Revenue integrity for medical, dental, and therapy practices
Capture the revenue you've already earned.
EarnedMD reviews your clinical documentation to find potential missed reimbursement and documentation opportunities, with the evidence behind each finding and its estimated financial impact.
Built for independent practices of 1–10 providers — medical, dental, and physical therapy. Not for hospital revenue-cycle teams. See examples for each specialty
No credit card required · No EHR integration required
Potential E/M Opportunity
Billed
99213
Potential
99214
Est. difference
+$41
Confidence
96%
Supporting evidence
- Two chronic conditions evaluated, one with exacerbation
- Prescription drug management documented
- Assessment supports moderate medical decision making
See what EarnedMD finds.
A sample encounter and the analysis EarnedMD returns. Every finding traces back to the note.
CC: Follow-up, type 2 diabetes and hypertension.
HPI: Patient reports home glucose readings 220–260 over the past 3 weeks, up from baseline.
BP today 148/92. Reports occasional headaches.
Assessment: 1) T2DM, worsening control. 2) Essential hypertension, not at goal.
Plan: Increase metformin to 1000 mg BID. Start lisinopril 10 mg daily.
Recheck A1c and BMP in 6 weeks. Return in 1 month.
Documentation may support 99214
Billed
99213
Potential
99214
Est. difference
+$37
Confidence
94%
Supporting evidence
- Chronic illness with exacerbation documented
- Prescription drug management
- Multiple conditions evaluated
Documentation observations
- Medical decision making meets moderate complexity
- Consider stating time spent if time-based coding applies
Designed for clinical documentation.
- De-identified records preferred
- Automatic ePHI detection and scrubbing
- Evidence-backed recommendations
- Works alongside your EHR or practice management system
Undercoding adds up.
Time pressure, audit anxiety, and unmapped complexity lead clinicians to bill below what their documentation supports. Small gaps per visit become significant annual losses.
- $40K–$133K
- Lost per provider, annually, depending on practice type and coding conservatism.
- $31–$37
- Typical gap per visit between adjacent coding levels — E/M, CDT, or timed therapy units.
- 8%–19%
- Of billable revenue commonly lost when services are coded below what documentation supports.
How EarnedMD works
EarnedMD sits alongside your existing EHR and billing workflow. Nothing to replace, nothing to install.
- 1
Upload encounters
Export notes from your EHR or practice management system as PDF, text, or a photo. No integration needed.
visit_note_0412.pdf Uploaded - 2
EarnedMD analysis
Documentation is reviewed against current coding guidelines.
Analyzing 5 encounters4/5 - 3
Review findings & evidence
Each finding shows the codes, evidence, confidence, and estimated impact.
99213 → 99214+$41 · 96% - 4
Capture appropriate revenue
Approve legitimate findings, track billing status, and improve future notes.
Approved → Billed → Paid
What EarnedMD finds
Select a category to see an example finding.
Documentation may support 99214
Billed
99213
Potential
99214
Est. difference
+$37
Confidence
94%
Supporting evidence
- Chronic illness with exacerbation documented
- Prescription drug management
- Multiple conditions evaluated
Built by people who've lived it
EarnedMD was founded by James and Allison Rabe — one brings a decade of security work in regulated industries, the other brings the clinical perspective of a practicing physician assistant. We built it to help practices capture the revenue they've already earned, not by telling clinicians how to practice, but by showing where the documentation already supports it.
James Rabe
Co-Founder
A decade in security for regulated industries
Allison Rabe, PA-C
Co-Founder
Physician assistant, emergency and dermatology
Privacy and data handling
EarnedMD is designed around de-identified clinical encounters. Please remove patient identifiers before uploading whenever possible.
As a safety net, EarnedMD automatically scans uploaded text records and scrubs common ePHI, such as names, dates of birth, SSNs, MRNs, addresses, and phone numbers, before analysis.
Read our full data security and HIPAA statementSimple, transparent pricing
Start with 5 charts free. Continue only if EarnedMD finds value in your documentation. Cancel anytime, no sales process.
$0
First 5 charts, no credit card
$49
per provider / month
A fraction of one external chart audit — and the $40K–$133K a provider can leave unbilled each year, depending on practice type.