Generative AI
Agentic Workflows

Documentation that writes itself. Agents that act.

NexusAI's generative and agentic layers eliminate the administrative burden that consumes half of clinical capacity — from ambient encounter documentation to fully autonomous prior authorization and coding workflows.

Ambient intelligence for the full encounter lifecycle

From pre-visit preparation to post-encounter documentation, NexusAI's generative AI handles the cognitive and administrative workload that steals time from patient care.

Before visit
Pre-Visit Chart Recap
18-month patient history synthesized into actionable bullets. Clinician enters the room ready — not searching.
During encounter
Ambient Documentation
Conversation captured, structured, and organized in real time. No dictation. No templates. Just medicine.
At point of care
Coding-Aware Notes
ICD-10, CPT, and E/M level suggestions surfaced inline as documentation is generated — not after the fact.
Post-encounter
Patient Summary
Personalized after-visit summaries generated automatically. Clear, contextually aware, and EHR-linked.
Operations
Compliance & CDI
Documentation integrity checks, audit-ready output, and real-time compliance engine built in.
🎙️
Ambient Clinical Documentation

Listens to the patient-clinician conversation and generates structured, EHR-ready clinical notes in real time — across every specialty and care setting.

  • SOAP, H&P, procedure note, and discharge summary formats supported
  • Specialty-specific terminology and documentation conventions across 200+ specialties
  • Adapts to individual clinician preferences over time with feedback loops
  • EHR-native output — writes directly into Epic, Cerner, or Athenahealth charts
  • No re-transcription, no copy-paste — one-click review and approval
📋
Pre-Visit Chart Preparation

Clinicians walk into every encounter fully prepared — with a synthesized patient history, recent test results, and relevant clinical context surfaced automatically.

  • Analyzes 18 months of patient records including notes from external institutions via CareEverywhere
  • Synthesizes hospital discharges, ER visits, specialist consults, and lab trends
  • Converts multi-hundred-page charts into 2-3 actionable bullets per visit
  • Runs nightly, ready when the clinician opens the schedule each morning
  • Supports complex subspecialties with condition-specific summarization logic
🏥
Inpatient CDI Assistant

First-of-its-kind inpatient documentation integrity tool that captures diagnostic complexity at the point of care — not retrospectively after discharge.

  • Real-time ICD-10 CDI suggestions embedded in clinician workflow during rounds
  • POA (Present on Admission) designation support for accurate quality attribution
  • Conditions Advisor flags potentially missed or underdocumented diagnoses
  • Audit trail with clinical rationale for every suggestion — fully compliant
  • Aligned with AHIMA, ACDIS, and CMS documentation standards
💰
Revenue Integrity at Point of Care

Documentation that accurately reflects clinical complexity drives appropriate reimbursement. NexusAI ensures coding accuracy is built in — not corrected later.

  • HCC (Hierarchical Condition Category) opportunity surfacing in real time
  • E/M level guidance based on documentation content and MDM complexity
  • ICD-10 and CPT code suggestions embedded as documentation flows
  • Real-time compliance engine flags risk areas before notes are finalized
  • CFO-validated ROI tied to improved coding accuracy and reduced denials

Adapted for every specialty, including the hardest ones

NexusAI's generative AI understands the language, priorities, and documentation conventions of over 200 clinical specialties — adapting output without workflow redesign.

Emergency Medicine Neurology Cardiology Oncology Psychiatry Internal Medicine Hospitalist Radiology Orthopedics Gastroenterology Pulmonology Rheumatology Nephrology Endocrinology Pediatrics OB/GYN Dermatology Surgery Critical Care / ICU + 180 more

Native inside the EHR — not alongside it

NexusAI integrates directly into Epic's SmartTools, Oracle Cerner workflows, and Athenahealth — reading and writing to the chart through native FHIR APIs. No context switching. No separate logins.

Progress Note — Auto-generated ✓ Synced to Epic
Chief Complaint
72-year-old male presenting with acute onset right-sided weakness and slurred speech, onset approximately 3 hours prior to arrival. AI Ambient
Assessment
Acute ischemic stroke, right MCA territory. NIHSS 14. CT Head negative for hemorrhage. CTA demonstrating right M1 occlusion. Patient within thrombolysis and thrombectomy windows. AI Ambient
Coding Suggestions Agentic CDI
I63.311 — Cerebral infarction, MCA, right
G81.91 — Hemiplegia, right dominant
R47.01 — Aphasia, acute
HCC opportunity: +18 risk score captured
  • FHIR-native read/write
    NexusAI reads structured and unstructured data from the chart via FHIR R4, writes finalized notes back to the correct note type and section automatically.
  • 🔒
    HIPAA-compliant by design
    All ambient listening and data processing occurs in HIPAA-compliant cloud infrastructure with BAA coverage. Audio is processed, not stored beyond the encounter.
  • 🧠
    No workflow redesign required
    Clinicians open their existing EHR and NexusAI is there — no app switching, no training week. Most providers reach full adoption within 2–3 encounters.
  • 📊
    Compatible with Epic, Cerner & Athena
    Built on the Epic Ambient Module, Oracle CDS Hooks, and Athenahealth Open APIs. Multi-EHR environments supported in a single deployment.

AI that doesn't just inform — it acts

Agentic AI goes beyond documentation and alerts. NexusAI agents autonomously complete high-volume, rule-intensive tasks that currently absorb thousands of clinician and administrative hours every year.

How agentic workflows operate
👁️
Continuous monitoring
Agents scan EHR data streams, imaging results, documentation, and workflows 24/7 for triggers
🧠
Clinical reasoning
AI applies clinical rules, payer policies, and guidelines to determine the correct action
⚙️
Autonomous execution
Agent completes the task — submitting auth, drafting a note, flagging a code, routing an alert
📋
Human review + audit trail
Clinician or admin reviews AI action in the EHR with full explainability and one-click approval
📋
Prior Authorization Agent
Autonomously gathers clinical criteria, populates payer forms, submits prior authorization requests, and monitors status — reducing 45-minute manual workflows to under 2 minutes.
95%
Auto-submission rate
<2min
Vs 45-min manual
💊
CDI & Coding Agent
Reviews inpatient and outpatient documentation in real time, surfaces ICD-10 and CPT opportunities, flags HCC gaps, and generates audit-ready CDI queries — eliminating retrospective coding reviews.
ICD-10
Point-of-care coding
HCC
Risk capture
🤝
Care Coordination Agent
Manages complex care transitions — routing transfer requests, activating PERT or stroke teams, coordinating specialist notifications, and tracking completion of time-critical care protocols.
Real
-time team activation
24/7
Always-on monitoring
🏠
Discharge Optimization Agent
Identifies discharge barriers, coordinates follow-up scheduling, generates discharge summaries, and surfaces patients at risk for readmission — improving throughput and post-acute continuity.
LOS
Reduction support
FU
Scheduling automated
🔍
Utilization Management Agent
Continuously reviews inpatient stays against clinical criteria (InterQual, Milliman), surfaces status changes, and prepares appeal documentation — reducing denials and improving revenue capture.
InterQual
Criteria alignment
Appeal
Auto-preparation
📣
Patient Outreach Agent
Identifies care gaps, coordinates preventive outreach, and generates personalized after-visit summaries and follow-up reminders — closing population health gaps at scale without adding staff.
Gap
Detection & closure
AVS
Auto-generated

NexusAI vs point solutions

Most vendors solve one problem. NexusAI solves the whole system.

Capability
Imaging AI-only platforms
Documentation AI-only
NexusAI (Integrated)
Imaging triage & detection
Care team coordination & alerts
Partial
Ambient clinical documentation
Point-of-care CDI & coding
Partial
Prior authorization automation
Revenue cycle intelligence
Partial
Unified analytics & AI governance
Single EHR integration
Transform Your Health System

See what generative and agentic AI can do for your team

From reducing documentation burden to automating prior authorizations — NexusAI scales your team without scaling your headcount.

Request Demo → View All Solutions