess-page pricing.
With Chiron
Charges validated against OMFS/MLFS before creation, Chiron’s coding suggestions confirmed by a person, ML charges drafted on attestation, and an 837P file ready for your clearinghouse.
Fee-schedule-checked charges, EORs and appeals
Every charge priced against the OMFS/MLFS, every EOR read and proposed for posting, every underpayment on a path to second review and IBR.
- Charges are validated against the OMFS, MLFS or your own practice fee schedule before they are created.
- Upload or paste an EOR; Chiron extracts a proposed payment posting that a biller confirms — nothing posts on its own.
- Appeals against denied or underpaid charges are tracked as the ladder to second review and IBR.
- Builds the 837P claim file for your billing partner to transmit.
- A med-legal practice dashboard shows revenue by ML code, receivables aging with §4622 exposure, report turnaround and the panel pipeline.
AI coding suggestions
Chiron suggests the E/M level and proposes procedure codes, modifiers, units and ICD pointers from the visit. You confirm each one.
- Chiron suggests the E/M level from the note and orders, leveling on the higher of medical decision-making and time, and proposes procedure codes, modifiers, units and ICD pointers. You confirm each one, and any change you make is recorded.
Med-legal billing that writes itself
Attest the report and the ML200-series charge is drafted — with excess-page pricing, testimony quarter-hours and sub rosa review.
- Attesting a med-legal report drafts the ML200-series charge, including excess-page pricing.
- While a report is drafted, the applicable ML code, modifiers and included-page allowance are shown.
- Completing a deposition drafts the ML204 charge from the physician’s hours; a late cancellation drafts its charge too.
- Sub rosa footage review is logged by the quarter-hour and drafts the ML205 charge — never auto-submitted.
02 · Billing partners
Getting paid what is owed
Today
Late payments with penalties nobody claims.
With Chiron
OM tracks each bill against its statutory payment deadline from the receipt date and, when it is paid late, Chiron calculates the penalty and interest owed under the right rule.
Late-payment penalty and interest, calculated
When a bill is paid late, Chiron calculates the penalty and interest the payer owes under the right rule — Labor Code §4603.2 for treatment bills, §4622 for medical-legal bills — counting from the bill’s receipt date.
- Tracks each bill against its statutory payment deadline from the receipt date and, when it is paid late, calculates the penalty and interest owed under the medical-legal (§4622) or medical-treatment (§4603.2) rule and shows the total owed. Where liability is contested, the bill is in dispute or a date it needs is missing, it says why instead of guessing a figure.
Fee-schedule-checked charges, EORs and appeals
Every charge priced against the OMFS/MLFS, every EOR read and proposed for posting, every underpayment on a path to second review and IBR.
- Charges are validated against the OMFS, MLFS or your own practice fee schedule before they are created.
- Upload or paste an EOR; Chiron extracts a proposed payment posting that a biller confirms — nothing posts on its own.
- Appeals against denied or underpaid charges are tracked as the ladder to second review and IBR.
- Builds the 837P claim file for your billing partner to transmit.
- A med-legal practice dashboard shows revenue by ML code, receivables aging with §4622 exposure, report turnaround and the panel pipeline.
Also on OM
Everyone around the claim.
- QME & AME
Qualified and agreed medical evaluators
- PTP & occupational medicine
Primary treating physicians and occ-med clinics
- PM&R
Physical medicine and rehabilitation practices
- Personal-injury physicians
Physicians treating and reporting on personal-injury patients
- Practice owners & MSOs
Owners, administrators and management services organisations
- Attorneys
Applicant and personal-injury counsel
- Defense & claims
Defense counsel, carriers, TPAs and adjusters
- Office & front desk
Front desk, intake and office staff
- In-clinic billing
Billing and collections staff inside the practice
See it run on a real claim.
A live demo on a synthetic case — panel, records, report, billing. The AI reasons. The clinician decides.